Practical radiation oncology
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This study aimed to prospectively characterize toxicity and cosmesis after accelerated partial breast irradiation (APBI) with 3-dimensional conformal radiation therapy (CRT) or single-entry, multilumen, intracavitary brachytherapy. ⋯ Brachytherapy APBI is associated with higher rates of grade 1 fibrosis and seroma than 3-dimensional CRT but lower rates of grade 1 edema and grade 2 to 3 pain than 3-dimensional CRT. Rates of radiation oncologist-reported fair or poor cosmetic outcomes are higher with brachytherapy. We identified dosimetric parameters that predict reduced risk of adverse cosmetic outcome after brachytherapy-based APBI. Ipsilateral breast recurrence was equivalent for brachytherapy and 3-dimensional CRT.
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This study aimed to measure the burnout rates and resiliency scores of Canadian oncology residents and advance the knowledge on resiliency and wellness training in Canadian oncology residency programs. ⋯ Canadian oncology residents demonstrate high rates of burnout and low resiliency compared with the general population, and similar burnout rates compared with U.S. radiation oncology residents and other resident groups. This is the first study to comprehensively report on the rates of burnout and resiliency in oncology residents and establishes a baseline to study resiliency and burnout in this population. The development of resiliency and wellness curricula, including mindfulness training and individualized activities, is warranted in this population, should be offered to all residents, and will be a mandatory component of the accreditation standards for Canadian residency programs as of 2018.