Radiation Therapy Infrastructure and Human Resources in Low- and Middle-Income Countries: Present Status and Projections for 2020

Datta, Niloy Ranjan; Samiei, Massoud; Bodis, Stephan

doi:10.1016/j.ijrobp.2014.03.002

Cited by 197 publications

(163 citation statements)

References 17 publications

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“…Each machine costs around $140 million 12 . These same countries currently have an average deficit of around 60% in both human resources and equipment for basic radiotherapy, which is much more effective in increasing cure rates and relieving suffering 13 .…”

Section: Consider the Costmentioning

confidence: 99%

Cancer patients need better care, not just more technology

Sullivan

Pramesh

Booth

2017

Nature

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Section: Consider the Costmentioning

confidence: 99%

Cancer patients need better care, not just more technology

Sullivan

Pramesh

Booth

2017

Nature

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“…22 In cases where the IAEA staffing recommendations are not met, we recommend that a local assessment determines the RT techniques available and makes a recommendation of the number of patients that can safely be treated with each technique using available staffing. Gradual improvement of staffing ratios and staff competencies over time can systematically build capacity in terms of complexity of RT techniques as well as patient numbers.…”

Section: Ta B L Ementioning

confidence: 99%

Recommendations for the treatment of children with radiotherapy in low‐ and middle‐income countries (LMIC): A position paper from the Pediatric Radiation Oncology Society (PROS‐LMIC) and Pediatric Oncology in Developing Countries (PODC) working groups of the International Society of Pediatric Oncology (SIOP)

Parkes

Hess

Burger

et al. 2017

Pediatric Blood & Cancer

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Pediatric radiotherapy is a critical part of pediatric oncology protocols and the quality of the radiotherapy may determine the future quality of life for long-term survivors. Multidisciplinary team decision making provides the basis for high-quality care. However, delivery of highquality radiotherapy is dependent on resources. This article provides guidelines for delivery of good quality radiation therapy in resource-limited countries based on rational procurement and maintenance planning, protocol development, three-dimensional planning, quality assurance, and adequate staff numbers and training. K E Y W O R D Sadapted treatment regimen, low and middle income countries, LMIC, Pediatric radiotherapy, PODC, PROS

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“…The most significant RT challenges in LMICs include the quality and quantity of physical resources, the scarceness of skilled human resources, and the unequal distribution of available resources 1,27,28 . The number, age, and quality of machines contribute to suboptimal RT capacity with many countries relying on machines that are more than 20 years old, which brings their functionality and reliability into question 27,29 .…”

Section: Funding For Up-to-date Equipmentmentioning

confidence: 99%

“…While the growing cancer divide is becoming increasingly recognized 1,26,28,30,40,75 the solution in support of reducing the divide is very complex since it involves multiple social, economic, cultural and political facets. , Approaches to improving the availability of safe and effective RT in LMICs, will require collaboration between multiple organizations including local governments, regional, international as well as non-government organizations 40,41 .…”

Section: Partnerships and Peer-to-peer Collaborationsmentioning

confidence: 99%

Radiation Oncology Quality and Safety Considerations in Low-Resource Settings: A Medical Physics Perspective

Dyk

Meghzifene

2017

Seminars in Radiation Oncology

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The last few years have seen a significant growth of interest in the global radiation therapy crisis.Various organizations have quantified the need and are providing aid in support of addressing the shortfalls existing in many low-to-middle income countries (LMICs). With the tremendous demand for new facilities, equipment and personnel, it is very important to recognize the quality and safety challenges and to address them directly. An examination of publications on quality and safety in radiation therapy indicates a consistency in a number of the recommendations; however, these authoritative reports were generally based on input from high-resourced contexts.Here we review these recommendations with a special emphasis on issues that are significant in LMICs. While multidimensional, training and staffing are top priorities; any support provided to lower resourced settings must address the numerous facets associated with quality and safety indicators. Strong partnerships between high-income and other countries will enhance the development of safe and resource-appropriate strategies for advancing the radiation treatment process. The real challenge is the engagement of a strong spirit of cooperation, collaboration and communication between the multiple organizations in support of reducing the cancer divide and improving the provision of safe and effective radiation therapy.

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Radiation Therapy Infrastructure and Human Resources in Low- and Middle-Income Countries: Present Status and Projections for 2020

Cited by 197 publications

References 17 publications

Cancer patients need better care, not just more technology

Cancer patients need better care, not just more technology

Radiation Oncology Quality and Safety Considerations in Low-Resource Settings: A Medical Physics Perspective

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