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SGRT US 2024: The Patient Experience Utilizing SGRT

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Marshall McMain, MBA, BS, RT Radiation Therapist University of Penn Health System (Pennsylvania Hospital)

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SGRT US 2024: The Patient Experience Utilizing SGRT
Patients’ Experience Utilizing SGRT Marshall McMain BS; MBA; R.T(T) University of Pennsylvania Hospital System Email: marshall.mcmain@pennmedicine.upenn.edu
Philadelphia is known for its famous Cheesesteak
Philadelphia--Home of The Liberty Bell
Pennsylvania Hospital-- The Nation’s First Founded in 1752
SGRT in Motion Before Morning QA
SGRT After Morning QA was done
Treatment Machine at Pennsylvania Hospital That uses SGRT Varian Edge
Background ● Reached out to facilities within the Penn Health System and other hospitals in the SGRT community. ● Exclusive insight into Patient Experience because SGRT is not utilized at Penn Hospital on a grand scale.
Shared Knowledge Collaboration within the field of Radiation Oncology is an intricate part of what we do in order to deliver quality patient care. Using patient data from multiple institutions, I cross referenced how patient experience varied with the use of Vision RT
Patient’s Feedback on SGRT ● Developed questions and sent them to other sites that utilize SGRT ● Compiled the answers from all institutions ● Many answers were the same across different patients populations What matters the most to a patient — she/he was getting the right care for their cancer
What is Patient Experience? 1. The care they receive from their health care providers 2. How are they perceived at the initial interaction 3. The clarity with which they are explained the situation 4. Choosing the correct hospital 5. Personal vs impersonal treatment — “am I just a number?” 6. Proper delivery of care by therapists and nurses
1. How did you feel when your therapist explained to you this SGRT treatment method that would be utilized as part of your treatment? ● I was fine with it, although I did not fully comprehend all of it until midway through my treatment ● I have no medical background but as my doctors deemed it necessary to help with my treatment I am all for it. ● It reassured me that I will be treated correctly even if I accidentally move ● I felt great that another layer of security would be added to my treatment. ● I was somewhat skeptical at first, because I was already nervous about receiving radiation, but the therapist made me feel very comfortable.
2. How do you feel about tattoos? How does tattooless treatment make you feel, and would you seek out a center that uses this treatment method vs. one that doesn’t? ● Tattoos do not bother me at all so whether I have to get them or not as long as I am being treated correctly that’s is all I really care about. ● I would rather not have any tattoos if possible, so but If I must it’s alright. ● I would rather have the tattoos. ● It makes no difference just want to be treated and get cured from my cancer.
3. Heart sparing (DIBH) is a huge part of utilizing SGRT due to toxicities that can occur. Would you seek out a center with SGRT for this reason? ● If this method can help reducing toxicity to my heart them I am all for it. ● Yes I am concerned about toxicity to my heart ● I am happy that this method will be utilized during my treatment ● I would definitely seek out a center that uses this method and this is part of my reason for getting treatment at Pennsylvania Hospital ● I am very happy that you’ll be utilizing this method of treatment.
4. Accuracy is a vital part of radiation treatment delivery. Would you seek out a center that utilizes SGRT for that reason? ● I did not know anything about SGRT until I entered the treatment room on my first day (PAH does not use SGRT in simulation room). ● I knew about it; however, seeing that I’ve established a good relation with my oncologist I don’t think I would choose another center. ● Considering all the other treatment aspect that goes into planning my care,I don’t think I would seek out another center; however, I am happy that it’s part of my treatment regiment. (Virtua Health Care) : Most of the patients that were surveyed were unaware of SGRT until we explained we were utilizing it, but they were glad once we explained it to them.
5. Did you at any point think to yourself; I have cancer so whatever methods it takes to help gets me better is all I care about? ● (Pennsylvania Hospital) : Many patients gave the same answers as Virtua; however, there were a few different answers. ● Seeing how much I want to get cured, I am happy that this method is being incorporated in my treatment plan. ● Even though this method has been explained to me, I still don’t have a full understanding of it, but has long as my physician deemed it necessary I am all for it. ● After It was explained to me I went online to do some research so I was very happy it was being used. (Virtua Health Care): All patients responded yes to this question.
