Radiation Therapy Infrastructure and Human Resources in Low- and Middle-Income Countries: Present Status and Projections for 2020
Purpose Radiation therapy, a key component of cancer management, is required in more than half of new cancer patients, particularly in low- and middle-income countries (LMICs). The projected rise in cancer incidence over the next decades in LMICs will result in an increasing demand for radiation the...
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Published in | International journal of radiation oncology, biology, physics Vol. 89; no. 3; pp. 448 - 457 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
United States
Elsevier Inc
01.07.2014
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Subjects | |
Online Access | Get full text |
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Abstract | Purpose Radiation therapy, a key component of cancer management, is required in more than half of new cancer patients, particularly in low- and middle-income countries (LMICs). The projected rise in cancer incidence over the next decades in LMICs will result in an increasing demand for radiation therapy services. Considering the present cancer incidence and that projected for 2020 (as listed in GLOBOCAN), we evaluated the current and anticipated needs for radiation therapy infrastructure and staffing by 2020 for each of the LMICs. Methods and Materials Based on World Bank classification, 139 countries fall in the category of LMICs. Details of teletherapy, radiation oncologists, medical physicists, and radiation therapy technologists were available for 84 LMICs from the International Atomic Energy Agency–Directory of Radiotherapy Centres (IAEA-DIRAC) database. Present requirements and those for 2020 were estimated according to recommendations from the IAEA and European Society for Radiotherapy & Oncology (ESTRO-QUARTS). Results Only 4 of the 139 LMICs have the requisite number of teletherapy units, and 55 (39.5%) have no radiation therapy facilities at present. Patient access to radiation therapy in the remaining 80 LMICs ranges from 2.3% to 98.8% (median: 36.7%). By 2020, these 84 LMICs would additionally need 9169 teletherapy units, 12,149 radiation oncologists, 9915 medical physicists, and 29,140 radiation therapy technologists. Moreover, de novo radiation therapy facilities would have to be considered for those with no services. Conclusions Twelve pragmatic steps are proposed for consideration at national and international levels to narrow the gap in radiation therapy access. Multipronged and coordinated action from all national and international stakeholders is required to develop realistic strategies to curb this impending global crisis. |
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AbstractList | Radiation therapy, a key component of cancer management, is required in more than half of new cancer patients, particularly in low- and middle-income countries (LMICs). The projected rise in cancer incidence over the next decades in LMICs will result in an increasing demand for radiation therapy services. Considering the present cancer incidence and that projected for 2020 (as listed in GLOBOCAN), we evaluated the current and anticipated needs for radiation therapy infrastructure and staffing by 2020 for each of the LMICs.
Based on World Bank classification, 139 countries fall in the category of LMICs. Details of teletherapy, radiation oncologists, medical physicists, and radiation therapy technologists were available for 84 LMICs from the International Atomic Energy Agency–Directory of Radiotherapy Centres (IAEA-DIRAC) database. Present requirements and those for 2020 were estimated according to recommendations from the IAEA and European Society for Radiotherapy & Oncology (ESTRO-QUARTS).
Only 4 of the 139 LMICs have the requisite number of teletherapy units, and 55 (39.5%) have no radiation therapy facilities at present. Patient access to radiation therapy in the remaining 80 LMICs ranges from 2.3% to 98.8% (median: 36.7%). By 2020, these 84 LMICs would additionally need 9169 teletherapy units, 12,149 radiation oncologists, 9915 medical physicists, and 29,140 radiation therapy technologists. Moreover, de novo radiation therapy facilities would have to be considered for those with no services.
