Articles producció científica> Ciències Mèdiques Bàsiques

Infrastructure and equipment for radiation oncology in the Spanish National Health System: analysis of external beam radiotherapy 2015–2020

  • Identification data

    Identifier: imarina:4213824
    Handle: https://hdl.handle.net/20.500.11797/imarina4213824
    Authors:
    Rodríguez AAlgara MMonge DLópez-Torrecilla JCaballero FMorera REscó RPérez-Montero HFerrer CLara PCOrtiz MJExpósito JPalacios AHerruzo IMedina JAMartinez MBayo EJaén JPeracaula FJPérez CRamos MIGonzález JALópez EBegara JNuño CBezares ABSerradilla ALazo ATejedor MMéndez LJuan GOlay LPardo JMestre FOtón CFuentes CPrada PPérez LLozano EVillas MVRodríguez AAlgara MMonge DLópez-Torrecilla JCaballero FMorera REscó RPérez-Montero HFerrer CLara PCOrtiz MJExpósito JPalacios AHerruzo IMedina JAMartinez MBayo EJaén JPeracaula FJPérez CRamos MIGonzález JALópez EBegara JNuño CBezares ABSerradilla ALazo ATejedor MMéndez LJuan GOlay LPardo JMestre FOtón CFuentes CPrada PPérez LLozano EVillas MVRodríguez AAlgara MMonge DLópez-Torrecilla JCaballero FMorera REscó RPérez-Montero HFerrer CLara PCOrtiz MJExpósito JPalacios AHerruzo IMedina JAMartinez MBayo EJaén JPeracaula FJ
    Abstract:
    © 2017, Federación de Sociedades Españolas de Oncología (FESEO). Purpose: Planning for radiation oncology requires reliable estimates of both demand for radiotherapy and availability of technological resources. This study compares radiotherapy resources in the 17 regions of the decentralised Spanish National Health System (SNHS). Materials and methods: The Sociedad Española de Oncología Radioterápica (SEOR) performed a cross-sectional survey of all Spanish radiation oncology services (ROS) in 2015. We collected data on SNHS radiotherapy units, recording the year of installation, specific features of linear accelerators (LINACs) and other treatment units, and radiotherapeutic techniques implemented by region. Any machine over 10 years old or lacking a multileaf collimator or portal imaging system was considered obsolete. We performed a k-means clustering analysis using the Hartigan–Wong method to test associations between the gross domestic regional product (GDRP), the number of LINACs per million population and the percentage of LINACs over 10 years old. Results: The SNHS controls 72 (61%) of the 118 Spanish ROS and has 180 LINACs, or 72.5% of the total public and private resources. The mean rate of LINACs per million population is 3.9 for public ROS, and 42% (n = 75) of the public accelerators were obsolete in 2015: 61 due to age and 14 due to technological capability. There was considerable regional variation in terms of the number and technological capacity of radiotherapy units; correlation between GRDP and resource availability was moderate. Conclusion: Despite improvements, new investments are still needed to replace obsolete units and increase access to modern radiotherapy. Regular analysis of ROS in each Spanish region is the only strategy for monitoring progres

  • Others:

