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dc.contributor.authorPrice, Gareth J
dc.contributor.authorMackay, Ranald I
dc.contributor.authorAznar, Marianne Camille
dc.contributor.authorMcWilliam, Alan
dc.contributor.authorJohnson-Hart, Corinne
dc.contributor.authorvan Herk, Marcel
dc.contributor.authorFaivre-Finn, Corinne
dc.date.accessioned2021-10-28T09:26:06Z
dc.date.available2021-10-28T09:26:06Z
dc.date.issued2021en
dc.identifier.citationPrice G, Mackay R, Aznar M, McWilliam A, Johnson-Hart C, van Herk M, et al. Learning healthcare systems and rapid learning in radiation oncology: Where are we and where are we going?. Vol. 164, Radiotherapy and Oncology. Elsevier BV; 2021. p. 183�95.en
dc.identifier.pmid34619237en
dc.identifier.doi10.1016/j.radonc.2021.09.030en
dc.identifier.urihttp://hdl.handle.net/10541/624681
dc.description.abstractLearning health systems and rapid-learning are well developed at the conceptual level. The promise of rapidly generating and applying evidence where conventional clinical trials would not usually be practical is attractive in principle. The connectivity of modern digital healthcare information systems and the increasing volumes of data accrued through patients' care pathways offer an ideal platform for the concepts. This is particularly true in radiotherapy where modern treatment planning and image guidance offers a precise digital record of the treatment planned and delivered. The vision is of real-world data, accrued by patients during their routine care, being used to drive programmes of continuous clinical improvement as part of standard practice. This vision, however, is not yet a reality in radiotherapy departments. In this article we review the literature to explore why this is not the case, identify barriers to its implementation, and suggest how wider clinical application might be achieved.en
dc.language.isoenen
dc.relation.urlhttps://dx.doi.org/10.1016/j.radonc.2021.09.030en
dc.titleLearning healthcare systems and rapid learning in radiation oncology: Where are we and where are we going?en
dc.typeArticleen
dc.contributor.departmentThe University of Manchester, Manchester Academic Health Science Centre, The Christie NHS Foundation Trust, United Kingdomen
dc.identifier.journalRadiotherapy and Oncologyen
dc.description.noteen]


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