Proton therapy in children only hospital-based

From the perspective of quality of care, proton therapy in children should only be performed in a hospital-based setting. The treatment requires absolute immobilization. Therefore deep sedation/anesthesia is necessary for some of the children. This implies a small risk of complications, for which the presence of a near-by intensive care is important. In addition, optimal care entails treatment in a multidisciplinary centre, where a fixed team stands ready to attend to the needs of the children and their parents, with also good psycho-social support available.