Twelve pragmatic steps are proposed for consideration at national and international levels to narrow the gap in radiation therapy access. Multipronged and coordinated action from all national and international stakeholders is required to develop realistic strategies to curb this impending global crisis. Purpose: Radiation therapy, a key component of cancer management, is required in more than half of new cancer patients, particularly in low- and middle-income countries (LMICs). The projected rise in cancer incidence over the next decades in LMICs will result in an increasing demand for radiation therapy services. Considering the present cancer incidence and that projected for 2020 (as listed in GLOBOCAN), we evaluated the current and anticipated needs for radiation therapy infrastructure and staffing by 2020 for each of the LMICs. Methods and Materials: Based on World Bank classification, 139 countries fall in the category of LMICs. Details of teletherapy, radiation oncologists, medical physicists, and radiation therapy technologists were available for 84 LMICs from the International Atomic Energy Agency–Directory of Radiotherapy Centres (IAEA-DIRAC) database. Present requirements and those for 2020 were estimated according to recommendations from the IAEA and European Society for Radiotherapy and Oncology (ESTRO-QUARTS). Results: Only 4 of the 139 LMICs have the requisite number of teletherapy units, and 55 (39.5%) have no radiation therapy facilities at present. Patient access to radiation therapy in the remaining 80 LMICs ranges from 2.3% to 98.8% (median: 36.7%). By 2020, these 84 LMICs would additionally need 9169 teletherapy units, 12,149 radiation oncologists, 9915 medical physicists, and 29,140 radiation therapy technologists. Moreover, de novo radiation therapy facilities would have to be considered for those with no services. Conclusions: Twelve pragmatic steps are proposed for consideration at national and international levels to narrow the gap in radiation therapy access. Multipronged and coordinated action from all national and international stakeholders is required to develop realistic strategies to curb this impending global crisis. Purpose Radiation therapy, a key component of cancer management, is required in more than half of new cancer patients, particularly in low- and middle-income countries (LMICs). The projected rise in cancer incidence over the next decades in LMICs will result in an increasing demand for radiation therapy services. Considering the present cancer incidence and that projected for 2020 (as listed in GLOBOCAN), we evaluated the current and anticipated needs for radiation therapy infrastructure and staffing by 2020 for each of the LMICs. Methods and Materials Based on World Bank classification, 139 countries fall in the category of LMICs. Details of teletherapy, radiation oncologists, medical physicists, and radiation therapy technologists were available for 84 LMICs from the International Atomic Energy Agency–Directory of Radiotherapy Centres (IAEA-DIRAC) database. Present requirements and those for 2020 were estimated according to recommendations from the IAEA and European Society for Radiotherapy & Oncology (ESTRO-QUARTS). Results Only 4 of the 139 LMICs have the requisite number of teletherapy units, and 55 (39.5%) have no radiation therapy facilities at present. Patient access to radiation therapy in the remaining 80 LMICs ranges from 2.3% to 98.8% (median: 36.7%). By 2020, these 84 LMICs would additionally need 9169 teletherapy units, 12,149 radiation oncologists, 9915 medical physicists, and 29,140 radiation therapy technologists. Moreover, de novo radiation therapy facilities would have to be considered for those with no services. Conclusions Twelve pragmatic steps are proposed for consideration at national and international levels to narrow the gap in radiation therapy access. Multipronged and coordinated action from all national and international stakeholders is required to develop realistic