title: [French organization of paediatric radiation treatment: Results of a survey conducted by the radiotherapy Committee of the French Society of Paediatric Cancers (SFCE)].
abstract: OBJECTIVE
  Radiotherapy is a rare indication in paediatric oncology, with 800 to 900 children in treatment per year in France. Child cancers represent approximately 1% of cancers in France and half occur before the age of 5 years. Paediatric radiation requires appropriate tools, local, time and specific training. In France, in 2015, 18 centres are accredited by the French National Cancer Institute (INCa) for this activity.
  
  
  METHODS
  Survey conducted in February 2015 on the care of children (0 to 18 years) in radiotherapy departments in France. The survey was sent to the radiation oncologists involved in the 18 centres. The questions concerned the qualitative and quantitative aspect, medical and organizational aspects, and the involvement of assistant practitioners in the management of this activity.
  
  
  RESULTS
  Seventeen centres responded. In 2014, 889 children under 18 were treated in radiotherapy departments. These departments are working together with one to four paediatric oncology departments. Regarding access to general anaesthesia: three centres perform one to seven treatment(s) under anaesthesia per year, three centres eight to ten treatments under anaesthesia per year, three centres ten to 24 treatments under anaesthesia per year and nine centres out of 17 use hypnosis techniques. In terms of human resources, in 2015, 29 radiation therapists have a paediatric radiotherapy activity. Involvement of assistant practitioners is growing and specific training are desired. Regarding treatment preparation and delivery, 13 centres have specific paediatric contentions, 14 of 16 centres employ radiation intensity modulated if dosimetry is more satisfying with 11 regularly to the craniospinal irradiation. Radiotherapy on moving areas with respiratory gating or hypofractionation is under developed.
  
