{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:25:05Z","timestamp":1747149905183,"version":"3.40.5"},"reference-count":13,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,4,8]],"date-time":"2020-04-08T00:00:00Z","timestamp":1586304000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Medical Radiation Sci"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Vaginal dilation is often indicated as an intervention for the management of radiation therapy\u2010induced vaginal adhesions and stenosis (RTVAS). However, limited research exists underpinning this intervention and diversity in patient recommendations internationally are reported. In the absence of New Zealand (NZ) national guidelines regarding the management of RTVAS, a survey of NZ radiation therapy departments was conducted to gain an overview of current practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A two\u2010section online survey was developed to capture RTVAS education and management overview across NZ. Section one focused on departmental resourcing and section two on local standard practice regarding vaginal dilator usage. One RTVAS education representative from each department was invited to complete the survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eight of nine NZ departments completed the survey. Consistent treatment indications were identified for RTVAS patient education with the involvement of diverse staffing groups at various time\u2010points throughout the treatment process. Protocols for RTVAS management existed in each RT department with staff commonly trained by informal peer observation. Dilator usage was recommended regardless of patient sexual activity. Agreement was shown regarding the recommended start time of dilator usage and frequency. The recommended duration of dilator use post\u2010treatment varied from 6\u00a0months to greater than 36\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This work illustrates both concordance and diversity in practice and contributes to the limited body of literature available. Further research is warranted to explore patterns of practice between departmental protocols and individual practitioners in further detail.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jmrs.386","type":"journal-article","created":{"date-parts":[[2020,4,8]],"date-time":"2020-04-08T09:27:16Z","timestamp":1586338036000},"page":"128-133","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Management of radiation therapy\u2010induced vaginal adhesions and stenosis: A New Zealand survey of current practice"],"prefix":"10.1002","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2800-521X","authenticated-orcid":false,"given":"Janeane","family":"Summerfield","sequence":"first","affiliation":[{"name":"Department of Radiation Therapy Wellington Blood and Cancer Centre Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2853-404X","authenticated-orcid":false,"given":"Aidan","family":"Leong","sequence":"additional","affiliation":[{"name":"Department of Radiation Therapy University of Otago Wellington New Zealand"},{"name":"Bowen Icon Cancer Centre Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S106796"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0000000000000253"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2015.06.018"},{"key":"e_1_2_6_5_1","first-page":"73","article-title":"Literature review of vaginal stenosis and dilator use in Radiation Oncology","volume":"7","author":"Damast S","year":"2019","journal-title":"Pract Radiat Oncol"},{"key":"e_1_2_6_6_1","first-page":"CD007291","article-title":"Vaginal dilator therapy for women receiving pelvic radiotherapy","author":"Miles T","year":"2014","journal-title":"Cochrane DB Syst Rev"},{"key":"e_1_2_6_7_1","unstructured":"Cancer institute NSW.eviQ. Supporting document \u2013 management of radiation induced vaginal stenosis.2016. Available fromhttps:\/\/www.eviq.org.au\/clinical\u2010resources\/radiation\u2010oncology\/1867\u2010management\u2010of\u2010radiation\u2010induced\u2010vaginal\u2010steno. Accessed 07 Sept 2018."},{"key":"e_1_2_6_8_1","unstructured":"International guidelines on vaginal dilation after pelvic radiotherapy.Produced by the International Clinical Guideline Group chaired by Dr Tracie Miles President National Forum of Gynaecological Oncology Nurses UK. Available fromhttps:\/\/owenmumford.com\/us\/wp\u2010content\/uploads\/sites\/3\/2014\/11\/Dilator\u2010Best\u2010Practice\u2010Guidelines.pdfAccessed 03 Jan 2020."},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1438.2006.00452.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1462-3889(03)00059-0"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2015.02.029"},{"key":"e_1_2_6_12_1","unstructured":"The National Radiation Oncology Plan 2017\u20132021. New Zealand Government Ministry of Health. 2017. Available fromhttps:\/\/www.health.govt.nz\/system\/files\/documents\/publications\/national\u2010radiation\u2010oncology\u2010plan\u2010may17.pdfAccessed 03 Jan 2020."},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2016.08.001"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.3109\/13697137.2015.1124259"}],"container-title":["Journal of Medical Radiation Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjmrs.386","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jmrs.386","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jmrs.386","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jmrs.386","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T08:02:07Z","timestamp":1693987327000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jmrs.386"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,8]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1002\/jmrs.386"],"URL":"https:\/\/doi.org\/10.1002\/jmrs.386","archive":["Portico"],"relation":{},"ISSN":["2051-3895","2051-3909"],"issn-type":[{"type":"print","value":"2051-3895"},{"type":"electronic","value":"2051-3909"}],"subject":[],"published":{"date-parts":[[2020,4,8]]},"assertion":[{"value":"2019-10-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-08","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}