strategies to curb this impending global crisis. PURPOSERadiation therapy, a key component of cancer management, is required in more than half of new cancer patients, particularly in low- and middle-income countries (LMICs). The projected rise in cancer incidence over the next decades in LMICs will result in an increasing demand for radiation therapy services. Considering the present cancer incidence and that projected for 2020 (as listed in GLOBOCAN), we evaluated the current and anticipated needs for radiation therapy infrastructure and staffing by 2020 for each of the LMICs.METHODS AND MATERIALSBased on World Bank classification, 139 countries fall in the category of LMICs. Details of teletherapy, radiation oncologists, medical physicists, and radiation therapy technologists were available for 84 LMICs from the International Atomic Energy Agency-Directory of Radiotherapy Centres (IAEA-DIRAC) database. Present requirements and those for 2020 were estimated according to recommendations from the IAEA and European Society for Radiotherapy & Oncology (ESTRO-QUARTS).RESULTSOnly 4 of the 139 LMICs have the requisite number of teletherapy units, and 55 (39.5%) have no radiation therapy facilities at present. Patient access to radiation therapy in the remaining 80 LMICs ranges from 2.3% to 98.8% (median: 36.7%). By 2020, these 84 LMICs would additionally need 9169 teletherapy units, 12,149 radiation oncologists, 9915 medical physicists, and 29,140 radiation therapy technologists. Moreover, de novo radiation therapy facilities would have to be considered for those with no services.CONCLUSIONSTwelve pragmatic steps are proposed for consideration at national and international levels to narrow the gap in radiation therapy access. Multipronged and coordinated action from all national and international stakeholders is required to develop realistic strategies to curb this impending global crisis. |
Author | Datta, Niloy R., MD Samiei, Massoud, PhD Bodis, Stephan, MD |
Author_xml | – sequence: 1 fullname: Datta, Niloy R., MD – sequence: 2 fullname: Samiei, Massoud, PhD – sequence: 3 fullname: Bodis, Stephan, MD |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24751411$$D View this record in MEDLINE/PubMed https://www.osti.gov/biblio/22420328$$D View this record in Osti.gov |
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Cites_doi | 10.1016/j.radonc.2004.12.005 10.1016/S1470-2045(12)70532-6 10.1056/NEJMra1109345 10.2165/00148365-200605030-00001 10.1016/S1470-2045(06)70759-8 10.1016/S1470-2045(04)01613-4 10.1016/j.radonc.2011.12.026 10.1093/jjco/hys077 10.1016/S1470-2045(13)70048-2 10.1007/s00520-012-1649-7 10.1016/j.radonc.2004.12.007 10.1002/cncr.21324 10.1016/S0140-6736(10)61152-X 10.1016/S1470-2045(12)70556-9 10.1016/j.radonc.2013.02.006 10.1080/02841860310010826 10.1056/NEJMra1203528 |
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References | Lievens, Grau (bib25) 2012; 103 Shin, Carlos, Varghese (bib10) 2012; 42 Wild CP. Preface. In: Stewart BW, Wild CP, eds. World Cancer Report 2014. Geneva: International Agency for Research on Cancer. Available at Samiei M. Challenges of making radiotherapy services accessible in developing countries in cancer control 2013: Global health dynamics in association with International Network for Cancer Treatment and Research (INCTR). Available at Accessed December 1, 2013. Barton, Frommer, Shafiq (bib6) 2006; 7 Farmer, Frenk, Knaul (bib12) 2010; 376 International Atomic Energy Agency (bib19) 2011 International Atomic Energy Agency. Programme of action for cancer therapy. Available at Abdel-Wahab, Bourque, Pynda (bib7) 2013; 14 Accessed October 31, 2013. Rosenblatt, Izewska, Anacak (bib9) 2013; 14 Delaney, Jacob, Featherstone (bib21) 2005; 104 Slotman, Vos (bib24) 2013; 106 Union of International Cancer Control. Global task force on radiotherapy for cancer control. Available at Samiei M. Health systems strengthening for cancer control. In: Stewart BW, Wild CP, eds. World Cancer Report 2014. Geneva: