Saturday 21 October 2017

Abstract

Aging populations, increasing patient expectations and ever-costlier new technologies are leading to demands from funders and decision makers for data driven justification for additional health care expenditures. We'll start by looking at global data on health care costs and their change over recent years. Considering the magnitude of the cancer problem, and in spite of widely held perceptions, we will see that radiotherapy consumes a relatively tiny proportion of the health care budget. Having set the scene we'll look in detail at economic evaluation in the broader context of health technology assessment. The many complexities involved in performing a credible economic evaluation will become apparent during this discussion. Focusing just on the cost component we will review the literature on radiotherapy costing and learn that it is all over the place and we really don't have a good handle on the cost of providing a course of radiotherapy. ESTRO's Health Economics in Radiation Oncology (HERO) project aims to fill the gaps in our knowledge of radiotherapy costs particularly in the European context. The accomplishments and current status of the HERO project will be described. We will conclude with a description HERO's radiotherapy costing model which is currently at an advanced stage of development. Learning Objectives:• To review information on health care costs in general and radiotherapy in particular.• To look at some of the key definitions and metrics used in economic evaluations.• To describe ESTRO's HERO project Saturday 21 October 2017, 0800-1000, Concurrent Session: MSK -Young and Old Paediatric elbow trauma K FrawleyLady Cilento Children's Hospital, Brisbane, Queensland, AustraliaAbstract body: The elbow has evolved for maximal stability and mobility during a full range of motion. The elbow however is susceptible to trauma due to impact from falls. Fractures in paediatric elbows are often difficult to diagnose due to subtle findings in unossified epiphyses. Fractures also potentially influence future growth and development. Awareness of normal growth and development and the trauma patterns is useful to diagnose fractures and there complications. Learning objectives: Improve understanding of paediatric elbow trauma to increase diagnostic accuracy in interpreting paediatric elbow radiographs. Oral Presentations 71 Journal of Medical Imaging and Radiation OncologyFinger injuries -what the hand surgeon wants to know B BreidahlPerth Radiological Clinic, Subiaco, Western Australia, AustraliaTraumatic finger injuries, both work and sports related, are common -they account for approximately 20% of emergency department presentations. Up to 5% will require surgical intervention. Due to the complex anatomy and wide spectrum of trauma, accurate diagnosis can be challenging. Failure to accurately diagnose and treat finger trauma may lead to loss of function. The anatomy unique to the fingers will be discussed, and the common patterns of injury demonstrated with an emphasis on ultrasound and MRI appearances. Hip evo...