Radiation oncology: Future needs and equipment. Current situation in Spain

Eito, A. Palacios; Calvo, M. Espinosa; Rueda, A. Mañas; Heras, Manuel de las

doi:10.1007/s12094-008-0236-3

Cited by 14 publications

(13 citation statements)

References 14 publications

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“…The highest rate of 36.31% was during the fi nal year of the period and is in contrast to the Spanish nationwide estimate of 43% in 2004 [12]. Even this national rate is low if we compare it to the optimal rate of 52.3% as estimated by the CCORE study on the basis of the scientifi c evidence (published in 2003).…”

Section: Discussionmentioning

confidence: 83%

Radiotherapy in rectal cancer: development, adequacy and radiotherapy utilisation rate. A comparative analysis with the most frequent tumour sites

et al. 2011

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The "radiotherapy utilisation rate" for rectal cancer was equivalent to the estimated optimum rate as defined on the basis of reference groups. The therapy utilised developed chronologically in parallel with the available scientific evidence. The radiotherapy utilisation rates for breast and prostate cancer gradually increased, with a tendency to reach optimal rates. Radiotherapy as a treatment for lung cancer was underutilised. In global terms, the rate of utilisation of radiation therapy was low, although it displayed a tendency to increase.

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Section: Discussionmentioning

confidence: 83%

Radiotherapy in rectal cancer: development, adequacy and radiotherapy utilisation rate. A comparative analysis with the most frequent tumour sites

et al. 2011

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“…The workload of linacs during recent years has been significantly reduced due to the increasing number of machines. But the workload exceeds the median number in European countries (419 treatment courses per MV unit) (12), international recommendations, and the data of other countries (18,(21)(22)(23) (Table 4). The cost of RT depends on treatment modality, treatment intent (for cure or palliation), localisation of the primary site of cancer, stage, and other factors.…”

Section: Discussionmentioning

confidence: 92%

The changes of radiotherapy in Lithuania: infrastructure, utilization rate, and cost

Mineikyte

Janulionis

Atkočius

et al. 2016

AML

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Background. The aim of this study was to evaluate radiation therapy (RT) productivity, capacity, and cost in Lithuania.Materials and methods. An electronic questionnaire was prepared and sent to the country's RT centres. The data was collected for the years 2011-2014. The early data of the RT infrastructure was obtained from the QUARTS Project (2001).Results. In Lithuania the external beam RT was applied to 32.6% of new cancer cases (non-melanomatous skin cancer and benign conditions were excluded). In 2014, RT was more frequently applied for breast and prostate carcinomas, 23 and 20%, respectively. The country owned 11 units of linear accelerators (linacs) and this accounts for 3.7 linacs per one million population. 3D conformal RT is the standard approach in all four RT centres in Lithuania. IMRT practices were established in three centers and VMAT or stereotactic RT in two of them. 73% of linacs were capable of IGRT, while only 27% were equipped with CBCT. The average linac workload was 567 patients per year and showed a 10% decrease compared with the 2011 data. During a ten-year period, the average cost per patient for RT treatment increased 7.6 times -from EUR 129 to 974. The reimbursement system in Lithuania is not favourable for application of RT.Conclusions. During the recent thirteen years, RT services in Lithuania have dramatically improved, but we are still behind the average of European countries and benchmark rates. It is important to continue optimising the efficiency of RT services, and further evidence-based studies on RT infrastructure assessment and planning are needed.

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“…This study was designed to assess the current status ofthe number of physicians and physicists working in each hospital, the workload of each department, and the workflow time for each RT facility by tumor types in radiation oncology departments that are actively treating patients in Turkey, unlike previous studies 4,9 , which were mainly focused on a couple of hospitals, our study represents majority of radiation oncology departments workforce survey nationwide, which will serve as a baseline assessment for the future analysis and national planning strategies.…”

Section: Discussionmentioning

confidence: 99%

“…3 However these tremendous development in RT techniques and devices within the last two decades also imply major change in workflow, mainly target volume delineation and treatment planning. [4][5][6] Although a few studies have analyzed the required equipment and manpower that is assumed to be necessary to deliver RT with multicentric analysis, none of these recommendations were based on nation-wide evaluations. 5,7 In Turkey, RT services are mostly provided by public university hospitals and state-run hospitals.…”

Section: Introductionmentioning

confidence: 99%

Türkiye’deki Radyoterapi Donanımının Mevcut Durumu ve Radyoterapi Uygulaması için Gereken Sürenin İncelenmesi: Türk Radyasyon Onkolojisi Derneği Çalışması

Fadime¹

2015

UHOD

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The aim this study is to evaluate current status and workload of radiotherapy (RT) centers in Turkey, by assessing time and staff required during core treatment procedures in patients with different tumor sites. A survey sent via e-mail to all hospitals that are actively treating patients with RT, that aimed expose the details on type of the techniques being used and the time spent for treatment planning and delivery for the different techniques according to different tumor sites. The results were evaluated by several variables, the type of the center (university hospitals or state-run hospitals) and the number of patients treated per year per center (<1000 patients/ year treated vs. ≥1000 patients/year treated). The survey was sent to 48 centers and the return rate was 71% (34 centers). Average daily treatment course performed by one physician was 192 per year (range: 41 -650). Median number of patients treated by a specialist per year was 210 (range: 79 -650) in the university hospitals and 101 (range: 41 -167) in the state-run hospitals. Median time spent for treating a patient with 3-dimensional conformal RT (3DCRT) was 4 h, and it was 5 h 45 min for intensity-modulated RT (IMRT). The time spent for all cancer types treated with 3DCRT and IMRT was higher in state-run hospitals compared to university hospitals. With increasing use of newer RT techniques, the time spent for treating patients increases. Besides adequate equipment, sufficient and well-trained staff is required to achieve these newer RT technique benefits for the patients.

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Radiation oncology: Future needs and equipment. Current situation in Spain

Cited by 14 publications

References 14 publications

Radiotherapy in rectal cancer: development, adequacy and radiotherapy utilisation rate. A comparative analysis with the most frequent tumour sites

Radiotherapy in rectal cancer: development, adequacy and radiotherapy utilisation rate. A comparative analysis with the most frequent tumour sites

The changes of radiotherapy in Lithuania: infrastructure, utilization rate, and cost

Türkiye’deki Radyoterapi Donanımının Mevcut Durumu ve Radyoterapi Uygulaması için Gereken Sürenin İncelenmesi: Türk Radyasyon Onkolojisi Derneği Çalışması

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