International Agency for Research on Cancer. Available at Accessed December 5, 2013. Accessed January 18, 2014. Goss, Lee, Badovinac-Crnjevic (bib8) 2013; 14 Ezzati, Riboli (bib32) 2013; 369 Accessed February 5, 2014. Hunter, Reddy (bib1) 2013; 369 World Bank (bib13) 2013 Watanabe, Fairchild, Pituskin (bib30) 2013; 21 International Atomic Energy Agency (bib17) 2010 International Atomic Energy Agency. Member states of IAEA, February 2013. Available at Accessed, May 19, 2011. United Nations. Department of Economic and Social Affairs, Population Division (2013). World population prospects. The 2012 revision, DVD edition. Available at Accessed November 8, 2013. International Agency for Research on Cancer. Report on the global initiative for cancer registry development in low- and middle-income countries (GICR). Available at World Health Organization. Global status report on noncommunicable diseases 2010. Geneva, Switzerland. Available at Accessed December 9, 2013. Accessed January 15, 2014. Agrawal, Maurya, Shrivastava (bib29) 2011; 2011 (bib4) 1996; 35 International Atomic Energy Agency. DIRAC (Directory of RAdiotherapy Centres). Vienna, Austria: International Atomic Energy Agency. Available at United Nations General Assembly, 66th session. Prevention and control of non-communicable diseases: Report by the Secretary-General, A/66/83. Available at Accessed September 25, 2013. Accessed February 5 2014. Slotman, Cottier, Bentzen (bib3) 2005; 75 Bentzen, Heeren, Cottier (bib18) 2005; 75 Datta, Rajasekar (bib28) 2004; 5 Ringborg, Bergqvist, Brorsson (bib23) 2003; 42 Ferlay, Shin, Bray (bib14) 2010 James, Hanson, McPake (bib33) 2006; 5 International Atomic Energy Agency. Technical cooperation. Available at 25585793 - Int J Radiat Oncol Biol Phys. 2014 Nov 15;90(4):971-2 25585792 - Int J Radiat Oncol Biol Phys. 2014 Nov 15;90(4):970-1 Lievens (10.1016/j.ijrobp.2014.03.002_bib25) 2012; 103 Ezzati (10.1016/j.ijrobp.2014.03.002_bib32) 2013; 369 World Bank (10.1016/j.ijrobp.2014.03.002_bib13) 2013 10.1016/j.ijrobp.2014.03.002_bib35 10.1016/j.ijrobp.2014.03.002_bib16 10.1016/j.ijrobp.2014.03.002_bib15 Farmer (10.1016/j.ijrobp.2014.03.002_bib12) 2010; 376 Ringborg (10.1016/j.ijrobp.2014.03.002_bib23) 2003; 42 Slotman (10.1016/j.ijrobp.2014.03.002_bib24) 2013; 106 10.1016/j.ijrobp.2014.03.002_bib31 10.1016/j.ijrobp.2014.03.002_bib34 10.1016/j.ijrobp.2014.03.002_bib11 Agrawal (10.1016/j.ijrobp.2014.03.002_bib29) 2011; 2011 Watanabe (10.1016/j.ijrobp.2014.03.002_bib30) 2013; 21 Hunter (10.1016/j.ijrobp.2014.03.002_bib1) 2013; 369 Slotman (10.1016/j.ijrobp.2014.03.002_bib3) 2005; 75 Bentzen (10.1016/j.ijrobp.2014.03.002_bib18) 2005; 75 Ferlay (10.1016/j.ijrobp.2014.03.002_bib14) 2010 Rosenblatt (10.1016/j.ijrobp.2014.03.002_bib9) 2013; 14 Abdel-Wahab (10.1016/j.ijrobp.2014.03.002_bib7) 2013; 14 Delaney (10.1016/j.ijrobp.2014.03.002_bib21) 2005; 104 James (10.1016/j.ijrobp.2014.03.002_bib33) 2006; 5 10.1016/j.ijrobp.2014.03.002_bib27 10.1016/j.ijrobp.2014.03.002_bib26 (10.1016/j.ijrobp.2014.03.002_bib4) 1996; 35 International Atomic Energy Agency (10.1016/j.ijrobp.2014.03.002_bib19) 2011 Goss (10.1016/j.ijrobp.2014.03.002_bib8) 2013; 14 10.1016/j.ijrobp.2014.03.002_bib20 10.1016/j.ijrobp.2014.03.002_bib22 International Atomic Energy Agency (10.1016/j.ijrobp.2014.03.002_bib17) 2010 Datta (10.1016/j.ijrobp.2014.03.002_bib28) 2004; 5 10.1016/j.ijrobp.2014.03.002_bib5 Shin (10.1016/j.ijrobp.2014.03.002_bib10) 2012; 42 10.1016/j.ijrobp.2014.03.002_bib2 Barton (10.1016/j.ijrobp.2014.03.002_bib6) 2006; 7 |
