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Audit Library (Clinical oncology)

Audit Library is a collection of audit templates providing a framework identifying best practice in key stages of the audit cycle, covering over a variety of oncology topics.


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Is there a ‘weekend effect’ in the door to needle time of antibiotics administration in cancer patients presenting with suspected neutropenic sepsis

There has been growing interest in the quality of clinical care available in the NHS at weekends in what has been termed the “weekend effect”. Neutropenic sepsis is an oncological emergency requiring prompt antibiotics administration in order to improve outcomes. NICE recommends a door to needle time (DTN) of less than an hour for all suspected cases. This audit aims to assess the management of neutropenic sepsis during the weekend vs weekdays against the NICE standards.

Submitted By: | Last Reviewed: 14 Mar 2020

Orchestrating Timely Check Cystoscopy after Radical Radiotherapy to the Bladder

Patients treated radically for muscle invasive bladder cancer have a high risk of recurrence. For those who have undergone radical radiotherapy (RT), post-RT cystoscopy facilitates prompt surgical salvage if appropriate. Appropriate timing of post-RT cystoscopy requires careful and timely communication between centre providing RT and peripheral urology services.

Submitted By: | Last Reviewed: 22 Mar 2020

Staging for Limited Disease SCLC and impact of PET/CT

Small cell lung cancer is an aggressive malignancy but if treated with chemotherapy and radiotherapy at the limited disease (LD) stage can be cured. NICE advocates staging with brain imaging, and alludes to a PET/CT scan for radical lung therapy. In contrast to NSCLC the impact of PET/CT staging has not been clearly defined. We have local guidelines that recommend brain imaging and PET/CT for LD SCLC.

Submitted By: | Last Reviewed: 14 Mar 2020

Survival outcomes after whole brain radiotherapy for metastatic melanoma

60% of melanoma patients develop brain metastases (BMs). Whole brain radiotherapy (WBRT) is a commonly used treatment option at our local centre, although it is unclear if patients gain significant improvements in quantity or quality of life. An analysis of overall survival (OS) following WBRT may help determine whether it is being used appropriately. Analysis of 30-day and 90-day mortality after radiotherapy is recommended in the Cancer Reform Strategy.

Submitted By: | Last Reviewed: 14 Mar 2020

Audit of Tomotherapy IMRT in the management of Soft Tissue Sarcoma at the Northern Centre for Cancer Care, Freeman Hospital

Radiotherapy plays an important role in the treatment of soft tissue sarcomas (STS). IMRT is an advanced radiotherapy technique which enables delivery of a highly conformal dose to the target whilst sparing surrounding normal tissue. In the UK, a phase II clinical trial (IMRiS) is currently assessing the feasibility, efficacy and toxicity of IMRT in patients with bone and soft tissue sarcomas.

Submitted By: | Last Reviewed: 14 Mar 2020

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