Development of a model web-based system to support a statewide quality consortium in radiation oncology

Publication date: Available online 20 October 2016
Source:Practical Radiation Oncology
Author(s): Jean M. Moran, Mary Feng, Lisa A. Benedetti, Robin Marsh, Kent A. Griffith, Martha M. Matuszak, Michael Hess, Matthew McMullen, Jennifer H. Fisher, Teamour Nurushev, Margaret Grubb, Stephen Gardner, Daniel Nielsen, Reshma Jagsi, James A. Hayman, Lori J. Pierce
PurposeA database in which patient data is compiled allows analytic opportunities for continuous improvements in treatment quality and comparative effectiveness research. We describe the development of a novel, web-based system that supports the collection of complex radiation treatment planning information from centers that employ diverse techniques, software, and hardware for radiation oncology care in a state-wide quality collaborative, REDACTED.MethodsThe REDACTED database seeks to enable assessment of physician and patient reported outcomes and quality improvement as a function of treatment planning and delivery techniques for breast and lung cancer patients. We created tools to collect anonymized data based on all plans.ResultsThe REDACTED system representing 24 institutions has been successfully deployed in the state of REDACTED. Since 2012, DVH and DICOM-RT plan data, and information on simulation, planning, and delivery techniques have been collected. Audits indicated >90% accurate data submission and spurred refinements to data collection methodology.ConclusionsThis model web-based system captures detailed, high-quality radiotherapy dosimetry data along with patient- and physician-reported outcomes and clinical data for a radiotherapy collaborative quality initiative. The collaborative nature of the project has been integral to its success. Our methodology can be applied to setting up analogous consortiums and databases.SummaryThis work describes the physics database for a radiation oncology-specific registry developed in the state of REDACTED in 2011. Within the consortium, data have been collected for >5000 patients with breast or lung cancer. The information will be used to support analysis of patient- and physician-reported outcomes. Also, practice patterns can be evaluated such as algorithm type for dose calculations and device utilization for motion management. The methodology of the consortium can be used by others designing similar systems.



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