RCR Bladder Cancer Radiotherapy Audit 2016 Dr Sarah Treece Peterborough City Hospital

Audit Questions Written by: Formatted by: Sarah Treece Mohini Varughese Formatted by: Karl Drinkwater Similar to previous RCR Audits e.g. lung cancer

Audit Format Piloted in several RT departments Electronic submission Drop down boxes/ tick boxes to minimise free text Data input does not need to be done by clinical staff

Audit Format 60-70 questions Time required per patient = 20-25 min if radically treated 10 min if palliative treatment Some information only required for first patient submitted by a centre

Data for collection – all patients DOB, male/ female WHO Performance status Pathology Cell subtype Grade TNM staging Dates of TURBT and histology report

Data for collection – radical patients Staging modalities Pelvic staging CT chest and upper tract imaging Use of PET MDTs Local and specialist network Was a cystectomy offered?

Data for collection – radical patients Neo-adjuvant chemotherapy Doses and drugs used Number of cycles Date of first cycle Reasons for not giving

Data for collection - radiotherapy Fractionation used Referral date for RT Dates of RT Total days If prolonged, compensation used (if any)

Data for collection - radiotherapy Use of radiosensitiser Doses and drugs used Reasons for not giving

Data for collection - radiotherapy Target definition Margins used Set up error Technique OARs and constraints used

Data for collection - radiotherapy Immobilisation used Compensation for bladder filling Verification Toxicity recording Treated in a trial?

Data for collection F/U plans Frequency Imaging Urology/ oncology/ both

Any comments?

Thank you To those who piloted the audit Dr Ian Fraser, Royal Devon and Exeter Hospital Dr Rob Huddart, Royal Marsden Dr Abigail Hollingdale, Peterborough City Hospital Dr Jonathan McAleese, Belfast City Hospital Prof Heather Payne, UCL And to Karl Drinkwater for formatting the questions