155 lines
5.2 KiB
YAML
155 lines
5.2 KiB
YAML
abstract: 'Background The demand for radiotherapy in Brazil is unfulfilled, and the
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scarcity of data on the national network hampers the development of
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effective policies. We aimed to evaluate the current situation, estimate
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demands and requirements, and provide an action plan to ensure access to
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radiotherapy for those in need by 2030.Methods The Brazilian Society for
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Radiation Oncology created a task force (RT2030) including physicians,
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medical physicists, policy makers, patient advocates, and suppliers, all
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of whom were major stakeholders involved in Brazilian radiotherapy care.
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The group was further divided into seven working groups to address
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themes associated with radiotherapy care in Brazil. From March 1, 2019,
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to Aug 3, 2020, there were monthly meetings between the group''s leaders
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and the Central Committee and six general meetings. First, a
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comprehensive search of all different national databases was done to
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identify all radiotherapy centres. Questionnaires evaluating
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radiotherapy infrastructure and human resources and assing the
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availability, distribution, capacity, and workload of resources were
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created and sent to the radioprotection supervisor of each centre.
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Results were analysed nationally and across the country''s regions and
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health-care systems. A pre-planned review of available databases was
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done to gather data on active radiation oncology centres and the
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distribution of radiotherapy machines (linear accelerators {[}LINACs])
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across Brazil. We used national population and cancer incidence
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projections, recommended radiotherapy usage from the medical literature,
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and national working patterns to project radiotherapy demands in 2030.
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An action plan was established with suggestions to address the gaps and
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meet the demands.Findings The database search yielded 279 centres with
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an active radiotherapy registry. After applying predefined exclusion
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criteria, 263 centres were identified that provided external beam
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radiotherapy machines with or without brachytherapy. All 263 operational
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centres answered the questionnaires sent on Dec 9, 2019, which were then
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returned between Jan 1 and June 30, 2020. There were 409 therapy
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machines, 646 radiation oncologists, 533 physicists, and 230 989
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patients undergoing radiotherapy (150 628 {[}65 \& BULL;2\%] in the
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public health-care system and 80 937 {[}35 \& BULL;0\%] in private). The
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mean annual occupation rate was 566 patients per treatment machine (SD
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250). The number of residents per treatment machine ranged from 258 333
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to 1 800 000. Technology availability varied considerably among regions
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and systems. In 2030, 639 994 new cancer cases are expected, which will
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require 332 797 radiotherapy courses. Therefore, 530 LINACs, 1079
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radiation oncologists, and 1060 medical physicists will be needed.
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Interpretation The expected increase in cancer incidence in the coming
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years will probably increase the disparities in cancer care and the
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burden for Brazilian patients. We provide a roadmap of the current
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situation and the particularities of the Brazilian radiotherapy network,
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which can serve as a starting point for cancer policy planning to
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improve this scenario.Copyright \& COPY; 2023 Elsevier Ltd. All rights
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reserved.'
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affiliation: 'Moraes, FY (Corresponding Author), Queens Univ, Kingston Gen Hosp, Dept
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Oncol, Div Radiat Oncol, Kingston, ON K7L 5P9, Canada.
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Rosa, Arthur Accioly, Grp Oncoclin, Salvador, BA, Brazil.
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Rosa, Arthur Accioly; Moraes, Fabio Ynoe; Marta, Gustavo Nader, Latin Amer Cooperat
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Oncol Grp, Porto Alegre, Brazil.
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de Sousa, Cecilia Felix Penido Mendes; Marta, Gustavo Nader, Hosp Sirio Libanes,
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Dept Radiat Oncol, Sao Paulo, Brazil.
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Pimentel, Leonardo Cunha Furbino; Castilho, Marcus Simoes, Hosp Felicio Rocho, Dept
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Radiat Oncol, Belo Horizonte, Brazil.
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Martins, Homero Lavieri, Brazilian Assoc Phys \& Rehabil Med, Sao Paulo, Brazil.
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Moraes, Fabio Ynoe, Queens Univ, Kingston Gen Hosp, Dept Oncol, Div Radiat Oncol,
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Kingston, ON K7L 5P9, Canada.'
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author: Rosa, Arthur Accioly and de Sousa, Cecilia Felix Penido Mendes and Pimentel,
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Leonardo Cunha Furbino and Martins, Homero Lavieri and Moraes, Fabio Ynoe and Marta,
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Gustavo Nader and Castilho, Marcus Simoes
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author-email: fydm@queensu.ca
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author_list:
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- family: Rosa
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given: Arthur Accioly
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- family: de Sousa
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given: Cecilia Felix Penido Mendes
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- family: Pimentel
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given: Leonardo Cunha Furbino
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- family: Martins
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given: Homero Lavieri
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- family: Moraes
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given: Fabio Ynoe
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- family: Marta
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given: Gustavo Nader
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- family: Castilho
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given: Marcus Simoes
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da: '2023-09-28'
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eissn: 1474-5488
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files: []
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issn: 1470-2045
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journal: LANCET ONCOLOGY
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keywords-plus: 'MIDDLE-INCOME COUNTRIES; RADIATION-THERAPY; CANCER; ACCESS; RETREATMENT;
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FRACTIONS; PATTERNS; DEMAND; NUMBER; TOOL'
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language: English
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month: AUG
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number: '8'
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number-of-cited-references: '44'
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pages: 903-912
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papis_id: 4c4c04a24484ab88badfff843134f458
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ref: Rosa2023radiotherapyresource
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times-cited: '0'
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title: 'Radiotherapy resources in Brazil (RT2030): a comprehensive analysis and projections
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for 2030'
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type: article
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unique-id: WOS:001053116500001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '24'
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web-of-science-categories: Oncology
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year: '2023'
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