Cost evaluations of radiotherapy: What do we know? An ESTRO-HERO analysis

Defourny, Noémie; Dunscombe, Peter; Perrier, Lionel; Grau, Cai; Lievens, Yolande

doi:10.1016/j.radonc.2016.12.002

Cited by 35 publications

(32 citation statements)

References 61 publications

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“…Although trends, and even the absolute numerical values, are consistent with the relatively few other reports in existence, the results can only be as good as the input data. A recent review by Defourny et al [20] demonstrated a large heterogeneity in the currently available literature on radiotherapy costing and suggests that a uniform methodology should be developed for performing such studies. We hope that the application of the TD-ABC methodology described here can provide further input into a uniform and accepted approach.…”

Section: Discussionmentioning

confidence: 99%

Cost evaluation to optimise radiation therapy implementation in different income settings: A time-driven activity-based analysis

Dyk

Zubizarreta

Lievens

2017

Radiotherapy and Oncology

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Section: Discussionmentioning

confidence: 99%

Cost evaluation to optimise radiation therapy implementation in different income settings: A time-driven activity-based analysis

Dyk

Zubizarreta

Lievens

2017

Radiotherapy and Oncology

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“…Our data provide a picture of investment, operational and radiotherapy costs per treatment in the various regions of the world, using TD-ABC. Resource cost data calculated with conventional cost-accounting models such TD-ABC are to date scarce and are mostly focusing on costs at the departmental level [16]. In view of the observed variation in the average GNI/capita in the different countries constituting the income levels per world region, further cost analyses at the country level would be welcomed to provide more refined insight and allow benchmarking among countries.…”

Section: Ongoing Operating and Treatment Costsmentioning

confidence: 99%

“…Accurate data on the cost of radiotherapy remain scarce in today's literature. A recent systematic review of the available radiotherapy costing literature observed that only a minority of costing studies used conventional costing methodologies, which, together with the large heterogeneity in scope of the analyses and in inputs used and outputs reported, did not allow the presentation of a consistent picture of radiotherapy costs [16]. Moreover, only one of the studies in the review provided cost data for a range of different countries [17].…”

Section: Introductionmentioning

confidence: 99%

Analysis of Global Radiotherapy Needs and Costs by Geographic Region and Income Level

2017

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Recent years have seen various reviews on the lack of access to radiotherapy often based on geographic regions of the world such as Africa, Asia Pacific, Europe, Latin America and North America. Countries are often defined by their national income per capita levels based on World Bank definitions of high income, upper middle income, lower middle income and low income. Within the world regions, there are significant variations in gross national income (GNI) per capita among the different countries, and even within similar income levels, large variations exist. This report presents the actual status of radiotherapy and analyses the current needs and costs to provide full access in the different regions of the world. Actual coverage of the needs ranges from 34% in Africa to over 92% in Europe to about double the needs in North America. In line with this, proportional additional investments and operational costs are as high as more than 200% in Africa to almost none in North America. Two world regions face substantial challenges: Africa, based on the important demands to build new capacity and subsequently to maintain operational capability; and Asia Pacific, due to its high population density, translating into large absolute needs in radiotherapy treatments and resources, and hence in associated costs. With the data highlighting a large variability of GNI/capita even within similar income levels in the various world regions, it is expected that additional investment in resources and costs may be more dependent on income level of the country than on the GNI group or the geographic region of the world.

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“…Only just over 50 publications have documented cost calculation in photon radiotherapy since the eighties. In addition to their limited number, the real treatment costs are difficult to derive from these data, due to the large heterogeneity in scope, inputs and outputs, and to the infrequent use of conventional costing methodologies [5,22].…”

Section: How To Pursue Value For Money?mentioning

confidence: 99%

Cost evaluations of radiotherapy: What do we know? An ESTRO-HERO analysis

Cited by 35 publications

References 61 publications

Cost evaluation to optimise radiation therapy implementation in different income settings: A time-driven activity-based analysis

Cost evaluation to optimise radiation therapy implementation in different income settings: A time-driven activity-based analysis

Analysis of Global Radiotherapy Needs and Costs by Geographic Region and Income Level

Access to innovative radiotherapy: how to make it happen from an economic perspective?

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