Abstract P089

An audit of compliance with recommendations for screening and management of Hodkins lymphoma in teenager and young adult population. Results from a baseline audit within the northern health and social care trust.

Background/rationale Hodgkin’s lymphoma is the most common haematopoietic tumour affecting children worldwide (Brockelman et al., 2018). Is usually presents with a supradiaphragmatic lymphadenopathy (Shanbhag et al., 2017). These patients should be staged with CT or FDG PET, biopsy is no longer needed for staging in these patients (Chosen et al., 2014). It is usually completely curable (Cabrera et al., 2019) and it is recommended to give 2 cycles of ABVD in early stages as well as 2 cycles of BEACOPP following by a PET scan and two further cycles of BEACOPP followed by 4 cycles of BEACOPP. Early-stage patients should receive radiotherapy (Brockelman et al., 2018). Methodology -All teenagers and young adults diagnosed with Hodgkin’s lymphoma since 2016 in the Northern health and social care trust were included. An audit tool was developed which was derived form the pre – existing tool set out by the Royal College of Pathologists. The audit template included criteria’s such as virology bloods, staging with pet scan, whether the disease was classified as favourable or unfavourable, whether patients that received chemotherapy to the neck had regular thyroid functioning tests, the number of cycles of each chemo, the importance of thyroid function tests and the introduction of a screening checklist. Results-Areas of good practice were identified such as pre-treatment virology bloods and education on fertility preservation as well as organ toxicity secondary cancer and fertility when formulating a treatment plan, patients educated on the need to receive irradiated blood products for life, treatment regime for favourable and unfavourable disease. These areas of good practice had an overall compliance rate of 100%. Gaps were identified in the practice such as the need to perform thyroid function tests in patients receiving radiotherapy to the neck and head ( only 75 % of patients received regular thyroid function tests) as well as the calculation of the IPS (only 60% of TYA ‘s had IPS calculated) ,Healthcare professionals were educated on the importance of performing TFT’s and calculation of the IPS Conclusion- Gaps were identified in meeting the recommendations for screening and management of Hodgkin’s lymphoma in teenager and young adult population , early recognition of these abnormalities as well as education of healthcare professionals on the importance of these key features in the management of this subset of patients is crucial to improving outcomes