6. Treatment time is reduced using SGRT, how does this make you feel? Would you do anything differently in seeking a center that uses SGRT? ● Asking this particular question did not generate a response unlike the other questions on the survey. For most of the patients surveyed this was their first encounter with radiation. ● (Virtua Health System): Most responded that they are happy to know that SGRT would shorten their treatment time, and would not do anything differently. ● (Pennsylvania Hospital) : Staying in the room by myself for a shorter time frame is fine with me. ● Response from a breast cancer patient who had one breast treated before and had the other treated with SGRT was happy to know that SGRT would shorten her treatment time and she would not seek out a different center.
7. Do you believe your therapist explained SGRT treatment method so you could fully understand the logic behind it? ● (Pennsylvania Hospital): Eight patients answered this question and they all agreed that it was thoroughly explained to them, even though three individuals stated it was mid way through their treatment when they finally grasped the concept of SGRT. ● (Virtua Health System): All patients that were surveyed stated that SGRT was fully explained to them and that they totally understand the logic behind it. ● One patient stated that he got very nervous and worried that he might move, but once it was re- explained to him that if moved the beam would stop immediately, he was satisfied.
8. SGRT makes it possible to use open face mask (whenever applicable) how does this make you feel? Would you choose a center that uses SGRT for this reason? ● (Ventura Helath system): Does not use open face mask so this question could not be completed there. ● (Pennsylvania Hospital): All the patients that were receiving Hyper Arc treatment were very happy that using SGRT allowed for open face mask. ● Several patients, majority males, stated that they are claustrophobic and were happy not to be in the closed face mask. ● At time of survey there was not a large number of patients requiring Open face mask but they all had a positive response to the use of SGRT.
9. Does the light used by SGRT bother you in any way? ● (Virtua Health System): All responses from patients was yes; some stated they were told if the light bothered their eyes they could close them. ● (Pennsylvania Hospital): Some patients stated that they were worried about the light on their face but reported that if they were given an eye shield they were fine ● A few patients stated that it was somewhat weird having the light on but got accustomed to it with time. ● Some stated they just wanted to get treated and that as long as SGRt helps them stay in position for treatment having the light on was fine.
10. Did you become comfortable right away with the use of SGRT? ● (Pennsylvania Hospital): Several patients stated SGRT was fine, because it was part of the treatment plan. ● Six of the patients who took part in the Survey stated that grasping the concept of how SGRT works took some time before they really understood its concept ● (Virtua Health System): Patients who answered this question all seem to understand how SGRT works after it was explained by the therapist
11. After understanding how SGRT treatment method works, did you become content knowing, for example, that if you moved or changed your breathing pattern during treatment, the treatment beam would stop which would avoid radiation going to an area that was not under treatment? ● (Virtura Health System): Yes, this was reassuring. One patient stated she had aortic valve replacement and that she was very concerened about heart dose. ● (Pennyslvania Hospital): All the patients stated that after having a full understanding of how SGRT works they were happy to know that if they should move or change their breathing pattern SGRT would stop the radiation beam.
12. SGRT is now being used worldwide due to its accuracy in helping the delivery of radiation. After your experience would you now tell family members or friends to seek out Hospitals that utilize this particular treatment method? ● (Virtura Health System): Yes I would definitely tell family members and friends should they ever get diagnosed with cancer to seek out centers that use SGRT. ● (Virtura Health System) Yes, SGRT was easy and took the pressure off me as a patient. I felt less anxiety knowing that my breathing and treatment were being monitored ● (Pennsylvania Hospital): All the patients who took the survey said that if their friends or family members should ever require radiation they would recommend a center that uses SGRT. ● It should all be understood, that both institutions where the survey was done, SGRT is not used for every type of cancer treatment, and are not tattoo less.
Final Take Away Patients are very happy with the Utilization of SGRT, knowing that there is an additional layer of safety added to their treatment. They will not necessarily leave their current provider to seek SGRT out, but they hope all institutions who administer radiation to patients would make SGRT a part of their treatment regiment.
Questions ?
