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. Author manuscript; available in PMC: 2020 Oct 11.
Published in final edited form as: Int J Radiat Oncol Biol Phys. 2015 Oct 9;94(2):235–242. doi: 10.1016/j.ijrobp.2015.10.008

Table 2.

Prompts regarding the appropriateness of RT.

Prompt ROs (n=22) MS1s (n=315) MS4s (n=404) PCPs (n=43) MS4s or PCPs with RO rotation in med school (n=42)
n answering “YES” n answering “NO” Agreement n answering “YES” % answering correctly Chi-squared p-value 95% CI n answering “YES” % answering correctly Chi-squared p-value 95% CI n answering “YES” % answering correctly Chi-squared p-value 95% CI n answering “YES” % answering correctly Chi-squared p-value 95% CI
RT can be used to cure (i.e. not just palliate) certain cancers • alone 22 0 100% 236 75% 0.007 0.70 0.80 338 84% 0.04 0.80 0.87 37 86% 0.07 0.76 0.96 41 98% 0.47 0.87 1.00
• with surgery 21 1 95% 264 84% 0.13 0.80 0.88 353 87% 0.16 0.84 0.91 39 91% 0.17 0.82 0.99 40 95% 0.94 0.84 0.99
• with chemo 21 1 95% 269 85% 0.18 0.81 0.89 343 85% 0.17 0.81 0.88 38 88% 0.38 0.79 0.98 40 95% 0.94 0.84 0.99
Radiation RT can be used as a part of the standard initial management of the following conditions: • Arteriovenous malformations 22 0 100% 110 35% <0.0001 0.30 0.40 169 42% <0.0001 0.37 0.47 19 44% <0.0001 0.29 0.59 33 79% 0.02 0.66 0.91
• Breast cancer 21 1 95% 277 88% 0.29 0.84 0.92 342 85% 0.16 0.81 0.88 36 84% 0.17 0.73 0.95 39 93% 0.68 0.81 0.99
• Kidney cancer 1 21 5% 234 13% <0.0001 0.10 0.17 216 36% <0.001 0.31 0.41 24 26% <0.001 0.13 0.39 18 38% <0.0001 0.23 0.53
• Lung cancer 22 0 100% 24 8% <0.0001 0.09 0.16 317 78% 0.02 0.74 0.82 38 88% 0.10 0.79 0.98 41 98% 0.47 0.87 1.00
• Lymphoma 22 0 100% 181 57% <0.0001 0.52 0.63 228 56% <0.0001 0.52 0.61 30 70% <0.001 0.56 0.83 31 74% 0.008 0.61 0.87
• Pancreatic cancer 21 1 95% 229 73% 0.018 0.68 0.78 216 53% <0.0001 0.49 0.58 22 51% <0.0001 0.36 0.66 24 57% 0.002 0.42 0.72
• Prostate cancer 22 0 100% 279 89% 0.09 0.85 0.92 366 91% 0.13 0.88 0.93 39 91% 0.14 0.82 1.0 40 95% 0.3 0.84 0.99
• Spinal cord compression from cancer 22 0 100% 155 49% <0.0001 0.44 0.55 289 72% <0.001 0.67 0.76 32 74% 0.01 0.61 0.87 39 93% 0.19 0.81 0.99
• Superior vena cava (SVC) syndrome 22 0 100% 90 29% <0.0001 0.24 0.34 213 53% <0.0001 0.48 0.58 26 60% <0.001 0.46 0.75 34 81% 0.03 0.69 0.93
• Urosepsis 0 22 0% 81 57% 0.006 0.51 0.62 27 82% 0.22 0.78 0.86 0 72% <0.001 0.59 0.85 1 86% 0.46 0.75 0.96
For prostate cancer, proton therapy is associated with improved outcomes compared to conventional radiation therapy. 0 22 0% 235 12% <0.0001 0.09 0.16 253 63% <0.0001 0.58 0.67 27 21% <0.0001 0.09 0.33 14 67% 0.002 0.52 0.81
IMRT stands for: Intensity modulated radiation therapy 22 0 100% 152 48% <0.0001 0.43 0.54 225 56% <0.0001 0.51 0.61 24 56% <0.0001 0.41 0.71 35 83% 0.04 0.72 0.95
Radiation therapy is never used in pediatric cancers due to the high risk of a second cancer and/or developmental defects. 0 22 100% 94 70% 0.008 0.65 0.75 84 76% 0.02 0.72 0.80 3 86% 0.01 0.76 0.96 3 93% 0.2 0.81 0.99
Once an area receives radiation, it cannot be radiated again. 1 21 95% 24 90% 0.59 0.86 0.93 37 88% 0.45 0.85 0.91 11 67% 0.01 0.53 0.81 4 90% 0.13 0.82 0.99
Radiation therapy is almost always used for palliation (i.e. to improve symptoms but not to cure). 1 21 95% 64 77% 0.07 0.72 0.81 40 89% 0.41 0.86 0.92 36 84% <0.001 0.73 0.95 41 98% 0.63 0.87 1.00

Abbreviations: CI: confidence interval MS1: first year medical student; MS4: fourth year medical student; PCP: primary care physician; RO: radiation oncologist/oncology; RT: radiation therapy

Note: p-values < 0.05 are in red boxes; others are in green.