Choosing optimal IGRT regimens that spare healthy tissue and organs is a particular
concern for pediatric patients to help prevent potential late effects associated with the distribution of the radiation dose and the total radiation dose the patient receives.
PRIMARY CARE is thought to create an atmosphere in which sensitive
concerns are more readily raised.1, 2 Studies in both
pediatric and adult settings support this view — detection of distress is increased when physicians and
patients (or parents) believe they have an ongoing relationship.3 - 5 Guidelines
for pediatric primary care, 6 supported by studies in child development, 7 underline the importance of detecting problems with parental mental health, especially in the first years of a child's life.