PurposeTo demonstrate the impact of implementing hypofractionated prescription regimens and advanced treatment techniques on institutional operational hours and radiotherapy personnel resources in a multi‐institutional setting. The study may be used to describe the impact of advancing the standard of care with modern radiotherapy techniques on patient and staff resources.MethodsThis study uses radiation therapy data extracted from the radiotherapy information system from two tertiary care, university‐affiliated cancer centers from 2012 to 2021. Across all patients in the analysis, the average fraction number for curative and palliative patients was reported each year in the decade. Also, the institutional operational treatment hours are reported for both centers. A sub‐analysis for curative intent breast and lung radiotherapy patients was performed to contextualize the impact of changes to imaging, motion management, and treatment technique.ResultsFrom 2012 to 2021, Center 1 had 42 214 patient plans and Center 2 had 43 252 patient plans included in the analysis. Averaged over both centers across the decade, the average fraction number per patient decreased from 6.9 to 5.2 (25%) and 21.8 to 17.2 (21%) for palliative and curative patients, respectively. The operational treatment hours for both institutions increased from 8 h 15 min to 9 h 45 min (18%), despite a patient population increase of 45%.ConclusionThe clinical implementation of hypofractionated treatment regimens has successfully reduced the radiotherapy workload and operational treatment hours required to treat patients. This analysis describes the impact of changes to the standard of care on institutional resources.

中文翻译：

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提高放射治疗护理标准对手术治疗资源的影响

目的展示在多机构环境中实施大分割处方方案和先进治疗技术对机构运行时间和放射治疗人力资源的影响。该研究可用于描述现代放射治疗技术提高护理标准对患者和员工资源的影响。方法本研究使用从 2012 年至 2012 年两个大学附属癌症中心的放射治疗信息系统中提取的放射治疗数据。 2021 年。在分析中的所有患者中，十年内每年都会报告治愈性和姑息性患者的平均分数。此外，还报告了两个中心的机构运营治疗时间。对意向性乳腺和肺部放疗患者进行了子分析，以了解影像学、运动管理和治疗技术变化的影响。结果从 2012 年到 2021 年，中心 1 有 42 214 名患者计划，中心 2 有 43 252 名患者计划纳入分析。十年来，两个中心的平均分次数分别从 6.9 次下降到 5.2 次（25%），姑息性和治愈性患者从 21.8 次下降到 17.2 次（21%）。尽管患者人数增加了 45%，但两家机构的手术治疗时间从 8 小时 15 分钟增加到 9 小时 45 分钟（18%）。结论 大分割治疗方案的临床实施成功减少了放疗工作量和所需的手术治疗时间治疗病人。该分析描述了护理标准的变化对机构资源的影响。