International Journal For Multidisciplinary Research

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Evaluating Radiotherapy Treatment Compliance at Cancer Hospital and Research Institute Gwalior

Author(s) Dr. Neerja Maurya Singh, Dr. Nancy Lal, Dr. Gunjan Shrivastava, Dr. Pankaj Gandotra, Dr. B.R. Shrivastava, Dr. Sumit Gupta, Dr. V. Jalaj, Dr. Nidisha Agrawal
Country India
Abstract Background: Radiotherapy (RT) is a fundamental component of the management of various cancers and significantly contributes to treatment efficacy and patient survival. However, noncompliance with RT protocols poses a substantial barrier to achieving optimal clinical outcomes.

Objective: This study aimed to evaluate the rate of RT noncompliance among patients with cancer at the Cancer Hospital and Research Institute in Gwalior, Madhya Pradesh, and to identify the clinical, psychological, and socioeconomic factors contributing to noncompliance.



Methods: A retrospective analysis was conducted on 306 noncompliant patients who underwent RT between January 2022 and March 2023. Data on patient demographics, cancer types, RT protocols, causes of non-compliance, and treatment outcomes were collected. Non-compliance was defined as an interruption exceeding five consecutive days during the RT course. Descriptive statistics were used to summarize the data, and IBM SPSS Statistics for Windows, Version 21.0, was employed for data analysis.



Results: The overall non-compliance rate was 22.17%. The majority of the non-compliant patients were male (247 patients, 80.7%) and were diagnosed with head and neck cancers (231 patients, 75.5%). The primary factors associated with noncompliance included emotional challenges or frustration (153 patients, 54.9%), advanced disease stage (168 patients, 55.0%), and treatment-related toxicities (118 patients, 38.6%). Additionally, a significant proportion of patients traveled long distances for treatment, with an average distance of 149.1 kilometers from the hospital. Treatment outcomes revealed that only 68 patients (22%) completed their prescribed RT plans, while 173 patients (56.5%) died, 134 of which (77%) occurred before treatment completion. Seventy-one patients (23.2%) survived, and the outcomes of 62 patients (20.3%) remained unknown due to loss to follow-up or incomplete records.

Conclusion: The high noncompliance rate highlights the intricate interplay of clinical, psychological, and socioeconomic factors affecting RT adherence. Addressing these challenges requires a comprehensive, patient-centered approach that includes early cancer detection, enhanced psychological support, effective management of treatment toxicities, expanded financial assistance programs, and proactive follow-up mechanisms. Implementing these strategies is essential for improving RT compliance, thereby enhancing treatment effectiveness, quality of life, and survival outcomes in cancer patients.
Keywords Radiotherapy, Treatment Compliance, Cancer, Head and Neck Oncology, Emotional Challenges, Treatment Toxicities, Socioeconomic Factors, Patient-Centered Approach
Field Medical / Pharmacy
Published In Volume 7, Issue 1, January-February 2025
Published On 2025-01-17
Cite This Evaluating Radiotherapy Treatment Compliance at Cancer Hospital and Research Institute Gwalior - Dr. Neerja Maurya Singh, Dr. Nancy Lal, Dr. Gunjan Shrivastava, Dr. Pankaj Gandotra, Dr. B.R. Shrivastava, Dr. Sumit Gupta, Dr. V. Jalaj, Dr. Nidisha Agrawal - IJFMR Volume 7, Issue 1, January-February 2025. DOI 10.36948/ijfmr.2025.v07i01.30320
DOI https://doi.org/10.36948/ijfmr.2025.v07i01.30320
Short DOI https://doi.org/g82hqh
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