I would like to give credit to my colleagues, without their help it would not be possible to complete this survey. Thanks so much. Julianne Anttell, MAH RT (R)(T) Corinne Preston RT (T)(R) Kaitlyn Sliwecki RT (T) Adrienne Thomas RT(T)

More Related Content

SGRT US 2024: The Patient Experience Utilizing SGRT

  • 2. Patients’ Experience Utilizing SGRT Marshall McMain BS; MBA; R.T(T) University of Pennsylvania Hospital System Email: marshall.mcmain@pennmedicine.upenn.edu
  • 3. Philadelphia is known for its famous Cheesesteak
  • 5. Pennsylvania Hospital-- The Nation’s First Founded in 1752
  • 6. SGRT in Motion Before Morning QA
  • 7. SGRT After Morning QA was done
  • 8. Treatment Machine at Pennsylvania Hospital That uses SGRT Varian Edge
  • 9. Background ● Reached out to facilities within the Penn Health System and other hospitals in the SGRT community. ● Exclusive insight into Patient Experience because SGRT is not utilized at Penn Hospital on a grand scale.
  • 10. Shared Knowledge Collaboration within the field of Radiation Oncology is an intricate part of what we do in order to deliver quality patient care. Using patient data from multiple institutions, I cross referenced how patient experience varied with the use of Vision RT
  • 11. Patient’s Feedback on SGRT ● Developed questions and sent them to other sites that utilize SGRT ● Compiled the answers from all institutions ● Many answers were the same across different patients populations What matters the most to a patient — she/he was getting the right care for their cancer
  • 12. What is Patient Experience? 1. The care they receive from their health care providers 2. How are they perceived at the initial interaction 3. The clarity with which they are explained the situation 4. Choosing the correct hospital 5. Personal vs impersonal treatment — “am I just a number?” 6. Proper delivery of care by therapists and nurses
  • 13. 1. How did you feel when your therapist explained to you this SGRT treatment method that would be utilized as part of your treatment? ● I was fine with it, although I did not fully comprehend all of it until midway through my treatment ● I have no medical background but as my doctors deemed it necessary to help with my treatment I am all for it. ● It reassured me that I will be treated correctly even if I accidentally move ● I felt great that another layer of security would be added to my treatment. ● I was somewhat skeptical at first, because I was already nervous about receiving radiation, but the therapist made me feel very comfortable.
  • 14. 2. How do you feel about tattoos? How does tattooless treatment make you feel, and would you seek out a center that uses this treatment method vs. one that doesn’t? ● Tattoos do not bother me at all so whether I have to get them or not as long as I am being treated correctly that’s is all I really care about. ● I would rather not have any tattoos if possible, so but If I must it’s alright. ● I would rather have the tattoos. ● It makes no difference just want to be treated and get cured from my cancer.
  • 15. 3. Heart sparing (DIBH) is a huge part of utilizing SGRT due to toxicities that can occur. Would you seek out a center with SGRT for this reason? ● If this method can help reducing toxicity to my heart them I am all for it. ● Yes I am concerned about toxicity to my heart ● I am happy that this method will be utilized during my treatment ● I would definitely seek out a center that uses this method and this is part of my reason for getting treatment at Pennsylvania Hospital ● I am very happy that you’ll be utilizing this method of treatment.
  • 16. 4. Accuracy is a vital part of radiation treatment delivery. Would you seek out a center that utilizes SGRT for that reason? ● I did not know anything about SGRT until I entered the treatment room on my first day (PAH does not use SGRT in simulation room). ● I knew about it; however, seeing that I’ve established a good relation with my oncologist I don’t think I would choose another center. ● Considering all the other treatment aspect that goes into planning my care,I don’t think I would seek out another center; however, I am happy that it’s part of my treatment regiment. (Virtua Health Care) : Most of the patients that were surveyed were unaware of SGRT until we explained we were utilizing it, but they were glad once we explained it to them.
  • 17. 5. Did you at any point think to yourself; I have cancer so whatever methods it takes to help gets me better is all I care about? ● (Pennsylvania Hospital) : Many patients gave the same answers as Virtua; however, there were a few different answers. ● Seeing how much I want to get cured, I am happy that this method is being incorporated in my treatment plan. ● Even though this method has been explained to me, I still don’t have a full understanding of it, but has long as my physician deemed it necessary I am all for it. ● After It was explained to me I went online to do some research so I was very happy it was being used. (Virtua Health Care): All patients responded yes to this question.
