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Radiotherapy utilization in developing countries: An IAEA study.

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Summary
This summary is machine-generated.

Middle-income countries show a significant unmet need for radiotherapy (RT) services, with actual utilization rates (aRTU) at 28% compared to optimal rates (oRTU) of 52%. This highlights disparities in cancer care access.

Keywords:
Developing countriesRadiation oncologyRadiotherapyUtilization rates

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Area of Science:

  • Oncology
  • Public Health
  • Health Services Research

Background:

  • National radiotherapy (RT) planning necessitates understanding cancer epidemiology, radiotherapy utilization (RTU), and future trends.
  • Prior research established RTU rates primarily in high-income nations.

Purpose of the Study:

  • To determine optimal RTU (oRTU) rates in nine middle-income countries using an evidence-based method.
  • To calculate actual RTU (aRTU) rates and analyze patient/treatment profiles in these countries.

Main Methods:

  • Epidemiological data and a defined evidence-based method were used to establish oRTU.
  • aRTU was calculated by dividing 2012 RT-treated cancer patients by total diagnosed patients.
  • Patient and treatment characteristics were analyzed from 300 consecutive RT patients.

Main Results:

  • The median oRTU rate was 52% (range: 47-56%) across the nine middle-income countries.
  • The median aRTU rate was 28% (range: 9-46%), indicating a significant gap between optimal and actual RT provision.
  • The median percentage of unmet need for RT was 47% (range: 18-82.3%).

Conclusions:

  • Optimal RTU rates in middle-income countries are comparable to those in high-income countries.
  • Actual RTU rates are consistently lower than optimal, especially in resource-limited, high-population countries.
  • A substantial unmet need for radiotherapy exists in the studied middle-income countries.