Australian Particle Therapy Clinical Quality Registry (ASPIRE) protocol (TROG 21.12): a multicentre prospective study on patients with rare tumours, treated with radiation therapy

Introduction In 2020, the Australian Medical Services Advisory Committee (MSAC) recommended new proton beam therapy (PBT) item numbers be added to the Medicare Benefits Schedule. During the MSAC 1638 application process, MSAC recognised the uncertainties inherent in the cost-utility modelling of PBT...

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Main Authors: Hien Le, Scott Penfold, Sophie Jessop, Kelly Skelton, Peter Gorayski, Amber Murray, Daniel Hamilton, Adam Yeo, Eunji Hwang, Joshua Dass
Format: Article
Language:English
Published: BMJ Publishing Group 2024-11-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/11/e083044.full
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author Hien Le
Scott Penfold
Sophie Jessop
Kelly Skelton
Peter Gorayski
Amber Murray
Daniel Hamilton
Adam Yeo
Eunji Hwang
Joshua Dass
author_facet Hien Le
Scott Penfold
Sophie Jessop
Kelly Skelton
Peter Gorayski
Amber Murray
Daniel Hamilton
Adam Yeo
Eunji Hwang
Joshua Dass
author_sort Hien Le
collection DOAJ
description Introduction In 2020, the Australian Medical Services Advisory Committee (MSAC) recommended new proton beam therapy (PBT) item numbers be added to the Medicare Benefits Schedule. During the MSAC 1638 application process, MSAC recognised the uncertainties inherent in the cost-utility modelling of PBT. To address these uncertainties, MSAC proposed the establishment of a national registry with the intention to gather evidence to validate the claim of PBT’s superior toxicity outcomes and cost-effectiveness compared with conventional photon radiation therapy.Methods and analysis The Australian Particle Therapy Clinical Quality Registry is a prospective, observational, longitudinal registry collecting national data on paediatric, adolescent young adult and adult patients with rare tumours receiving any form of radiation therapy for a defined group of diseases, specified by the MSAC 1638 Public Summary Document. Eligible patients undergoing radiation therapy at participating institutions will be provided with information about the registry, including the opt-out procedure. The registry has no enrolment cap and will persist either indefinitely or until the conclusion of the study.The study design was informed by the Australian Metadata Online Repository and contains a core set of minimum data elements. Representing baseline participant demographics, assessment, diagnosis and treatment; incorporating radiation and systemic therapies, with a specific focus on long-term follow-up, treatment toxicities and specific organ-at-risk testing.Ethics and dissemination There will be no identifying data used in any reports or presentations of data. Additionally, all identifiable data will be safeguarded according to standard practices and available only to the host institution submitting the data to the registry. Aggregated data for the purposes of research will be stripped of identifiers. The registry has been approved under the National Mutual Agreement by the Central Adelaide Local Health Network Human Research Ethics Committee—HREC: 2021/HRE00394.Trial registration number Australian and New Zealand Clinical Trials Registry (ANZCTR): ACTRN12622000026729p.
