Equipment, staffing, and provision of radiotherapy in Lombardy, Italy: Results of three surveys performed between 2012 and 2016

Mauro F. Palazzi, Carlo Soatti, Barbara A. Jereczek-Fossa, Luigi F. Cazzaniga, Paolo Antognoni, Gianstefano Gardani, Marcello Amadori, Ambrogia Baio, Giancarlo Beltramo, Mario Bignardi, Stefano Bracelli, Alberto Buffoli, Simona Castiglioni, Gianpiero Catalano, Nadia Di Muzio, Carlo Fallai, Laura Fariselli, Paolo Frata, Alberto Gramaglia, Corrado ItaliaGiovanni Ivaldi, Fabrizio Lombardi, Stefano M. Magrini, Simonetta Nava, Enrico Sarti, Luciano Scandolaro, Marta Scorsetti, Francesco Stiglich, Roberto Tortini, Riccardo Valdagni, Francesca Valvo, Vittorio Vavassori, Elena L. Sbicego, Sandro Tonoli, Roberto Orecchia

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

INTRODUCTION:: Several efforts are being implemented at the European level to measure provision of up-to-date radiation treatments across the continent. METHODS:: A snapshot survey involving all radiation oncology centers within Lombardy, Italy, was performed in 2012 and repeated in 2014 and 2016, in cooperation with regional governmental officers. Centers were asked to provide detailed information concerning all individual patients being treated on the index day, and to report data on available local resources. RESULTS:: We observed an increase in the number of centers and of megavoltage units (MVU) (from 76 to 87, i.e., 8.7 MVU per million inhabitants in 2016). Mean number of MVU per center was 2.5. Average age of MVU increased from 5.3 to 7.5 years and patients on the waiting list also increased. Conformal 3D radiotherapy (RT) treatments decreased from 56% to 42% and were progressively replaced by intensity-modulated RT treatments (from 39% to 49%). Waiting times were overall satisfactory. Radiation oncologists treated on average 152 and radiation therapists 100 RT courses per year. Average reimbursement per course was €4,879 (range €2,476-€8,014). CONCLUSIONS:: The methodology of snapshot survey proved feasible and provided valuable information about radiation oncology provision and accessibility in Lombardy.

Original languageEnglish
Pages (from-to)352-360
Number of pages9
JournalTumori
Volume104
Issue number5
DOIs
Publication statusPublished - Oct 1 2018

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Italy
Radiation Oncology
Radiotherapy
Equipment and Supplies
Radiation
Conformal Radiotherapy
Intensity-Modulated Radiotherapy
Waiting Lists
Therapeutics
Surveys and Questionnaires
Radiation Oncologists

Keywords

  • Cancer
  • equipment
  • radiotherapy
  • staff
  • survey

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Equipment, staffing, and provision of radiotherapy in Lombardy, Italy : Results of three surveys performed between 2012 and 2016. / Palazzi, Mauro F.; Soatti, Carlo; Jereczek-Fossa, Barbara A.; Cazzaniga, Luigi F.; Antognoni, Paolo; Gardani, Gianstefano; Amadori, Marcello; Baio, Ambrogia; Beltramo, Giancarlo; Bignardi, Mario; Bracelli, Stefano; Buffoli, Alberto; Castiglioni, Simona; Catalano, Gianpiero; Di Muzio, Nadia; Fallai, Carlo; Fariselli, Laura; Frata, Paolo; Gramaglia, Alberto; Italia, Corrado; Ivaldi, Giovanni; Lombardi, Fabrizio; Magrini, Stefano M.; Nava, Simonetta; Sarti, Enrico; Scandolaro, Luciano; Scorsetti, Marta; Stiglich, Francesco; Tortini, Roberto; Valdagni, Riccardo; Valvo, Francesca; Vavassori, Vittorio; Sbicego, Elena L.; Tonoli, Sandro; Orecchia, Roberto.

In: Tumori, Vol. 104, No. 5, 01.10.2018, p. 352-360.

