Perceptions and knowledge of palliative radiotherapy among radiation and
pediatric oncologists: insights from an AIRO-AIEOP national survey.
Abstract
Aims: This study aims to evaluate the knowledge and referral
practices regarding pediatric palliative radiotherapy (PRT) among
Radiation Oncologists (ROs) and Pediatric Oncologists (POs) in Italy,
focusing on identifying knowledge gaps, referral patterns, and barriers
to the optimal utilization of PRT in pediatric oncology.
Methods: A national survey, initiated by AIRO and AIEOP, was
conducted from September 2022 to February 2023. Separate questionnaires
for ROs and POs were developed and distributed, focusing on the
indications for PRT, current utilization practices, and perceived
barriers. The data collected were analyzed using the SPSS software,
employing Chi-square tests for statistical significance and univariate
analysis to explore correlations between respondent characteristics and
their perspectives on pediatric PRT. Results: Out of 70 ROs and
23 POs who responded, 24.3% of ROs and 91.3% of POs treated between
one to five pediatric patients with PRT annually. A significant gap was
found in the self-assessed knowledge of pediatric PRT, with 57% of ROs
considering their understanding inadequate, in contrast to 30% of POs.
The survey highlighted a perceived underutilization of PRT, with 70% of
ROs and 65% of POs advocating for its more frequent application.
Barriers identified included logistical challenges, with 78% of POs
citing distance to the RT department as a primary obstacle, and concerns
over potential side effects, particularly among ROs (60%).
Conclusion: The survey underscores a critical need for enhanced
education and interdisciplinary collaboration to improve the
understanding and utilization of pediatric PRT. Addressing identified
knowledge gaps, standardizing patient selection methods, and overcoming
logistical and perceived barriers could significantly advance the
quality of pediatric palliative care.