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

M.F. Palazzi, C. Soatti, B.A. Jereczek-Fossa, L.F. Cazzaniga, P. Antognoni, G. Gardani, M. Amadori, A. Baio, G. Beltramo, M. Bignardi, S. Bracelli, A. Buffoli, S. Castiglioni, G. Catalano, N. Di Muzio, C. Fallai, L. Fariselli, P. Frata, A. Gramaglia, C. Italia & 15 others G. Ivaldi, F. Lombardi, S.M. Magrini, S. Nava, E. Sarti, L. Scandolaro, M. Scorsetti, F. Stiglich, R. Tortini, R. Valdagni, F. Valvo, V. Vavassori, E.L. Sbicego, S. Tonoli, R. Orecchia

Research output: Contribution to journalArticle

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 - 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
  • conformal radiotherapy
  • devices
  • health care planning
  • human
  • intensity modulated radiation therapy
  • needs assessment
  • neoplasm
  • organization and management
  • practice guideline
  • procedures
  • questionnaire
  • radiation oncology
  • standards
  • Health Resources
  • Humans
  • Needs Assessment
  • Neoplasms
  • Practice Guidelines as Topic
  • Radiation Oncology
  • Radiotherapy, Conformal
  • Radiotherapy, Intensity-Modulated
  • Surveys and Questionnaires

Cite this

Equipment, staffing, and provision of radiotherapy in Lombardy, Italy: Results of three surveys performed between 2012 and 2016. / Palazzi, M.F.; Soatti, C.; Jereczek-Fossa, B.A.; Cazzaniga, L.F.; 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, S.M.; Nava, S.; Sarti, E.; Scandolaro, L.; Scorsetti, M.; Stiglich, F.; Tortini, R.; Valdagni, R.; Valvo, F.; Vavassori, V.; Sbicego, E.L.; Tonoli, S.; Orecchia, R.

In: Tumori, Vol. 104, No. 5, 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, M.F. ; Soatti, C. ; Jereczek-Fossa, B.A. ; Cazzaniga, L.F. ; 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, S.M. ; Nava, S. ; Sarti, E. ; Scandolaro, L. ; Scorsetti, M. ; Stiglich, F. ; Tortini, R. ; Valdagni, R. ; Valvo, F. ; Vavassori, V. ; Sbicego, E.L. ; Tonoli, S. ; Orecchia, R. / 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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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.",
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T1 - Equipment, staffing, and provision of radiotherapy in Lombardy, Italy: Results of three surveys performed between 2012 and 2016

AU - Palazzi, M.F.

AU - Soatti, C.

AU - Jereczek-Fossa, B.A.

AU - Cazzaniga, L.F.

AU - Antognoni, P.

AU - Gardani, G.

AU - Amadori, M.

AU - Baio, A.

AU - Beltramo, G.

AU - Bignardi, M.

AU - Bracelli, S.

AU - Buffoli, A.

AU - Castiglioni, S.

AU - Catalano, G.

AU - Di Muzio, N.

AU - Fallai, C.

AU - Fariselli, L.

AU - Frata, P.

AU - Gramaglia, A.

AU - Italia, C.

AU - Ivaldi, G.

AU - Lombardi, F.

AU - Magrini, S.M.

AU - Nava, S.

AU - Sarti, E.

AU - Scandolaro, L.

AU - Scorsetti, M.

AU - Stiglich, F.

AU - Tortini, R.

AU - Valdagni, R.

AU - Valvo, F.

AU - Vavassori, V.

AU - Sbicego, E.L.

AU - Tonoli, S.

AU - Orecchia, R.

N1 - Export Date: 5 February 2019

PY - 2018

Y1 - 2018

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

KW - staff

KW - survey

KW - conformal radiotherapy

KW - devices

KW - health care planning

KW - human

KW - intensity modulated radiation therapy

KW - needs assessment

KW - neoplasm

KW - organization and management

KW - practice guideline

KW - procedures

KW - questionnaire

KW - radiation oncology

KW - standards

KW - Health Resources

KW - Humans

KW - Needs Assessment

KW - Neoplasms

KW - Practice Guidelines as Topic

KW - Radiation Oncology

KW - Radiotherapy, Conformal

KW - Radiotherapy, Intensity-Modulated

KW - Surveys and Questionnaires

U2 - 10.1177/0300891618784800

DO - 10.1177/0300891618784800

M3 - Article

VL - 104

SP - 352

EP - 360

JO - Tumori

JF - Tumori

SN - 0300-8916

IS - 5

ER -