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• W2346863713 abstract "<h3>Objective</h3> To quantify the journeys and CO₂ emissions if women with breast cancer are treated with risk-adapted single-dose targeted intraoperative radiotherapy (TARGIT) rather than several weeks9 course of external beam whole breast radiotherapy (EBRT) treatment. <h3>Setting</h3> (1) TARGIT-A randomised clinical trial (ISRCTN34086741) which compared TARGIT with traditional EBRT and found similar breast cancer control, particularly when TARGIT was given simultaneously with lumpectomy, (2) 2 additional UK centres offering TARGIT. <h3>Participants</h3> 485 UK patients (249 TARGIT, 236 EBRT) in the prepathology stratum of TARGIT-A trial (where randomisation occurred before lumpectomy and TARGIT was delivered simultaneously with lumpectomy) for whom geographical data were available and 22 patients treated with TARGIT after completion of the TARGIT-A trial in 2 additional UK breast centres. <h3>Outcome measures</h3> The shortest total journey distance, time and CO₂ emissions from home to hospital to receive all the fractions of radiotherapy. <h3>Methods</h3> Distances, time and CO₂ emissions were calculated using Google Maps and assuming a fuel efficiency of 40 mpg. The groups were compared using the Student t test with unequal variance and the non-parametric Wilcoxon rank-sum (Mann-Whitney) test. <h3>Results</h3> TARGIT patients travelled significantly fewer miles: TARGIT 21 681, mean 87.1 (SE 19.1) versus EBRT 92 591, mean 392.3 (SE 30.2); had lower CO₂ emissions 24.7 kg (SE 5.4) vs 111 kg (SE 8.6) and spent less time travelling: 3 h (SE 0.53) vs 14 h (SE 0.76), all p<0.0001. Patients treated with TARGIT in 2 hospitals in semirural locations were spared much longer journeys (753 miles, 30 h, 215 kg CO₂ per patient). <h3>Conclusions</h3> The use of TARGIT intraoperative radiotherapy for eligible patients with breast cancer significantly reduces their journeys for treatment and has environmental benefits. If widely available, 5 million miles (8 000 000 km) of travel, 170 000 woman-hours and 1200 tonnes of CO₂ (a forest of 100 hectares) will be saved annually in the UK. <h3>Trial registration number</h3> ISRCTN34086741; Post-results." @default.
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• W2346863713 date "2016-05-01" @default.
• W2346863713 modified "2023-10-03" @default.
• W2346863713 title "Environmental and social benefits of the targeted intraoperative radiotherapy for breast cancer: data from UK TARGIT-A trial centres and two UK NHS hospitals offering TARGIT IORT" @default.
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• W2346863713 doi "https://doi.org/10.1136/bmjopen-2015-010703" @default.
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