Research output: Contribution to journalArticle

Palazzi, MF, Soatti, C, Jereczek-Fossa, BA, Cazzaniga, LF, Antognoni, P, Gardani, G, Amadori, M, Baio, A, Beltramo, G, Bignardi, M, Bracelli, S, Buffoli, A, Castiglioni, S, Catalano, G, Di Muzio, N, Fallai, C, Fariselli, L, Frata, P, Gramaglia, A, Italia, C, Ivaldi, G, Lombardi, F, Magrini, SM, Nava, S, Sarti, E, Scandolaro, L, Scorsetti, M, Stiglich, F, Tortini, R, Valdagni, R, Valvo, F, Vavassori, V, Sbicego, EL, Tonoli, S & Orecchia, R 2018, 'Equipment, staffing, and provision of radiotherapy in Lombardy, Italy: Results of three surveys performed between 2012 and 2016', Tumori, vol. 104, no. 5, pp. 352-360. https://doi.org/10.1177/0300891618784800
Palazzi, Mauro F. ; Soatti, Carlo ; Jereczek-Fossa, Barbara A. ; Cazzaniga, Luigi F. ; Antognoni, Paolo ; Gardani, Gianstefano ; Amadori, Marcello ; Baio, Ambrogia ; Beltramo, Giancarlo ; Bignardi, Mario ; Bracelli, Stefano ; Buffoli, Alberto ; Castiglioni, Simona ; Catalano, Gianpiero ; Di Muzio, Nadia ; Fallai, Carlo ; Fariselli, Laura ; Frata, Paolo ; Gramaglia, Alberto ; Italia, Corrado ; Ivaldi, Giovanni ; Lombardi, Fabrizio ; Magrini, Stefano M. ; Nava, Simonetta ; Sarti, Enrico ; Scandolaro, Luciano ; Scorsetti, Marta ; Stiglich, Francesco ; Tortini, Roberto ; Valdagni, Riccardo ; Valvo, Francesca ; Vavassori, Vittorio ; Sbicego, Elena L. ; Tonoli, Sandro ; Orecchia, Roberto. / Equipment, staffing, and provision of radiotherapy in Lombardy, Italy : Results of three surveys performed between 2012 and 2016. In: Tumori. 2018 ; Vol. 104, No. 5. pp. 352-360.
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T1 - Equipment, staffing, and provision of radiotherapy in Lombardy, Italy

T2 - Results of three surveys performed between 2012 and 2016

AU - Palazzi, Mauro F.

AU - Soatti, Carlo

AU - Jereczek-Fossa, Barbara A.

AU - Cazzaniga, Luigi F.

AU - Antognoni, Paolo

AU - Gardani, Gianstefano

AU - Amadori, Marcello

AU - Baio, Ambrogia

AU - Beltramo, Giancarlo

AU - Bignardi, Mario

AU - Bracelli, Stefano

AU - Buffoli, Alberto

AU - Castiglioni, Simona

AU - Catalano, Gianpiero

AU - Di Muzio, Nadia

AU - Fallai, Carlo

AU - Fariselli, Laura

AU - Frata, Paolo

AU - Gramaglia, Alberto

AU - Italia, Corrado

AU - Ivaldi, Giovanni

AU - Lombardi, Fabrizio

AU - Magrini, Stefano M.

AU - Nava, Simonetta

AU - Sarti, Enrico

AU - Scandolaro, Luciano

AU - Scorsetti, Marta

AU - Stiglich, Francesco

AU - Tortini, Roberto

AU - Valdagni, Riccardo

AU - Valvo, Francesca

AU - Vavassori, Vittorio

AU - Sbicego, Elena L.

AU - Tonoli, Sandro

AU - Orecchia, Roberto

PY - 2018/10/1

Y1 - 2018/10/1

N2 - INTRODUCTION:: Several efforts are being implemented at the European level to measure provision of up-to-date radiation treatments across the continent. METHODS:: A snapshot survey involving all radiation oncology centers within Lombardy, Italy, was performed in 2012 and repeated in 2014 and 2016, in cooperation with regional governmental officers. Centers were asked to provide detailed information concerning all individual patients being treated on the index day, and to report data on available local resources. RESULTS:: We observed an increase in the number of centers and of megavoltage units (MVU) (from 76 to 87, i.e., 8.7 MVU per million inhabitants in 2016). Mean number of MVU per center was 2.5. Average age of MVU increased from 5.3 to 7.5 years and patients on the waiting list also increased. Conformal 3D radiotherapy (RT) treatments decreased from 56% to 42% and were progressively replaced by intensity-modulated RT treatments (from 39% to 49%). Waiting times were overall satisfactory. Radiation oncologists treated on average 152 and radiation therapists 100 RT courses per year. Average reimbursement per course was €4,879 (range €2,476-€8,014). CONCLUSIONS:: The methodology of snapshot survey proved feasible and provided valuable information about radiation oncology provision and accessibility in Lombardy.

AB - INTRODUCTION:: Several efforts are being implemented at the European level to measure provision of up-to-date radiation treatments across the continent. METHODS:: A snapshot survey involving all radiation oncology centers within Lombardy, Italy, was performed in 2012 and repeated in 2014 and 2016, in cooperation with regional governmental officers. Centers were asked to provide detailed information concerning all individual patients being treated on the index day, and to report data on available local resources. RESULTS:: We observed an increase in the number of centers and of megavoltage units (MVU) (from 76 to 87, i.e., 8.7 MVU per million inhabitants in 2016). Mean number of MVU per center was 2.5. Average age of MVU increased from 5.3 to 7.5 years and patients on the waiting list also increased. Conformal 3D radiotherapy (RT) treatments decreased from 56% to 42% and were progressively replaced by intensity-modulated RT treatments (from 39% to 49%). Waiting times were overall satisfactory. Radiation oncologists treated on average 152 and radiation therapists 100 RT courses per year. Average reimbursement per course was €4,879 (range €2,476-€8,014). CONCLUSIONS:: The methodology of snapshot survey proved feasible and provided valuable information about radiation oncology provision and accessibility in Lombardy.

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KW - radiotherapy

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