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spelling doaj-art-e1f344d2be7a403091af5b0f36e004702025-08-20T02:49:53ZengBMJ Publishing GroupBMJ Open2044-60552024-11-01141110.1136/bmjopen-2023-083044Australian Particle Therapy Clinical Quality Registry (ASPIRE) protocol (TROG 21.12): a multicentre prospective study on patients with rare tumours, treated with radiation therapyHien Le0Scott Penfold1Sophie Jessop2Kelly Skelton3Peter Gorayski4Amber Murray5Daniel Hamilton6Adam Yeo7Eunji Hwang8Joshua Dass92 South Australian Health and Medical Research Institute Limited, Adelaide, South Australia, Australia1 Australian Bragg Centre for Proton Therapy and Research, Adelaide, South Australia, Australia9 Michael Rice Centre for Haematology and Oncology, Women`s and Children`s Hospital Adelaide, North Adelaide, South Australia, Australia1 Australian Bragg Centre for Proton Therapy and Research, Adelaide, South Australia, Australia1 Australian Bragg Centre for Proton Therapy and Research, Adelaide, South Australia, Australia1 Australian Bragg Centre for Proton Therapy and Research, Adelaide, South Australia, Australia5 Methods in Evidence Synthesis Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia7 Department Physical Sciences, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia10 Department of Radiation Oncology, Sydney West Radiation Oncology Network, Sydney, New South Wales, Australia12 Department of Radiation Oncology, Sir Charles Gairdner Hospital, Nedlands, Western Australia, AustraliaIntroduction In 2020, the Australian Medical Services Advisory Committee (MSAC) recommended new proton beam therapy (PBT) item numbers be added to the Medicare Benefits Schedule. During the MSAC 1638 application process, MSAC recognised the uncertainties inherent in the cost-utility modelling of PBT. To address these uncertainties, MSAC proposed the establishment of a national registry with the intention to gather evidence to validate the claim of PBT’s superior toxicity outcomes and cost-effectiveness compared with conventional photon radiation therapy.Methods and analysis The Australian Particle Therapy Clinical Quality Registry is a prospective, observational, longitudinal registry collecting national data on paediatric, adolescent young adult and adult patients with rare tumours receiving any form of radiation therapy for a defined group of diseases, specified by the MSAC 1638 Public Summary Document. Eligible patients undergoing radiation therapy at participating institutions will be provided with information about the registry, including the opt-out procedure. The registry has no enrolment cap and will persist either indefinitely or until the conclusion of the study.The study design was informed by the Australian Metadata Online Repository and contains a core set of minimum data elements. Representing baseline participant demographics, assessment, diagnosis and treatment; incorporating radiation and systemic therapies, with a specific focus on long-term follow-up, treatment toxicities and specific organ-at-risk testing.Ethics and dissemination There will be no identifying data used in any reports or presentations of data. Additionally, all identifiable data will be safeguarded according to standard practices and available only to the host institution submitting the data to the registry. Aggregated data for the purposes of research will be stripped of identifiers. The registry has been approved under the National Mutual Agreement by the Central Adelaide Local Health Network Human Research Ethics Committee—HREC: 2021/HRE00394.Trial registration number Australian and New Zealand Clinical Trials Registry (ANZCTR): ACTRN12622000026729p.https://bmjopen.bmj.com/content/14/11/e083044.full
spellingShingle Hien Le
Scott Penfold
Sophie Jessop
Kelly Skelton
Peter Gorayski
Amber Murray
Daniel Hamilton
Adam Yeo
Eunji Hwang
Joshua Dass
Australian Particle Therapy Clinical Quality Registry (ASPIRE) protocol (TROG 21.12): a multicentre prospective study on patients with rare tumours, treated with radiation therapy
BMJ Open
title Australian Particle Therapy Clinical Quality Registry (ASPIRE) protocol (TROG 21.12): a multicentre prospective study on patients with rare tumours, treated with radiation therapy
title_full Australian Particle Therapy Clinical Quality Registry (ASPIRE) protocol (TROG 21.12): a multicentre prospective study on patients with rare tumours, treated with radiation therapy
title_fullStr Australian Particle Therapy Clinical Quality Registry (ASPIRE) protocol (TROG 21.12): a multicentre prospective study on patients with rare tumours, treated with radiation therapy
title_full_unstemmed Australian Particle Therapy Clinical Quality Registry (ASPIRE) protocol (TROG 21.12): a multicentre prospective study on patients with rare tumours, treated with radiation therapy
title_short Australian Particle Therapy Clinical Quality Registry (ASPIRE) protocol (TROG 21.12): a multicentre prospective study on patients with rare tumours, treated with radiation therapy
title_sort australian particle therapy clinical quality registry aspire protocol trog 21 12 a multicentre prospective study on patients with rare tumours treated with radiation therapy
url https://bmjopen.bmj.com/content/14/11/e083044.full
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