Quality statement 3: First-line treatment for localised stage IIA follicular lymphoma

Quality statement

Young people and adults with localised stage IIA follicular lymphoma have local radiotherapy as first-line treatment.

Rationale

Localised radiotherapy is the most effective first treatment for young people and adults with localised stage IIA follicular lymphoma. It has low toxicity and has the potential to cure a minority of young people and adults with this type of lymphoma.

Quality measures

Structure

Evidence of local arrangements to ensure that young people and adults with localised stage IIA follicular lymphoma have local radiotherapy as first-line treatment.

Data source: Local data collection.

Process

Proportion of young people and adults with localised stage IIA follicular lymphoma who receive local radiotherapy as first-line treatment.

Numerator – the number in the denominator who receive local radiotherapy as first-line treatment.

Denominator – the number of young people and adults with localised stage IIA follicular lymphoma.

Data source: National Radiotherapy Dataset and local data collection.

Outcome

Survival rates for young people and adults with localised stage IIA follicular lymphoma.

Data source: Local data collection.

What the quality statement means for different audiences

Service providers (secondary care NHS hospital trusts) have processes in place to ensure that young people and adults with localised stage IIA follicular lymphoma are referred to radiotherapy services, which provide local radiotherapy for first-line treatment of lymphoma.

Healthcare professionals (such as clinical oncologists) perform local radiotherapy as first-line treatment for young people and adults with localised stage IIA follicular lymphoma.

Commissioners (clinical commissioning groups) ensure that they commission services in which young people and adults with localised stage IIA follicular lymphoma have local radiotherapy as first-line treatment for lymphoma.

Young people and adults with stage 2A follicular lymphoma in one area of the body ('localised') have radiotherapy focused on that area as their first treatment option.

Source guidance

Non-Hodgkin's lymphoma: diagnosis and management (2016) NICE guideline NG52, recommendation 1.3.1

Definition of terms used in this quality statement

Young people and adults

16 years and over.