    Author, as appears in the article.: Rodríguez A; Algara M; Monge D; López-Torrecilla J; Caballero F; Morera R; Escó R; Pérez-Montero H; Ferrer C; Lara PC; Ortiz MJ; Expósito J; Palacios A; Herruzo I; Medina JA; Martinez M; Bayo E; Jaén J; Peracaula FJ; Pérez C; Ramos MI; González JA; López E; Begara J; Nuño C; Bezares AB; Serradilla A; Lazo A; Tejedor M; Méndez L; Juan G; Olay L; Pardo J; Mestre F; Otón C; Fuentes C; Prada P; Pérez L; Lozano E; Villas MV; Rodríguez A; Algara M; Monge D; López-Torrecilla J; Caballero F; Morera R; Escó R; Pérez-Montero H; Ferrer C; Lara PC; Ortiz MJ; Expósito J; Palacios A; Herruzo I; Medina JA; Martinez M; Bayo E; Jaén J; Peracaula FJ; Pérez C; Ramos MI; González JA; López E; Begara J; Nuño C; Bezares AB; Serradilla A; Lazo A; Tejedor M; Méndez L; Juan G; Olay L; Pardo J; Mestre F; Otón C; Fuentes C; Prada P; Pérez L; Lozano E; Villas MV; Rodríguez A; Algara M; Monge D; López-Torrecilla J; Caballero F; Morera R; Escó R; Pérez-Montero H; Ferrer C; Lara PC; Ortiz MJ; Expósito J; Palacios A; Herruzo I; Medina JA; Martinez M; Bayo E; Jaén J; Peracaula FJ
    Department: Ciències Mèdiques Bàsiques
    URV's Author/s: Arenas Prat, Meritxell
    Keywords: Spanish national health system Radiotherapy infrastructures Radiation units obsolescence radiotherapy infrastructures radiation units obsolescence
    Abstract: © 2017, Federación de Sociedades Españolas de Oncología (FESEO). Purpose: Planning for radiation oncology requires reliable estimates of both demand for radiotherapy and availability of technological resources. This study compares radiotherapy resources in the 17 regions of the decentralised Spanish National Health System (SNHS). Materials and methods: The Sociedad Española de Oncología Radioterápica (SEOR) performed a cross-sectional survey of all Spanish radiation oncology services (ROS) in 2015. We collected data on SNHS radiotherapy units, recording the year of installation, specific features of linear accelerators (LINACs) and other treatment units, and radiotherapeutic techniques implemented by region. Any machine over 10 years old or lacking a multileaf collimator or portal imaging system was considered obsolete. We performed a k-means clustering analysis using the Hartigan–Wong method to test associations between the gross domestic regional product (GDRP), the number of LINACs per million population and the percentage of LINACs over 10 years old. Results: The SNHS controls 72 (61%) of the 118 Spanish ROS and has 180 LINACs, or 72.5% of the total public and private resources. The mean rate of LINACs per million population is 3.9 for public ROS, and 42% (n = 75) of the public accelerators were obsolete in 2015: 61 due to age and 14 due to technological capability. There was considerable regional variation in terms of the number and technological capacity of radiotherapy units; correlation between GRDP and resource availability was moderate. Conclusion: Despite improvements, new investments are still needed to replace obsolete units and increase access to modern radiotherapy. Regular analysis of ROS in each Spanish region is the only strategy for monitoring progress in radiotherapy capacity.
    Thematic Areas: Saúde coletiva Oncology Odontología Medicine (miscellaneous) Medicina veterinaria Medicina ii Medicina i Farmacia Engenharias ii Ciências biológicas ii Ciências biológicas i Cancer research Biotecnología
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 1699048X
    Author's mail: meritxell.arenas@urv.cat
    Author identifier: 0000-0003-0815-2570
    Record's date: 2024-09-07
    Papper version: info:eu-repo/semantics/acceptedVersion
    Link to the original source: https://link.springer.com/article/10.1007%2Fs12094-017-1727-x
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Clinical & Translational Oncology. 20 (3): 402-410
    APA: Rodríguez A; Algara M; Monge D; López-Torrecilla J; Caballero F; Morera R; Escó R; Pérez-Montero H; Ferrer C; Lara PC; Ortiz MJ; Expósito J; Palacios (2018). Infrastructure and equipment for radiation oncology in the Spanish National Health System: analysis of external beam radiotherapy 2015–2020. Clinical & Translational Oncology, 20(3), 402-410. DOI: 10.1007/s12094-017-1727-x
    Article's DOI: 10.1007/s12094-017-1727-x
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2018
    Publication Type: Journal Publications

  • Keywords:

    Cancer Research,Medicine (Miscellaneous),Oncology
    Spanish national health system
    Radiotherapy infrastructures
    Radiation units obsolescence
    radiotherapy infrastructures
    radiation units obsolescence
    Saúde coletiva
    Oncology
    Odontología
    Medicine (miscellaneous)
    Medicina veterinaria
    Medicina ii
    Medicina i
    Farmacia
    Engenharias ii
    Ciências biológicas ii
    Ciências biológicas i
    Cancer research
    Biotecnología

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