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Radiotherapy in small countries.

Michael B Barton1, Eduardo H Zubizarreta2, J Alfredo Polo Rubio2

  • 1Collaboration for Cancer Outcomes, Research and Evaluation, The Ingham Institute for Applied Medical Research, Liverpool Hospital, UNSW, Sydney, Australia.

Cancer Epidemiology
|November 10, 2017
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Summary
This summary is machine-generated.

Radiotherapy is unavailable in low-income and middle-income island nations, despite cancer cases. High-income island nations with sufficient cancer cases offer radiotherapy services.

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Area of Science:

  • Oncology
  • Public Health
  • Health Services Research

Background:

  • Small countries (population < 1 million) present unique challenges for healthcare resource allocation.
  • Understanding radiotherapy availability is crucial for cancer care equity in these nations.

Purpose of the Study:

  • To assess the availability of radiotherapy services in small countries worldwide.
  • To identify disparities in radiotherapy access based on economic status and geography.

Main Methods:

  • Defined small countries by population (< 1 million).
  • Classified countries by World Bank economic status.
  • Utilized GLOBOCAN 2012 for cancer incidence data.
  • Applied the CCORE model to estimate radiotherapy needs.

Main Results:

  • 41 small countries analyzed; 28 were islands.
  • Radiotherapy was available in High-Income Country (HIC) islands with ≥80 cancer cases.
  • No radiotherapy services were found in any Lower-Middle Income Country (LMIC) islands.
  • Non-island LMIC countries with similar caseloads had radiotherapy services.

Conclusions:

  • Significant disparities exist in radiotherapy access for small countries.
  • LMIC islands lack essential radiotherapy services, impacting cancer patient outcomes.
  • Geographic location and economic status are key determinants of radiotherapy availability.