Radiotherapy Demand and Activity in England 2006–2020

Round, C.; Williams, Michael; Mee, Thomas; Kirkby, N.F.; Cooper, T.; Hoskin, Peter; Jena, R.

doi:10.1016/j.clon.2013.05.005

Cited by 52 publications

(35 citation statements)

References 24 publications

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“…In fact, even among high income countries with similar patterns of care and populations, such as Australian and British populations, indications for radiotherapy based on clinical guidelines can vary by about 10% [20] [21]. These disparities suggest that indications for treatment in developing countries derived from guidelines and standards of treatment followed by countries with higher availability of resources should be analysed with caution.…”

Section: Discussionmentioning

confidence: 99%

“…The development of new and/or strengthening of operational services delivering these therapies is associated with increasingly high costs [8], therefore making realistic projections is critical to maximize infrastructure, equipment, financial and human resources at a population level. Considering radiotherapy, the information available has been generated mainly in developed countries; the estimates of service demand are based on expert's opinion [9], rate of utilization [10]- [19], or on what should be prescribed according to clinical guidelines [18] [20] [21]. However, patterns of cancer incidence, stage at diagnosis and access to treatment in developing countries are distinct, thus indications for surgery, systemic therapies and radiotherapy may vary considerably.…”

Section: Introductionmentioning

confidence: 99%

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Prescription of Cancer Treatment Modalities in Developing Countries: Results from a Multi-Centre Observational Study

Camacho¹,

Neves²,

Piñeros³

et al. 2014

JCT

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Background: Treatment is an important component of a comprehensive cancer control approach and its outcomes strongly depend on infrastructure, equipment, human and financial resources available. Therefore it is imperative to generate evidence-based tools to assist health policy makers from low resourced countries in planning efficient and equitable treatment services for a defined population based on what it is feasible to these settings. Methods: The intended cancer specific treatment planned and written in the patients' medical record (treatment prescription) of untreated adult cancer cases (≥18 years of age), excluding non-melanoma skin cancer, was recorded in a chronological way from 1 January 2012 onwards in a group of eight comprehensive cancer centres located in middle income countries and offering the main modalities of cancer * Affiliations are as of 1 March 2014. # Corresponding author. R. Camacho et al.990 treatment (surgery, medical oncology and radiotherapy). Results: A total of 17,713 medical records were reviewed, of which 7106 (54.2%) met the eligibility criteria. Prescription of main cancer treatment modalities were distributed as follows: 57.6% for chemotherapy (n = 4093), 56.8% for surgery (n = 4038), and 46.8% for radiotherapy (n = 3327). There was a predominance of plans consisting of combined treatment modalities over monotherapy (55.2% versus 44.8%). At the time of diagnosis 54.3% of the cancer cases had disease that had spread beyond the primary site, 41.2% were considered as having local disease and in 4.5% of the cases the information on disease extension was unknown. Conclusions: The results obtained should be seen as an approximation of cancer treatment service demand based on what it is currently practiced and therefore feasible in developing countries, particularly in middle income countries.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prescription of Cancer Treatment Modalities in Developing Countries: Results from a Multi-Centre Observational Study

Camacho¹,

Neves²,

Piñeros³

et al. 2014

JCT

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“…Biaya untuk radioterapi juga sangat hemat, terhitung hanya 5% dari total biaya perawatan kanker. 3 Pengobatan kanker di Indonesia saat ini banyak menggunakan kemoterapi dan proses pembedahan. Penggunaan terapi kanker dengan radiasi belum banyak digunakan dan masih terbatas.…”

Section: Pendahuluanunclassified

Cancer Therapy with Radiation: The Basic Concept of Radiotherapy and Its Development in Indonesia