References_xml | – volume: 103 start-page: 109 year: 2012 end-page: 112 ident: bib25 article-title: Health economics in radiation oncology: Introducing the ESTRO HERO project publication-title: Radiother Oncol contributor: fullname: Grau – volume: 2011 start-page: 230670 year: 2011 ident: bib29 article-title: Training the trainees in radiation oncology with telemedicine as a tool in a developing country: A two-year audit publication-title: Int J Telemed Appl contributor: fullname: Shrivastava – volume: 14 start-page: e79 year: 2013 end-page: e86 ident: bib9 article-title: Radiotherapy capacity in European countries: An analysis of the Directory of Radiotherapy Centres (DIRAC) database publication-title: Lancet Oncol contributor: fullname: Anacak – volume: 369 start-page: 1336 year: 2013 end-page: 1343 ident: bib1 article-title: Noncommunicable diseases publication-title: N Engl J Med contributor: fullname: Reddy – volume: 21 start-page: 1201 year: 2013 end-page: 1207 ident: bib30 article-title: Improving access to specialist multidisciplinary palliative care consultation for rural cancer patients by videoconferencing: Report of a pilot project publication-title: Support Care Cancer contributor: fullname: Pituskin – volume: 42 start-page: 867 year: 2012 end-page: 881 ident: bib10 article-title: Cancer control in the Asia Pacific region: current status and concerns publication-title: Jpn J Clin Oncol contributor: fullname: Varghese – volume: 75 start-page: 355 year: 2005 end-page: 365 ident: bib18 article-title: Towards evidence-based guidelines for radiotherapy infrastructure and staffing needs in Europe: The ESTRO QUARTS project publication-title: Radiother Oncol contributor: fullname: Cottier – volume: 7 start-page: 584 year: 2006 end-page: 595 ident: bib6 article-title: Role of radiotherapy in cancer control in low-income and middle-income countries publication-title: Lancet Oncol contributor: fullname: Shafiq – year: 2011 ident: bib19 article-title: IAEA human health series no. 3. Inequality in cancer care: A global perspective contributor: fullname: International Atomic Energy Agency – volume: 5 start-page: 137 year: 2006 end-page: 153 ident: bib33 article-title: To retain or remove user fees? Reflections on the current debate in low-and middle income countries publication-title: Appl Health Econ Health Policy contributor: fullname: McPake – volume: 35 start-page: 9 year: 1996 end-page: 23 ident: bib4 article-title: Radiotherapy for cancer publication-title: Acta Oncol – volume: 5 start-page: 695 year: 2004 end-page: 698 ident: bib28 article-title: Improvement of radiotherapy facilities in developing countries: A three-tier system with a teleradiotherapy network publication-title: Lancet Oncol contributor: fullname: Rajasekar – volume: 75 start-page: 349 year: 2005 end-page: 354 ident: bib3 article-title: Overview of national guidelines for infrastructure and staffing of radiotherapy. ESTRO-QUARTS: Work package 1 publication-title: Radiother Oncol contributor: fullname: Bentzen – volume: 14 start-page: 391 year: 2013 end-page: 436 ident: bib8 article-title: Planning cancer control in Latin America and the Caribbean publication-title: Lancet Oncol contributor: fullname: Badovinac-Crnjevic – volume: 14 start-page: e168 year: 2013 end-page: e175 ident: bib7 article-title: Status of radiotherapy resources in Africa: An International Atomic Energy Agency analysis publication-title: Lancet Oncol contributor: fullname: Pynda – volume: 376 start-page: 1186 year: 2010 end-page: 1193 ident: bib12 article-title: Expansion of cancer care and control in countries of low and middle income: A call to action publication-title: Lancet contributor: fullname: Knaul – year: 2010 ident: bib14 article-title: GLOBOCAN 2008 v2.0: Cancer incidence and mortality worldwide: IARC cancer base no. 10 contributor: fullname: Bray – volume: 369 start-page: 954 year: 2013 end-page: 964 ident: bib32 article-title: Behavioural and dietary risk factors for noncommunicable diseases publication-title: N Engl J Med contributor: fullname: Riboli – year: 2013 ident: bib13 article-title: GNI per capita, PPP (current international $) contributor: fullname: World Bank – volume: 106 start-page: 266 year: 2013 end-page: 270 ident: bib24 article-title: Planning of radiotherapy capacity and productivity publication-title: Radiother Oncol contributor: fullname: Vos – year: 2010 ident: bib17 article-title: IAEA human health series no. 14. Planning national