质子和光子疗法之间的护理和转诊模式的差异
Shaakir Hasan1,2, Vivek Verma1, Stephen Abel1
1Department of Radiation Oncology, Allegheny Health Network, Pittsburgh, PA, USA.
International journal of particle therapy
|May 17, 2024
概括
即使在具有质子中心的设施中,质子束疗法 (PBT) 的利用率仍然很低,社会经济因素可能会影响访问. PBT更常用于左侧乳腺癌和低风险前列腺癌,但肺癌的模式尚不清楚.
科学领域:
- 在瘤学瘤学.
- 辐射瘤学 辐射瘤学
- 医学物理 医学物理
背景情况:
- 与传统光子疗法相比,质子束疗法 (PBT) 在辐射输送方面具有潜在的优势.
- 了解影响PBT采用的患者和设施因素对于公平的访问和资源分配至关重要.
研究的目的:
- 确定与接受PBT相比接受光子疗法的可能性更高相关的人口和临床特征.
- 在具有质子能力的设施中分析不同癌症类型 (乳腺,前列腺,非小细胞肺) 的PBT利用模式.
主要方法:
- 利用国家癌症数据库 (2004-2015) 识别具有PBT接入的设施.
- 基于患者人口统计和乳腺癌,前列腺癌和肺癌的临床因素对光子和PBT的相对使用进行比较.
- 进行多变量分析以确定PBT使用的预测因素.
主要成果:
- 总体而言,PBT的使用率很低 (0.5%的乳腺,1.5%的肺,8.9%的前列腺).
- PBT与旅行距离的增加和诊断时间的延长有关.
- 预测因癌症类型而异,包括地理位置,年龄,种族,保险,瘤横向性,阶段和治疗分成等.
结论:
- 即使在具有质子接入的中心,PBT利用率也很低,这表明社会经济因素可能起作用.
- PBT更常用于特定的指示,如左侧乳腺癌和低风险前列腺癌.
- 肺癌中PBT的临床模式尚不清楚,需要进一步调查.
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