Power-Hays, Alexandra2019-06-242017-052019-03-272017Power-Hays, Alexandra. 2017. Delivery of Radiation Therapy in Resource-Limited Settings: A Pilot Quality Assessment Study. Doctoral dissertation, Harvard Medical School.http://nrs.harvard.edu/urn-3:HUL.InstRepos:40620957Progress has been made in resource-limited countries in treating acute lymphoblastic leukemia, but advances in solid malignancies have been slower. Multidisciplinary care coordination is challenging; assessing adherence to guidelines through quality improvement initiatives is essential. We characterized deviations from guidelines in the delivery of radiation in a middle-income country program as a pilot for evaluating adequacy of local control and as surrogate for integration of multidisciplinary care. One-third of patients for whom it was indicated did not receive radiation. Of the patients who received radiation, 95% had a deviation. This study underscores the importance of quality assessment in resource-limited settings.application/pdfenLMICradiation therapypediatric oncologyThesis or Dissertation2019-06-240000-0002-5823-0218