radiotherapy services: A practical tool contributor: fullname: International Atomic Energy Agency – volume: 104 start-page: 1129 year: 2005 end-page: 1137 ident: bib21 article-title: The role of radiotherapy in cancer treatment: Estimating optimal utilization from a review of evidence-based clinical guidelines publication-title: Cancer contributor: fullname: Featherstone – volume: 42 start-page: 357 year: 2003 end-page: 365 ident: bib23 article-title: The Swedish Council on technology assessment in health care (SBU) systematic overview of radiotherapy for cancer incidence including a prospective survey of radiotherapy practice in Sweden 2001—summary and conclusions publication-title: Acta Oncol contributor: fullname: Brorsson – volume: 75 start-page: 349 year: 2005 ident: 10.1016/j.ijrobp.2014.03.002_bib3 article-title: Overview of national guidelines for infrastructure and staffing of radiotherapy. ESTRO-QUARTS: Work package 1 publication-title: Radiother Oncol doi: 10.1016/j.radonc.2004.12.005 contributor: fullname: Slotman – year: 2011 ident: 10.1016/j.ijrobp.2014.03.002_bib19 contributor: fullname: International Atomic Energy Agency – ident: 10.1016/j.ijrobp.2014.03.002_bib15 – ident: 10.1016/j.ijrobp.2014.03.002_bib5 – year: 2013 ident: 10.1016/j.ijrobp.2014.03.002_bib13 contributor: fullname: World Bank – volume: 14 start-page: e168 year: 2013 ident: 10.1016/j.ijrobp.2014.03.002_bib7 article-title: Status of radiotherapy resources in Africa: An International Atomic Energy Agency analysis publication-title: Lancet Oncol doi: 10.1016/S1470-2045(12)70532-6 contributor: fullname: Abdel-Wahab – ident: 10.1016/j.ijrobp.2014.03.002_bib11 – volume: 369 start-page: 1336 year: 2013 ident: 10.1016/j.ijrobp.2014.03.002_bib1 article-title: Noncommunicable diseases publication-title: N Engl J Med doi: 10.1056/NEJMra1109345 contributor: fullname: Hunter – ident: 10.1016/j.ijrobp.2014.03.002_bib34 – year: 2010 ident: 10.1016/j.ijrobp.2014.03.002_bib14 contributor: fullname: Ferlay – volume: 5 start-page: 137 year: 2006 ident: 10.1016/j.ijrobp.2014.03.002_bib33 article-title: To retain or remove user fees? Reflections on the current debate in low-and middle income countries publication-title: Appl Health Econ Health Policy doi: 10.2165/00148365-200605030-00001 contributor: fullname: James – volume: 7 start-page: 584 year: 2006 ident: 10.1016/j.ijrobp.2014.03.002_bib6 article-title: Role of radiotherapy in cancer control in low-income and middle-income countries publication-title: Lancet Oncol doi: 10.1016/S1470-2045(06)70759-8 contributor: fullname: Barton – volume: 5 start-page: 695 year: 2004 ident: 10.1016/j.ijrobp.2014.03.002_bib28 article-title: Improvement of radiotherapy facilities in developing countries: A three-tier system with a teleradiotherapy network publication-title: Lancet Oncol doi: 10.1016/S1470-2045(04)01613-4 contributor: fullname: Datta – ident: 10.1016/j.ijrobp.2014.03.002_bib26 – ident: 10.1016/j.ijrobp.2014.03.002_bib31 – volume: 103 start-page: 109 year: 2012 ident: 10.1016/j.ijrobp.2014.03.002_bib25 article-title: Health economics in radiation oncology: Introducing the ESTRO HERO project publication-title: Radiother Oncol doi: 10.1016/j.radonc.2011.12.026 contributor: fullname: Lievens – volume: 2011 start-page: 230670 year: 2011 ident: 10.1016/j.ijrobp.2014.03.002_bib29 article-title: Training the trainees in radiation oncology with telemedicine as a tool in a developing country: A two-year audit publication-title: Int J Telemed Appl contributor: fullname: Agrawal – ident: 10.1016/j.ijrobp.2014.03.002_bib22 – volume: 42 start-page: 867 year: 2012 ident: 10.1016/j.ijrobp.2014.03.002_bib10 article-title: Cancer control in the Asia Pacific region: current status and concerns publication-title: Jpn J Clin Oncol doi: 10.1093/jjco/hys077 contributor: fullname: Shin – volume: 14 start-page: 391 year: 2013 ident: 10.1016/j.ijrobp.2014.03.002_bib8 article-title: Planning cancer control in Latin America and the Caribbean publication-title: