Evidence-Based Assessment of Radiotherapy Demand and Quality of Radiotherapy Services

Closed for proposals

Project Type

Coordinated Research Project

Project Code

E33037

CRP

1997

Approved Date

13 September 2013

Status

Closed

Start Date

13 February 2014

Expected End Date

13 February 2017

Completed Date

31 October 2017

Description

This CRP will incorporate two studies running in parallel as follows: Sub-project A: This study will determine the radiotherapy utilization rate (RTU) in a group of selected middle income countries in terms of both the optimal and the actual utilization. "Optimal" radiotherapy utilization means the proportion of cancer patients who should receive radiotherapy as per published evidence. This data exists from studies done in developed countries (mainly Australia, Sweden, USA) but has never been calculated for developing countries using an evidence-based methodology. The "actual" RTU means the real proportion of cancer patients who receive radiotherapy in a certain country. The results will be very valuable for planning radiotherapy services in developing countries on an evidence basis. Sub-project B: The second study will assess the level of quality of radiotherapy services in the post-Soviet (“Commonwealth of Independent States region”) countries as compared with internationally accepted standards. To answer this question the methodology will be a structured survey using validated quality indicators.

Objectives

1. To estimate the optimal and actual radiotherapy utilization (RTU) rates in developing countries using an evidence-based methodology. 2. To assess the quality of radiotherapy services in the CIS region countries using a validated set of quality indicators 

Specific objectives

To determine the actual RTU rates in a group of countries representative of the main regions.

To determine the optimal RTU in a group of middle-income countries representatives of the main regions.

To objectively document the level of quality of radiotherapy services in countries of the CIS region using sets of validated quality indicators.

Impact

The results of this CRP were very valuable for planning radiotherapy services in developing countries on an evidence basis. It helped to gain a better understanding of the current practices, infrastructure and education in Eastern European (ex-USSR except the Baltic States) countries, which in turn will help to improve communication and the ways the Agency may assist these countries to fulfil their needs in this area. DIRAC data for 18 countries were updated.

Relevance

Relevant to IAEA-LMIC cooperation in the field of radiotherapy.

CRP Publications

Type

Scientific article

Year

2018

Publication URL

https://www.ncbi.nlm.nih.gov/pubmed/29859755

Description

Radiotherapy utilization in developing countries: An IAEA study. Radiotherapy and Oncology 128 (2018) 400–405.

Country/Organization

IAEA

Type

Abstract

Year

2018

Publication URL

http://road.iaea.org/livelink/llisapi.dll?func=ll&objId=46829864&objAction=viewh…

Description

Quality of radiotherapy services in post-Soviet countries: An IAEA survey.

Country/Organization

Spain, ESTRO conference

Type

Scientific article

Year

2018

Publication URL

https://www.ncbi.nlm.nih.gov/pubmed/29705501

Description

Quality of radiotherapy services in post-Soviet countries: An IAEA survey. Radiother Oncol. 2018 May;127(2):171-177. doi: 10.1016/j.radonc.2018.03.028.

Country/Organization

IAEA

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