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

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

3. 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

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

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

6. 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?

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

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

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

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

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

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

13. Any comments?

14. 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