Optimal radiotherapy utilisation rate in developing countries: An IAEA study

Rosenblatt, Eduardo; Bartoň, Michael; Mackillop, William J.; Fidarova, Elena; Cordero, Lisbeth; Yarney, Joel; Lim, Gerard; Abad, Anthony; Cernea, Valentin; Stojanović-Rundić, Suzana; Strojan, Primož; Kobachi, Lotfi; Quarneti, Aldo

doi:10.1016/j.radonc.2015.06.012

Cited by 28 publications

(14 citation statements)

References 12 publications

(18 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The number of megavoltage units in relation to the population is still very low, significantly lower than European countries (median 5.3 MV/mil) [30]. Rosenblatt et al in an IAEA study observed that radiotherapy utilisation rate in Malaysia did not differ significantly from that found in higher income countries [31]. The study, however, focused on a regional data with only 10% coverage which may not be representative of the actual figure.…”

Section: Discussionmentioning

confidence: 99%

How many roads must a Malaysian walk down? Mapping the accessibility of radiotherapy facilities in Malaysia

et al. 2019

View full text Add to dashboard Cite

BackgroundThe accessibility to radiotherapy facilities may affect the willingness to undergo treatment. We sought to quantify the distance and travel time of Malaysian population to the closest radiotherapy centre and to estimate the megavoltage unit (MV)/million population based on the regions.Materials & methodsData for subdistricts in Malaysia and radiotherapy services were extracted from Department of Statistics Malaysia and Directory of Radiotherapy Centres (DIRAC). Data from DIRAC were validated by direct communication with centres. Locations of radiotherapy centres, distance and travel time to the nearest radiotherapy were estimated using web mapping service, Google Map.ResultsThe average distance and travel time from Malaysian population to the closest radiotherapy centre were 82.5km and 83.4mins, respectively. The average distance and travel were not homogenous; East Malaysia (228.1km, 236.1mins), Central (14.4km, 20.1mins), East Coast (124.2km, 108.8mins), Northern (42.9km, 42.8mins) and Southern (36.0km, 39.8mins). The MV/million population for the country is 2.47, East Malaysia (1.76), Central (4.19), East Coast (0.54), Northern (2.40), Southern (2.36). About 25% of the population needs to travel >100 km to get to the closest radiotherapy facility.ConclusionOn average, Malaysians need to travel far and long to reach radiotherapy facilities. The accessibility to radiotherapy facilities is not equitable. The disparity may be reduced by adding centres in East Malaysia and the East Coast.

show abstract

Section: Discussionmentioning

confidence: 99%

How many roads must a Malaysian walk down? Mapping the accessibility of radiotherapy facilities in Malaysia

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Although the percentage of cancer patients who underwent RT increased from 25% to 30% during these 5 years ( Fig. 3 ), the clinical utilization rate of RT in Korea seems to be lower than of the estimated optimal utilization rate of developed or developing countries (47%-56%) [ 14 - 16 ]. However, recently Mackillop et al [ 17 ] criticized the overestimation of the optimal RT utilization rate in the previous reports and reported that optimal utilization rate is 34% considering the conditions of optimal access to RT.…”

Section: Discussionmentioning

confidence: 99%

The Clinical Utilization of Radiation Therapy in Korea between 2011 and 2015

et al. 2018

View full text Add to dashboard Cite

PurposeThe purpose of this study was to estimate the clinical utilization of radiation therapy (RT) in Korea between 2011 and 2015.Materials and MethodsWe analyzed the claims data from the Health Insurance Review and Assessment Service to estimate the clinical utilization of RT. The source population consisted of all patients who had any of the International Classification of Diseases 10th revision cancer diagnoses (C00-C97) and those with diagnostic codes D00-D48, who were also associated with at least one of the procedure codes related to RT.ResultsThe total number of patients who received RT in 2011, 2012, 2013, 2014, and 2015 were 54,810, 59,435, 61,839, 64,062, and 66,183, respectively. Among them, the total numbers of male and female patients were 24,946/29,864 in 2011, 27,211/32,224 in 2012, 28,111/33,728 in 2013, 29,312/34,750 in 2014, and 30,266/35,917 in 2015. The utilization rate of RT in cancer patients has also increased steadily over the same period from 25% to 30%. The five cancers that were most frequently treated with RT between 2011 and 2012 were breast, lung, colorectal, liver, and uterine cervical cancers. However, the fifth most common cancer treated with RT that replaced uterine cervical cancer in 2013 was prostate cancer. More than half of cancer patients (64%) were treated with RT in the capital area (Seoul, Gyeonggi, and Incheon).ConclusionThe total number of patients who underwent RT increased steadily from 2011 to 2015 in Korea. The utilization rate of RT in cancer patients is also increasing.

show abstract

“…3 ). Table 6 shows the utilization rate of RT, which is defined as the proportion of all cancers with indications for RT by country [ 13 - 17 ]. This value can be dependent on the distributions of cancer types and stages.…”

Section: Discussionmentioning

confidence: 99%

The clinical utilization of radiation therapy in Korea between 2009 and 2013

et al. 2016

View full text Add to dashboard Cite

Purpose:The purpose of this study was to estimate the clinical utilization of radiation therapy (RT) in Korea between 2009 and 2013.Materials and Methods:We analyzed open claims data from the Health Insurance Review and Assessment Service. The subjects were patients who had diagnostic codes C00-C97 or D00-D48 according to the 10th revision of the International Classification of Diseases, with procedure codes indicating RT treatment.Results:The total number of patients who received RT in 2009, 2010, 2011, 2012, and 2013 were 45,571, 49,593, 54,671, 59,172, and 61,485, respectively. Among them, the total numbers of male and female patients were 20,780/24,791 in 2009, 22,711/26,882 in 2010, 24,872/29,799 in 2011, 27,101/32,071 in 2012, and 27,941/33,544 in 2013. The five cancers that were most frequently treated with RT between 2009 and 2012 were breast, lung, colorectal, liver, and uterine cervical cancers. However, the fifth most common cancer treated with RT that replaced uterine cervical cancer in 2013 was prostate cancer. The three leading types of cancer among the male patients were lung, colorectal, and liver cancers, whereas in female patients, they were breast, uterine cervical, and lung cancers. The type of cancer most commonly treated by RT was cancer of the central nervous system in patients aged 20 years or less, breast cancer in patients aged 30–50 years, and lung cancer in patients aged 60 years or more.Conclusion:Data from this study provided the clinical utilization of RT in Korea between 2009 and 2013.

show abstract

Optimal radiotherapy utilisation rate in developing countries: An IAEA study

Cited by 28 publications

References 12 publications

How many roads must a Malaysian walk down? Mapping the accessibility of radiotherapy facilities in Malaysia

How many roads must a Malaysian walk down? Mapping the accessibility of radiotherapy facilities in Malaysia

The Clinical Utilization of Radiation Therapy in Korea between 2011 and 2015

The clinical utilization of radiation therapy in Korea between 2009 and 2013

Contact Info

Product

Resources

About