Avtor/Urednik		Rosenblatt, Eduardo; Fidarova, Elena; Zubizarreta, Eduardo H.; Barton, Michael B.; Jones, Glenn W.; Mackillop, William; Cordero, Lisbeth; Yarney, Joel; Lim, Gerard; Strojan, Primož
Naslov		Radiotherapy utilization in developing countries
Tip		članek
Vol. in št.		Letnik 128, št. 3
Leto izdaje		2018
Obseg		str. 400-405
ISSN		0167-8140 - Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology
Jezik		eng
Abstrakt		The planning of national radiotherapy (RT) services requires a thorough knowledge of the country's cancer epidemiology profile, the radiotherapy utilization (RTU) rates and a future projection of these data. Previous studies have established RTU rates in high-income countries. Methods Optimal RTU (oRTU) rates were determined for nine middle-income countries, following the epidemiological evidence-based method. The actual RTU (aRTU) rates were calculated dividing the total number of new notifiable cancer patients treated with radiotherapy in 2012 by the total number of cancer patients diagnosed in the same year in each country. An analysis of the characteristics of patients and treatments in a series of 300 consecutive radiotherapy patients shed light on the particular patient and treatments profile in the participating countries. Results The median oRTU rate for the group of nine countries was 52% (47-56%). The median aRTU rate for the nine countries was 28% (9-46%). These results show that the real proportion of cancer patients receiving RT is lower than the optimal RTU with a rate difference between 10-42.7%. The median percent-unmet need was 47% (18-82.3%). Conclusions The optimal RTU rate in middle-income countries did not differ significantly from that previously found in high-income countries. The actual RTU rates were consistently lower than the optimal, in particular in countries with limited resources and a large population
Proste vsebinske oznake		radioterapija radiološka onkologija obsevanje države v razvoju radiotherapy radiation oncology developing countries