放射治疗在日本癌症治疗中的利用和区域差异:使用NDB开放数据进行纵向研究
Kazuya Takeda1,2, Rei Umezawa1, Takaya Yamamoto1
1Department of Radiation Oncology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi 980-8574, Japan.
Journal of radiation research
|December 26, 2024
概括
在日本,从2014年到2022年,先进放射治疗的使用显著增加,随着立体辐射 (STI) 和强度调节放射治疗 (IMRT) 的增加. 这些先进技术的区域差异正在减少,尽管仍存在一些差异.
科学领域:
- 医疗信息学 医疗信息学
- 辐射瘤学 辐射瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 日本国家医疗保险索赔和特定健康检查数据库 (NDB) 提供匿名的健康数据.
- 新开发银行开放数据为公众提供汇总表,使得医疗保健趋势的分析成为可能.
研究的目的:
- 分析日本放射治疗利用的全国趋势和区域差异.
- 在9年的时间内 (2014-2022年) 检查特定放射治疗技术的使用变化.
主要方法:
- 从2014年到2022年对新开发银行开放数据表的分析.
- 提取放射治疗管理费用的医疗费用代码和特定技术,如立体辐射照射 (STI) 和强度调节放射治疗 (IMRT).
- 每年在47个县计算三维合规放射治疗 (3D-CRT),IMRT和STI的变化系数.
主要成果:
- 使用先进的放射治疗,包括IMRT,增加了199%,而更简单的方法减少了40%.
- 用变化系数衡量的区域差异在IMRT (0.64到0.31) 和STI (0.39到0.36) 中减少.
- IMRT普及率与每个县的证书放射瘤学家数量相关.
结论:
- 在日本,高精度放射治疗的使用正在增加,区域差异的趋势正在减少.
- 尽管取得了进展,但放射治疗利用的持续区域差异仍然令人担忧.
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