Bente Øvrebø, Tonje H Stea, Ingunn H Bergh, Elling Bere, Pål Surén, Per Magnus, Petur B Juliusson, Andrew K Wills
A nationwide school fruit and vegetable policy and childhood and adolescent overweight: A quasi-natural experimental study
PLoS medicine
success safety modern radiotherapy relies accurate contouring understanding time taken complete radiotherapy contours critical informing workforce planning context workforce shortfall advocating investment technology multiprofessional skills mix aimed quantify time taken delineate target volumes radical radiotherapy royal college radiologists circulated two electronic surveys via email clinical oncology consultants uk individual case survey requested anonymous data regarding next five patients contoured radical radiotherapy second survey collected data respondents usual practice radiotherapy contouring median time contour one radiotherapy case 85 minutes iqr 50131 minutes marked variability within tumour sites evident paediatric cancers took time median 210 minutes iqr 875 minutes followed head neck gynaecological cancers median 120 minutes iqr 71 725 minutes respectively breast cancer contouring required least time median 43 minutes iqr 60 minutes radiotherapy technique inclusion nodes 4d ct planning associated longer contouring times nonmedical professional involved contouring 65 cases clinical oncology consultants involved target volume delineation 90 cases oars 74 peer review took place 46 cases 56 consultants reporting time peer review job plan contouring radical radiotherapy complex timeconsuming despite increasing involvement nonmedical professionals clinical oncology consultants remain primary practitioners peer review practice variable time often limiting factor many factors influence time required contouring departments take factors need peerreview account developing job plans