title: [Use of hypnosis in radiotherapy as an alternative to general anesthesia in pediatric radiation oncology].
abstract: BACKGROUND
  General anesthesia (GA) is often needed for radiotherapy (RT) in young children. This study aimed to evaluate the place of the rituals and/or hypnosis in pediatric in a reference center in pediatric radiation oncology in Rhône-Alpes Auvergne.
  
  
  METHODS
  This observational study retrospectively collected data on AG in children<5 years treated by RT in Leon-Berard regional center, Lyon, France between 2003 and 2014. Two-time periods, before and after 2008 have been compared, the second one introducing accompaniment methods such as hypnosis systematically. Explanatory analyses of AG were performed using logistic regression.
  
  
  RESULTS
  One hundred and thirty-two children benefited from RT in that period and were included (70 patients until 2008, 62 after 2008). Fifty-three percent were irradiated under GA. There was significant reduction (P<0.1) in the use of GA after 2008. The use of GA was not significantly associated with the RT techniques. The patients more likely to undergo RT without GA were the oldest and the patients treated for abdominal lesions (P<0.01).
  
  
  CONCLUSIONS
  The study confirms that rituals and hypnosis can be used instead of GA in about half of patients under 5 years, even also with high-technicity RT requiring optimal immobilization.
authors.affiliation: Centre Léon-Bérard, département de radiothérapie, 28, rue Laennec, 69373 Lyon cedex 08, France. Electronic address: line.claude@lyon.unicancer.fr.
authors.forename: Line
authors.initials: L
authors.lastname: Claude
authors.affiliation: Université de Lyon, centre Léon-Bérard, direction de la recherche clinique et de l'innovation (DRCI), GATE-UMR 5824-CNRSFrance, 28, prom. Léa-et-Napoléon-Bullukian, 69008 Lyon, France.
authors.forename: Magali
authors.initials: M
authors.lastname: Morelle
authors.affiliation: Centre Léon-Bérard, département de radiothérapie, 28, rue Laennec, 69373 Lyon cedex 08, France.
authors.forename: Sandrine
authors.initials: S
authors.lastname: Mancini
authors.affiliation: Institut d'hémato-oncologie pédiatrique, département d'oncologie pédiatrique, 1, place Professeur-Joseph-Renaut, 69008 Lyon, France.
authors.forename: Anita
authors.initials: A
authors.lastname: Duncan
authors.affiliation: Centre Léon-Bérard, département d'anesthésie, 28, rue Laennec, 69373 Lyon cedex 08, France.
authors.forename: Henri
authors.initials: H
authors.lastname: Sebban
authors.affiliation: Centre Léon-Bérard, département de radiothérapie, 28, rue Laennec, 69373 Lyon cedex 08, France.
authors.forename: Christian
authors.initials: C
authors.lastname: Carrie
authors.affiliation: Institut d'hémato-oncologie pédiatrique, département d'oncologie pédiatrique, 1, place Professeur-Joseph-Renaut, 69008 Lyon, France.
authors.forename: Perrine
authors.initials: P
authors.lastname: Marec-Berard
mesh_terms: D000005:Abdomen; D000367:Age Factors; D000768:Anesthesia, General / Q000706:statistics & numerical data*; D002675:Child, Preschool; D016371:Cranial Irradiation / Q000379:methods; D005260:Female; D005602:France; D006801:Humans; D006990:Hypnosis / Q000706:statistics & numerical data*; D007223:Infant; D016015:Logistic Models; D008297:Male; D020266:Radiotherapy, Conformal / Q000379:methods*; D012189:Retrospective Studies; D013997:Time Factors
keywords: Anesthésie générale; General anesthesia; Hypnose; Hypnosis; Pediatric; Pédiatrie; Radiotherapy; Radiothérapie