Fitriatuzzakiyyah

Sinuraya

Puspitasari

2017

Indones J Clin Pharm

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AbstrakKanker merupakan salah satu penyakit yang menyebabkan kematian yang tinggi di dunia. Berdasarkan data WHO, pada tahun 2015 terdapat 8,8 juta kematian yang diakibatkan oleh penyakit kanker. Berdasarkan data riskesdas tahun 2013, prevalensi kanker di Indonesia mencapai 1,4% atau sekitar 347.792 orang. Berbagai metode telah dikembangkan untuk mengobati kanker, salah satunya dengan menggunakan terapi radiasi atau radioterapi. Berdasarkan International Agency for Research on Cancer (IARC), dari 10,9 juta orang yang didiagnosis menderita kanker di seluruh dunia setiap tahun, sekitar 50% membutuhkan radioterapi. Penggunaan radiasi untuk terapi kanker belum banyak digunakan dan masih terbatas di Indonesia. Tujuan penulisan review ini adalah untuk memaparkan konsep dasar terapi kanker dengan radiasi dan perkembangan radioterapi di Indonesia melalui penelusuran pustaka. Metode penelusuran pustaka dalam artikel review ini adalah penelusuran pustaka pada mesin pencari Google, Google Scholar dan PubMed basis data dengan kata kunci "basic radiotherapy" "radiation therapy in Indonesia" "novel radiotherapy in Indonesia" serta peraturan perundang-undangan Republik Indonesia yang berkaitan dengan radioterapi. Hasil penelusuran pustaka menunjukkan bahwa teknologi radiasi telah ada di Indonesia sejak tahun 1927. Sampai tahun 2013, terdapat 29 pusat pelayanan radioterapi di Indonesia. Radioterapi telah menjadi salah satu terapi yang penting dalam pengobatan kanker di Indonesia. Pemerintah Indonesia mendukung kemajuan teknologi ini dengan menerbitkan peraturan tentang standar pelayanan radioterapi di rumah sakit. Semakin banyak dan berkembangnya fasilitas radioterapi diharapkan dapat mengurangi prevalensi penyakit kanker di Indonesia. Kata kunci: Kanker, radioterapi, regulasi, terapi radiasi Cancer Therapy with Radiation: The Basic Concept of Radiotherapy and Its Development in Indonesia AbstractCancer is one of the leading causes of death worldwide. According to WHO,8,8 million deaths in 2015 was caused by cancer. In Indonesia, based on basic health research data in 2013, the prevalence of cancer was 1.4% or 347.792 people in Indonesia suffer from cancer. Various methods have been developed to treat cancer, one of them is by using radiation therapy or radiotherapy. According to International Agency for Research on Cancer (IARC), from 10.9 million people diagnosed with cancer, about 50% require radiotherapy. The use of radiation for cancer therapy has not been widely used and is still limited in Indonesia. This review article was aimed to describe the basic concept of cancer therapy with radiation and its development in Indonesia. Literature review was conducted from Google search engine, Google Scholar and PubMed database with keyword "basic radiotherapy" "radiation therapy in Indonesia" "novel radiotherapy in Indonesia" and radiotherapy regulations in Indonesia. The results revealed that radiation technology has been availabe in Indonesia since 1927. Until 2013, 29 radiotherapy centers were available in Indonesia. Radiothera...

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“…There were 50,285 new cases of breast cancer diagnosed in the UK in 2011, approximately 50% of whom required radiotherapy 2, 3. Indeed breast radiotherapy makes up around 30% of most UK departments’ workloads 4. In this group of patients therefore, small reductions in the time required for any aspect of the radiotherapy planning and treatment pathways will result in large time and resource savings at the departmental level.…”

Section: Introductionmentioning

confidence: 99%

Improving the efficiency of breast radiotherapy treatment planning using a semi‐automated approach

Mitchell

Wai

Colgan

et al. 2016

J Applied Clin Med Phys

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ObjectivesTo reduce treatment planning times while maintaining plan quality through the introduction of semi‐automated planning techniques for breast radiotherapy.MethodsAutomatic critical structure delineation was examined using the Smart Probabilistic Image Contouring Engine (SPICE) commercial autosegmentation software (Philips Radiation Oncology Systems, Fitchburg, WI) for a cohort of ten patients. Semiautomated planning was investigated by employing scripting in the treatment planning system to automate segment creation for breast step‐and‐shoot planning and create objectives for segment weight optimization; considerations were made for three different multileaf collimator (MLC) configurations. Forty patients were retrospectively planned using the script and a planning time comparison performed.ResultsThe SPICE heart and lung outlines agreed closely with clinician‐defined outlines (median Dice Similarity Coefficient > 0.9); median difference in mean heart dose was 0.0 cGy (range −10.8 to 5.4 cGy). Scripted treatment plans demonstrated equivalence with their clinical counterparts. No statistically significant differences were found for target parameters. Minimal ipsilateral lung dose increases were also observed. Statistically significant (P < 0.01) time reductions were achievable for MLCi and Agility MLC (Elekta Ltd, Crawley, UK) plans (median 4.9 and 5.9 min, respectively).ConclusionsThe use of commercial autosegmentation software enables breast plan adjustment based on doses to organs at risk. Semi‐automated techniques for breast radiotherapy planning offer modest reductions in planning times. However, in the context of a typical department's breast radiotherapy workload, minor savings per plan translate into greater efficiencies overall.

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Radiotherapy Demand and Activity in England 2006–2020

Cited by 52 publications

References 24 publications

Prescription of Cancer Treatment Modalities in Developing Countries: Results from a Multi-Centre Observational Study

Prescription of Cancer Treatment Modalities in Developing Countries: Results from a Multi-Centre Observational Study

Cancer Therapy with Radiation: The Basic Concept of Radiotherapy and Its Development in Indonesia

Improving the efficiency of breast radiotherapy treatment planning using a semi‐automated approach

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