  • 18. 6. Treatment time is reduced using SGRT, how does this make you feel? Would you do anything differently in seeking a center that uses SGRT? ● Asking this particular question did not generate a response unlike the other questions on the survey. For most of the patients surveyed this was their first encounter with radiation. ● (Virtua Health System): Most responded that they are happy to know that SGRT would shorten their treatment time, and would not do anything differently. ● (Pennsylvania Hospital) : Staying in the room by myself for a shorter time frame is fine with me. ● Response from a breast cancer patient who had one breast treated before and had the other treated with SGRT was happy to know that SGRT would shorten her treatment time and she would not seek out a different center.
  • 19. 7. Do you believe your therapist explained SGRT treatment method so you could fully understand the logic behind it? ● (Pennsylvania Hospital): Eight patients answered this question and they all agreed that it was thoroughly explained to them, even though three individuals stated it was mid way through their treatment when they finally grasped the concept of SGRT. ● (Virtua Health System): All patients that were surveyed stated that SGRT was fully explained to them and that they totally understand the logic behind it. ● One patient stated that he got very nervous and worried that he might move, but once it was re- explained to him that if moved the beam would stop immediately, he was satisfied.
  • 20. 8. SGRT makes it possible to use open face mask (whenever applicable) how does this make you feel? Would you choose a center that uses SGRT for this reason? ● (Ventura Helath system): Does not use open face mask so this question could not be completed there. ● (Pennsylvania Hospital): All the patients that were receiving Hyper Arc treatment were very happy that using SGRT allowed for open face mask. ● Several patients, majority males, stated that they are claustrophobic and were happy not to be in the closed face mask. ● At time of survey there was not a large number of patients requiring Open face mask but they all had a positive response to the use of SGRT.
  • 21. 9. Does the light used by SGRT bother you in any way? ● (Virtua Health System): All responses from patients was yes; some stated they were told if the light bothered their eyes they could close them. ● (Pennsylvania Hospital): Some patients stated that they were worried about the light on their face but reported that if they were given an eye shield they were fine ● A few patients stated that it was somewhat weird having the light on but got accustomed to it with time. ● Some stated they just wanted to get treated and that as long as SGRt helps them stay in position for treatment having the light on was fine.
  • 22. 10. Did you become comfortable right away with the use of SGRT? ● (Pennsylvania Hospital): Several patients stated SGRT was fine, because it was part of the treatment plan. ● Six of the patients who took part in the Survey stated that grasping the concept of how SGRT works took some time before they really understood its concept ● (Virtua Health System): Patients who answered this question all seem to understand how SGRT works after it was explained by the therapist
  • 23. 11. After understanding how SGRT treatment method works, did you become content knowing, for example, that if you moved or changed your breathing pattern during treatment, the treatment beam would stop which would avoid radiation going to an area that was not under treatment? ● (Virtura Health System): Yes, this was reassuring. One patient stated she had aortic valve replacement and that she was very concerened about heart dose. ● (Pennyslvania Hospital): All the patients stated that after having a full understanding of how SGRT works they were happy to know that if they should move or change their breathing pattern SGRT would stop the radiation beam.
  • 24. 12. SGRT is now being used worldwide due to its accuracy in helping the delivery of radiation. After your experience would you now tell family members or friends to seek out Hospitals that utilize this particular treatment method? ● (Virtura Health System): Yes I would definitely tell family members and friends should they ever get diagnosed with cancer to seek out centers that use SGRT. ● (Virtura Health System) Yes, SGRT was easy and took the pressure off me as a patient. I felt less anxiety knowing that my breathing and treatment were being monitored ● (Pennsylvania Hospital): All the patients who took the survey said that if their friends or family members should ever require radiation they would recommend a center that uses SGRT. ● It should all be understood, that both institutions where the survey was done, SGRT is not used for every type of cancer treatment, and are not tattoo less.
  • 25. Final Take Away Patients are very happy with the Utilization of SGRT, knowing that there is an additional layer of safety added to their treatment. They will not necessarily leave their current provider to seek SGRT out, but they hope all institutions who administer radiation to patients would make SGRT a part of their treatment regiment.
  • 27. I would like to give credit to my colleagues, without their help it would not be possible to complete this survey. Thanks so much. Julianne Anttell, MAH RT (R)(T) Corinne Preston RT (T)(R) Kaitlyn Sliwecki RT (T) Adrienne Thomas RT(T)