Author/Editor     Borras, Josep Maria; Barton, Michael; Grau, Cai; Corral, Julieta; Verhoeven, Rob; Lemmens, Valery; Van Eycken, Liesbeth; Henau, Kris; Primic-Žakelj, Maja; Strojan, Primož; Trojanowski, Maciej; Dyzmann-Sroka, Agnieszka; Kubiak, Anna; Gasparotto, Chiara; Defourny, Noemie; Malicki, Julian; Dunscombe, Peter; Coffey, Mary; Lievens, Yolande
Title     The impact of cancer incidence and stage on optimal utilization of radiotherapy
Type     članek
Publication year     2015
Volume     str. [1-7]
ISSN     0167-8140 - Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology
Language     eng
Abstract     Background and purpose The impact of differences in the distribution of major cancer sites and stages at diagnosis among 4 European countries on the optimal utilization proportion (OUP) of patients who should receive external beam radiotherapy was assessed within the framework of the ESTRO-HERO project. Materials and methods Data from Australian Collaboration for Cancer Outcomes Research and Evaluation (CCORE) were used. Population based stages at diagnosis from the cancer registries of Belgium, Slovenia, the Greater Poland region of Poland, and The Netherlands were used to assess the OUP for each country. A sensitivity analysis was carried out. Results The overall OUP by country varied from the lowest of 48.3% in Australia to the highest of 53.4% in Poland; among European countries the variation was limited to 3%. Cancer site specific OUPs showed differences according to the variability in stage at diagnosis across countries. The most important impact on the OUP by country was due to changes in relative frequency of tumours rather than stage at diagnosis. Conclusions This methodology can be adapted using European data, thus facilitating the planning of resources required to cope with the demand for radiotherapy in Europe, taking into account the national variability in cancer incidence.
Keywords     radioterapija
pojavnost raka
optimalni izkoristek
registri raka
radiotherapy
optimal utilization
cancer incidence
cancer registry