  
  CONCLUSIONS
  Paediatric radiation therapy is a specific activity requiring a dedicated management, both in human, organizational, medical and scientific aspects.
authors.affiliation: Radiothérapie, institut de cancérologie de l'Ouest-Nantes, boulevard Jacques-Monod, 44800 Saint-Herblain, France; Inserm U1018, rue Édouard-Vaillant, 94800 Villejuif, France. Electronic address: charlotte.demoor@inserm.fr.
authors.forename: C
authors.initials: C
authors.lastname: Demoor-Goldschmidt
authors.affiliation: Radiothérapie, centre Léon-Bérard, 28, promenade Léa-et-Napoléon-Bullukian, 69008 Lyon, France.
authors.forename: L
authors.initials: L
authors.lastname: Claude
authors.affiliation: Radiothérapie, centre Léon-Bérard, 28, promenade Léa-et-Napoléon-Bullukian, 69008 Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Carrie
authors.affiliation: Radiothérapie, institut Gustave-Roussy, 114, rue Édouard-Vaillant, 94800 Villejuif, France.
authors.forename: S
authors.initials: S
authors.lastname: Bolle
authors.affiliation: Radiothérapie, institut Curie, 26, rue d'Ulm, 75005 Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Helfre
authors.affiliation: Radiothérapie, institut Curie, 26, rue d'Ulm, 75005 Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Alapetite
authors.affiliation: Radiothérapie, centre Oscar-Lambret, 3, rue Frédéric-Combemale, 59000 Lille, France.
authors.forename: A
authors.initials: A
authors.lastname: Jouin
authors.affiliation: Radiothérapie, Assistance publique-Hôpitaux de Marseille, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
authors.forename: L
authors.initials: L
authors.lastname: Padovani
authors.affiliation: Radiothérapie, IUCT Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse, France.
authors.forename: A
authors.initials: A
authors.lastname: Ducassou
authors.affiliation: Radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, 67000 Strasbourg, France.
authors.forename: C
authors.initials: C
authors.lastname: Vigneron
authors.affiliation: Radiothérapie, centre Eugène-Marquis, avenue de la Bataille-Flandres-Dunkerque, 35000 Rennes, France.
authors.forename: É
authors.initials: É
authors.lastname: Le Prisé
authors.affiliation: Radiothérapie, hôpital Haut-Lévêque, CHU de Bordeaux, avenue de Magellan, 33604 Pessac, France.
authors.forename: A
authors.initials: A
authors.lastname: Huchet
authors.affiliation: Radiothérapie, centre François-Baclesse, 3, avenue du Général-Harris, 14000 Caen, France.
authors.forename: D
authors.initials: D
authors.lastname: Stefan
authors.affiliation: Radiothérapie, institut du cancer de Montpellier, 208, avenue des Apothicaires, 34298 Montpellier, France.
authors.forename: C
authors.initials: C
authors.lastname: Kerr
authors.affiliation: Radiothérapie, institut Jean-Godinot, 1, rue du Général-Koenig, 51100 Reims, France.
authors.forename: T-D
authors.initials: TD
authors.lastname: Nguyen
authors.affiliation: Radiothérapie, institut Georges-François-Leclerc, 1, rue du Professeur-Marion, 21000 Dijon, France.
authors.forename: G
authors.initials: G
authors.lastname: Truc
authors.affiliation: Radiothérapie, Corad, hôpital Bretonneau, CHRU de Tours, 2 boulevard Tonnellé, 37000 Tours, France.
authors.forename: S
authors.initials: S
authors.lastname: Chapet
authors.affiliation: Radiothérapie, centre Antoine-Lacassagne, 33, avenue de Valombrose, 06100 Nice, France.
authors.forename: P-Y
authors.initials: PY
authors.lastname: Bondiau
authors.affiliation: Radiothérapie, centre Oscar-Lambret, 3, rue Frédéric-Combemale, 59000 Lille, France.
authors.forename: B
authors.initials: B
authors.lastname: Coche
authors.affiliation: Radiothérapie, Assistance publique-Hôpitaux de Marseille, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
authors.forename: X
authors.initials: X
authors.lastname: Muracciole
authors.affiliation: Radiothérapie, IUCT Oncopole, 1, avenue Irène-Joliot-Curie, 31059 Toulouse, France.
authors.forename: A
authors.initials: A
authors.lastname: Laprie
authors.affiliation: Radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, 67000 Strasbourg, France.
authors.forename: G
authors.initials: G
authors.lastname: Noël
authors.affiliation: Radiothérapie, centre Eugène-Marquis, avenue de la Bataille-Flandres-Dunkerque, 35000 Rennes, France.
authors.forename: J
authors.initials: J
authors.lastname: Leseur
authors.affiliation: Radiothérapie, centre François-Baclesse, 3, avenue du Général-Harris, 14000 Caen, France.
authors.forename: J-L
authors.initials: JL
authors.lastname: Habrand
authors.affiliation: Radiothérapie, institut Jean-Godinot, 1, rue du Général-Koenig, 51100 Reims, France.
authors.forename: H
authors.initials: H
authors.lastname: Potet
authors.affiliation: Radiothérapie, Corad, hôpital Bretonneau, CHRU de Tours, 2 boulevard Tonnellé, 37000 Tours, France.
authors.forename: A
authors.initials: A
authors.lastname: Ruffier
authors.affiliation: Radiothérapie, institut de cancérologie de l'Ouest-Nantes, boulevard Jacques-Monod, 44800 Saint-Herblain, France.
authors.forename: S
authors.initials: S
authors.lastname: Supiot
authors.affiliation: Radiothérapie, institut de cancérologie de l'Ouest-Nantes, boulevard Jacques-Monod, 44800 Saint-Herblain, France.
authors.forename: M-A
authors.initials: MA
authors.lastname: Mahé
authors.affiliation: Radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, 67000 Strasbourg, France.
authors.forename: V
authors.initials: V
authors.lastname: Bernier
mesh_terms: D000488:Allied Health Personnel / Q000706:statistics & numerical data; D000768:Anesthesia, General / Q000706:statistics & numerical data; D002648:Child; D005602:France; D006801:Humans; D009369:Neoplasms / Q000532:radiotherapy; D010372:Pediatrics; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011878:Radiotherapy / Q000379:methods* / Q000706:statistics & numerical data*; D012955:Societies, Medical; D011795:Surveys and Questionnaires; D013679:Technology, Radiologic; D000078329:Workforce
keywords: Adolescent; Anaesthesia; Anesthésie; Irradiation corporelle en totalité; Oncologie pédiatrique; Paediatric oncology; Pédiatrie; Radiation treatment; Radiotherapy; Radiothérapie; Teenager; Total body irradiation