Initiatives for education, training, and dissemination of morbidity assessment and reporting in a multiinstitutional international context: Insights from the EMBRACE studies on cervical cancer.
Brachytherapy
/ adverse effects
Chemoradiotherapy
/ methods
Female
Humans
Internationality
Magnetic Resonance Imaging
Multicenter Studies as Topic
Observational Studies as Topic
Patient Reported Outcome Measures
Quality Assurance, Health Care
Radiotherapy, Image-Guided
Research Design
/ standards
Uterine Cervical Neoplasms
/ radiotherapy
Education/dissemination
Locally advanced cervical cancer
MRI-Guided adaptive brachytherapy
Morbidity assessment
Morbidity reporting
Radiochemotherapy
Journal
Brachytherapy
ISSN: 1873-1449
Titre abrégé: Brachytherapy
Pays: United States
ID NLM: 101137600
Informations de publication
Date de publication:
Historique:
received:
29
05
2020
revised:
17
07
2020
accepted:
11
08
2020
pubmed:
27
9
2020
medline:
2
6
2021
entrez:
26
9
2020
Statut:
ppublish
Résumé
In 2008, the GEC ESTRO Gyn network launched the first multiinstitutional, observational, and prospective international study on MRI-guided brachytherapy in locally advanced cervical cancer patients (EMBRACE-I). EMBRACE-I was followed by EMBRACE-II from 2016 and ongoing. Among the aims of the EMBRACE studies are to benchmark morbidity outcomes and develop dose-volume effects and predictive models for morbidity. The EMBRACE studies collect both physician (CTCAE v.3) and patient (EORTC QLQ-C30/CX24) reported outcomes, including baseline information, in a regular follow-up schedule. The EMBRACE studies feature high numbers of patients (EMBRACE-I N = 1416, EMBRACE-II N = 1500 expected) enrolled from many institutions worldwide (EMBRACE-I n = 23, EMBRACE-II n = 45). This large-scale multiinstitutional approach offers a unique opportunity to investigate and develop new strategies for improving the quality of assessment and reporting of morbidity. This report presents an overview of the challenges and pitfalls regarding the assessment and reporting of morbidity encountered during more than a decade of development and research activities within the EMBRACE consortium. This includes the recognition and evaluation of inconsistencies in the morbidity assessment, and consequently, the provision of assistance and training in the scoring procedure to reduce systematic assessment bias. In parallel, a variety of methodological approaches were tested to comprehensively summarize morbidity outcomes, and a novel approach was developed to refine dose-effect models and risk factor analyses. The purpose of this report is to present an overview of these findings, describe the learning process, and the strategies that have consequently been implemented regarding educational activities, training, and dissemination.
Identifiants
pubmed: 32978080
pii: S1538-4721(20)30186-0
doi: 10.1016/j.brachy.2020.08.011
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
837-849Informations de copyright
Copyright © 2020 American Brachytherapy Society. All rights reserved.