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Kataria et al. J Cancer Metastasis Treat 2017;3:21-2                                Journal of
           DOI: 10.20517/2394-4722.2016.73
                                                             Cancer Metastasis and Treatment

                                                                                               www.jcmtjournal.com
            Letter to Editor                                                                    Open Access


           Use of a dedicated day care unit in a

           modern radiation oncology facility -- a

           short audit



           Tejinder Kataria, Susovan Banerjee, Nimesh Dahima, Deepak Gupta, Trinanjan Basu, Shikha Goyal

           Department of Radiation Oncology, Medanta-The Medicity, Gurgaon 122001, Haryana, India.

           Correspondence to: Dr. Susovan Banerjee, Department of Radiation Oncology, Medanta-The Medicity, Sector 38, Gurgaon 122001, Haryana,
           India. E-mail: drsusovan@gmail.com
           How to cite this article: Kataria T, Banerjee S, Dahima N, Gupta D, Basu T, Goyal S. Use of a dedicated day care unit in a modern radiation
           oncology facility -- a short audit.  J Cancer Metastasis Treat 2017;3:21-2.
           Article history:  Received: 29-12-2016      Accepted: 12-01-2017      Published: 23-01-2017


           Our radiotherapy department specializes  in all    care stay was six hours out of the 504 encounters,
           types  of  conformal therapy  including  stereotactic   3 resulted in patients being shifted to the inpatient
           body radiotherapy,  stereotactic radiosurgery  and   department for further care.
           brachytherapy including interstitial and prostate seed
           implant.  The department also includes a dedicated   This is the first time in medical literature that the use
           four-bed  day care unit attached to the integrated   and utility of a radiation  oncology day care unit has
           brachytherapy suite. It is managed by a resident doctor,   been recorded and presented. Most of the insurance
           along with four staff nurses under the supervision of a   companies  require patient admission  for initiation  of
           radiation oncologist. We performed an audit of our day   medical coverage, [1,2]  therefore many of  our patients
           care unit to gain insight into its utilization and needs.  used  the day  care  facility  to satisfy this insurance
                                                              requirement and also save money and time. The added
           We decided  to consider  each encounter (admission
           to the unit) as one event. We collected data from one   advantage of the day care unit for the patient is that the
           year,  from  April 2014 to March 2015.  The relevant   patient becomes acquainted with the department and
           information was  collected and tabulated using the   most of the departmental staff on the first day, making
           hospital’s electronic  recording  system. We then   the remainder of treatment more comfortable.
           performed  an analysis  of the frequency  of various
           events within  the unit. Results were summarized  in   In the department besides these four beds, we also
           one composite bar diagram.                         have  four  other  beds  where  admissions  were  not
                                                              recorded.  They are meant for use by our patients
           A  total  of  504  events  occurred  in  the  day  care   during initiation and continuation of treatment for the
           unit during the one-year period.  The results are   same purposes as the four beds we have described
           summarised in  Figure 1.  The mean length of day   above.

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