Lancet Oncol doi: 10.1016/S1470-2045(13)70048-2 contributor: fullname: Goss – volume: 21 start-page: 1201 year: 2013 ident: 10.1016/j.ijrobp.2014.03.002_bib30 article-title: Improving access to specialist multidisciplinary palliative care consultation for rural cancer patients by videoconferencing: Report of a pilot project publication-title: Support Care Cancer doi: 10.1007/s00520-012-1649-7 contributor: fullname: Watanabe – ident: 10.1016/j.ijrobp.2014.03.002_bib16 – volume: 75 start-page: 355 year: 2005 ident: 10.1016/j.ijrobp.2014.03.002_bib18 article-title: Towards evidence-based guidelines for radiotherapy infrastructure and staffing needs in Europe: The ESTRO QUARTS project publication-title: Radiother Oncol doi: 10.1016/j.radonc.2004.12.007 contributor: fullname: Bentzen – ident: 10.1016/j.ijrobp.2014.03.002_bib20 – volume: 104 start-page: 1129 year: 2005 ident: 10.1016/j.ijrobp.2014.03.002_bib21 article-title: The role of radiotherapy in cancer treatment: Estimating optimal utilization from a review of evidence-based clinical guidelines publication-title: Cancer doi: 10.1002/cncr.21324 contributor: fullname: Delaney – ident: 10.1016/j.ijrobp.2014.03.002_bib35 – volume: 35 start-page: 9 issue: s6 year: 1996 ident: 10.1016/j.ijrobp.2014.03.002_bib4 article-title: Radiotherapy for cancer publication-title: Acta Oncol – volume: 376 start-page: 1186 year: 2010 ident: 10.1016/j.ijrobp.2014.03.002_bib12 article-title: Expansion of cancer care and control in countries of low and middle income: A call to action publication-title: Lancet doi: 10.1016/S0140-6736(10)61152-X contributor: fullname: Farmer – ident: 10.1016/j.ijrobp.2014.03.002_bib27 – volume: 14 start-page: e79 year: 2013 ident: 10.1016/j.ijrobp.2014.03.002_bib9 article-title: Radiotherapy capacity in European countries: An analysis of the Directory of Radiotherapy Centres (DIRAC) database publication-title: Lancet Oncol doi: 10.1016/S1470-2045(12)70556-9 contributor: fullname: Rosenblatt – volume: 106 start-page: 266 year: 2013 ident: 10.1016/j.ijrobp.2014.03.002_bib24 article-title: Planning of radiotherapy capacity and productivity publication-title: Radiother Oncol doi: 10.1016/j.radonc.2013.02.006 contributor: fullname: Slotman – volume: 42 start-page: 357 year: 2003 ident: 10.1016/j.ijrobp.2014.03.002_bib23 article-title: The Swedish Council on technology assessment in health care (SBU) systematic overview of radiotherapy for cancer incidence including a prospective survey of radiotherapy practice in Sweden 2001—summary and conclusions publication-title: Acta Oncol doi: 10.1080/02841860310010826 contributor: fullname: Ringborg – ident: 10.1016/j.ijrobp.2014.03.002_bib2 – volume: 369 start-page: 954 year: 2013 ident: 10.1016/j.ijrobp.2014.03.002_bib32 article-title: Behavioural and dietary risk factors for noncommunicable diseases publication-title: N Engl J Med doi: 10.1056/NEJMra1203528 contributor: fullname: Ezzati – year: 2010 ident: 10.1016/j.ijrobp.2014.03.002_bib17 contributor: fullname: International Atomic Energy Agency |
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Snippet | Purpose Radiation therapy, a key component of cancer management, is required in more than half of new cancer patients, particularly in low- and middle-income... Radiation therapy, a key component of cancer management, is required in more than half of new cancer patients, particularly in low- and middle-income countries... PURPOSERadiation therapy, a key component of cancer management, is required in more than half of new cancer patients, particularly in low- and middle-income... Purpose: Radiation therapy, a key component of cancer management, is required in more than half of new cancer patients, particularly in low- and middle-income... |
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Title | Radiation Therapy Infrastructure and Human Resources in Low- and Middle-Income Countries: Present Status and Projections for 2020 |
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