French Interventional Radiology Centers' Uptake of Transradial Approach and Outpatient HCC Intra-Arterial Treatments.

Accountable care organizations Hepatocellular carcinoma Outpatient Transarterial chemoembolization Transarterial radioembolization Transradial approach

Journal

Cardiovascular and interventional radiology
ISSN: 1432-086X
Titre abrégé: Cardiovasc Intervent Radiol
Pays: United States
ID NLM: 8003538

Informations de publication

Date de publication:
06 Nov 2023
Historique:
received: 30 05 2023
accepted: 01 10 2023
medline: 6 11 2023
pubmed: 6 11 2023
entrez: 6 11 2023
Statut: aheadofprint

Résumé

This study aims to investigate the uptake of transradial approach (TRA) and outpatient setting for transarterial chemoembolization (TACE) and transarterial radioembolization (TARE) in the treatment of hepatocellular carcinoma (HCC) among French interventional radiology centers. This cross-sectional study was based on a 34-question survey assessing center activity, radial access, and outpatient care. The survey was developed by a working group, tested by two external experts, and distributed to active members of two French radiological societies via a web-based self-reporting questionnaire in March 2022. The survey remained open for eight weeks, with two reminder emails sent to non-responders. Only one answer per center was considered. Of the 44 responding centers, 39% (17/44) performed TRA for TACE and/or TARE, with post-procedure patient comfort as main motivation. Among the 27 centers not performing TRA, 33% (9/27) reported a lack of technical experience, but all 27 intended to adopt TRA within two years. Only six centers performed TACE or TARE in an outpatient setting. Reasons limiting its implementation included TACE for HCC not being a suitable intervention (61%, 27/44) and organizational barriers (41%, 18/44). Among centers not performing outpatient TACE or TARE, 34% (13/38) said "No," 34% (13/38) said "Maybe," and 32% (12/38) said "Yes" when asked about adopting it within two years. French interventional radiologists have low TRA uptake for HCC treatment, but TRA adoption potential exists. Respondents were uncertain about performing TACE or TARE in an outpatient setting within a 2-year horizon.

Identifiants

pubmed: 37930400
doi: 10.1007/s00270-023-03578-9
pii: 10.1007/s00270-023-03578-9
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023. Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).

Références

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Auteurs

Jules Grégory (J)

Université Paris Cité, Paris, France. jules.gregory@aphp.fr.
Radiology Department, Hôpital Beaujon, AP-HP.Nord, FHU MOSAIC, 100 boulevard du Général Leclerc, 92210, Clichy, France. jules.gregory@aphp.fr.
Inserm INRAE, Center for Research in Epidemiology and StatisticS (CRESS), F-75004, Paris, France. jules.gregory@aphp.fr.

Maxime Ronot (M)

Université Paris Cité, Paris, France.
Radiology Department, Hôpital Beaujon, AP-HP.Nord, FHU MOSAIC, 100 boulevard du Général Leclerc, 92210, Clichy, France.
Centre de Recherche sur L'Inflammation, Inserm, U1149, 75006, Paris, France.

Valérie Laurent (V)

Department of Radiology, Nancy University Hospital, Université de Lorraine, 54500, Vandoeuvre-Lès-Nancy, France.

Pascal Chabrot (P)

Department of Radiology, University Hospital Center, Hospital Gabriel Montpied, 58, Rue Montalembert, 63000, Clermont-Ferrand, France.

Thierry de Baere (T)

Department of Interventional Radiology, Gustave RoussyUniversité Paris-Saclay, 114 rue Edouard Vaillant, 94805, Villejuif, France.

Patrick Chevallier (P)

Department of Diagnosis and Interventional Imaging, University Hospital of Nice, 151 Route de Saint Antoine de Ginestière, 06200, Nice, France.

Valérie Vilgrain (V)

Université Paris Cité, Paris, France.
Radiology Department, Hôpital Beaujon, AP-HP.Nord, FHU MOSAIC, 100 boulevard du Général Leclerc, 92210, Clichy, France.
Centre de Recherche sur L'Inflammation, Inserm, U1149, 75006, Paris, France.

Christophe Aubé (C)

Département de Radiologie, centre hospitalier universitaire d'Angers, 4 rue Larrey, 49 933, Angers, France.
Laboratoire HIFIH, UPRES 3859, Université d'Angers, 49 045, Angers, France.

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