S1488
Interdisciplinary - Patient involvement
ESTRO 2026
one preferred the supine supports). 2025 design improvements have incorporated workflow-driven refinements, and moves toward carbon-fibre construction. Conclusion: Ongoing collaboration with people with lived experience of radiotherapy and professionals guided the design of upright radiotherapy arms-up supports that are both clinically practical and patient-centred. The improvements achieved through this iterative process underscore the value of human-centred innovation and co-design in developing new immobilisation devices for radiotherapy. References: [1] Underwood T, Yan S, Bortfeld T, Grégoire V, Lomax T. A Strengths, Weaknesses, Opportunities, and Threats (SWOT) Analysis for Gantry-Less Upright Radiation Therapy. Int J Radiat Oncol Biol Phys. 2025 Aug 1;122(5):1337-1343. [2] Ulman J, Underwood T, Ingram S, Nunn J, Tierney R, Smith S, Hill S, Probst H. Exploring patient perceptions of the current breast radiotherapy pathway and a future upright radiotherapy solution. Radiography (Lond). 2025 Sep 18;31(6):103157. [3] Bruce L. Standardization of upper limb exercises to improve radiation therapy for breast cancer, a conceptual literature review. J Med Imaging Radiat Sci. 2022 Dec;53(4):720-727. Keywords: Pantient-centred, immobilisation, upright
and disease burden. The aim was to evaluate spirituality and religiosity as coping resources and their association with psychological distress and disease perception. Material/Methods: Validated instruments were used to assess spirituality (SpREUK-15), religious needs (SPNQ-20), life satisfaction (WHO-5, BMLSS-10), perceived support (BMLSS-Support), illness interpretation (IIQ), and psychosocial distress (“distress thermometer”). Descriptive and multivariate analyses were performed. Results: Mean patient age was 59 years (range 27–86); 43.9% identified as religious and 30.3% as spiritual. Most patients were Christians (68%). Nearly half tended toward depressive mood (WHO-5 < 13), with high distress primarily associated with existential rather than explicitly religious needs (p = 0.03). The most pronounced spiritual needs were inner peace and generativity, while an explicit search for religiosity was largely rejected. Spiritual self-identification was significantly associated with perceiving illness as a challenge leading to personal growth (p < 0.001; Φ = 0.56). Support from physicians, nursing staff, and family members received the highest satisfaction ratings and was described as central to coping during radiotherapy. Most patients rejected guilt-related illness interpretations, while spirituality correlated positively with reflection, search for meaning, and trust. Conclusion: A substantial subset of breast cancer patients undergoing radiotherapy reported spiritual and existential needs closely linked to psychological burden. These findings emphasize the importance of addressing psychosocial and spiritual dimensions within radiation oncology. Integrating structured spiritual care and psychosocial screening into routine radiotherapy practice – supported by active involvement of nursing staff and family – may enhance patient resilience, improve adherence, and promote comprehensive, patient-centered care. References: Vitek P, Koscielny S, Büssing A, Hübner J, Büntzel J. Religiosität und Spiritualität als Ressourcen in der Betreuung von Patienten mit Kopf-Hals-Tumoren [Religiosity and spirituality as ressources for head neck cancer patients]. Laryngorhinootologie. 2022 May;101(5):399-407. German. doi: 10.1055/a-1516- 4589. Keywords: Spirituality, religiousness, breast cancer
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Spiritual and religious coping as predictors of psychological distress in breast cancer patients undergoing radiotherapy: An observational study Carolin Sell 1 , David Rene Steike 1 , Micheal Oertel 1 , Hans T. Eich 1 , Jutta Hübner 2 , Arndt Büssing 3 , Jens Büntzel 4 , Oliver Micke 5 1 Department of Radiation Oncology, University Hospital, Münster, Germany. 2 Department of Internal Medicine II, University Hospital, Jena, Germany. 3 Professorship Quality of Life, Spirituality and Coping, Faculty of Health, University Witten/Herdecke, Herdecke, Germany. 4 Department of Otolaryngology, Head Neck Surgery, Südharz Hospital, Nordhausen, Germany. 5 Department of Radiotherapy and Radiation Oncology, Franziskus Hospital, Bielefeld, Germany Purpose/Objective: The diagnosis of breast cancer and the associated physical changes can cause considerable psychological distress. This multicenter prospective observational study conducted by the German Working Group Prevention and Integrative Oncology (PRIO) investigated 213 breast cancer patients undergoing radiotherapy to assess psychosocial, spiritual, and religious support needs in relation to life satisfaction
Digital Poster 4383 Important Ductal Carcinoma In-Situ Specific
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