The cost of radiation therapy

Ploquin, Nicolas; Dunscombe, Peter

doi:10.1016/j.radonc.2008.01.005

Cited by 54 publications

(40 citation statements)

References 15 publications

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“…In this survey, we calculated the average RT treatment costs in RT centres per calendar year. Our result is much lower than the average cost calculated by other studies, e. g. Ploquin and Dunscombe performed cost metaanalysis in which the mean normalized cost in 2005 was EUR 3.239 (14); in the recent Ireland study, the cost of traditional RT for rectal cancer in 2012 was EUR 3.609 (24). Certainly, there are calculation errors due to methodological differences, but we can see common tendencies and make a comparison and come to preliminary conclusions.…”

Section: Discussioncontrasting

confidence: 52%

“…Evaluating the RT cost, we used the cost structure and calculation methods mentioned in the literature (13,14).…”

Section: Methodsmentioning

confidence: 99%

“…The costs of RT departments were evaluated according to cost inputs used by other studies (13,14), and the results were compared with those of the year 2001 ( Table 2). Both in 2011 and in 2001, the major cost drivers included the cost of equipment (purchases, depreciation, maintenance) and personnel salaries.…”

Section: Cost Of Radiotherapymentioning

confidence: 99%

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The changes of radiotherapy in Lithuania: infrastructure, utilization rate, and cost

Mineikyte

Janulionis

Atkočius

et al. 2016

AML

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Background. The aim of this study was to evaluate radiation therapy (RT) productivity, capacity, and cost in Lithuania.Materials and methods. An electronic questionnaire was prepared and sent to the country's RT centres. The data was collected for the years 2011-2014. The early data of the RT infrastructure was obtained from the QUARTS Project (2001).Results. In Lithuania the external beam RT was applied to 32.6% of new cancer cases (non-melanomatous skin cancer and benign conditions were excluded). In 2014, RT was more frequently applied for breast and prostate carcinomas, 23 and 20%, respectively. The country owned 11 units of linear accelerators (linacs) and this accounts for 3.7 linacs per one million population. 3D conformal RT is the standard approach in all four RT centres in Lithuania. IMRT practices were established in three centers and VMAT or stereotactic RT in two of them. 73% of linacs were capable of IGRT, while only 27% were equipped with CBCT. The average linac workload was 567 patients per year and showed a 10% decrease compared with the 2011 data. During a ten-year period, the average cost per patient for RT treatment increased 7.6 times -from EUR 129 to 974. The reimbursement system in Lithuania is not favourable for application of RT.Conclusions. During the recent thirteen years, RT services in Lithuania have dramatically improved, but we are still behind the average of European countries and benchmark rates. It is important to continue optimising the efficiency of RT services, and further evidence-based studies on RT infrastructure assessment and planning are needed.

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Section: Discussioncontrasting

confidence: 52%

“…Evaluating the RT cost, we used the cost structure and calculation methods mentioned in the literature (13,14).…”

Section: Methodsmentioning

confidence: 99%

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The changes of radiotherapy in Lithuania: infrastructure, utilization rate, and cost

Mineikyte

Janulionis

Atkočius

et al. 2016

AML

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“…Radiotherapy is considered to be most cost effective than surgery and chemotherapy, when all costs across the life cycle is considered (Ploquin and Dunscombe 2008).…”

Section: B Service Availabilitymentioning

confidence: 99%

“…Radiotherapy is considered to be most cost effective than surgery and chemotherapy, when all costs across the life cycle is considered (Ploquin and Dunscombe 2008). According to the RANZCR, radiotherapy provides similar benefit with lower costs for cancer patient treatment for cures.…”

Section: Introductionmentioning

confidence: 99%

An approach to plan and evaluate the location of radiotherapy services and its application in the New South Wales, Australia

Shukla

Wickramasuriya

Miller

et al. 2015

Computer Methods and Programs in Biomedicine

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Linear accelerator maintenance cost analysis

Carlone,

Beckham,

Duzenli

et al. 2023

J Applied Clin Med Phys

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PurposeMedical linear accelerators are the most costly standard equipment used in radiation oncology, however the service costs for these machines are not well understood. With an increasing demand for linear accelerators due to a global increase in cancer incidence, it is important to understand the expected maintenance costs of a larger global installed base so that these costs can be incorporated into budgeting. The purpose of this investigation is to analyze the costs for medical linear accelerator service and maintenance at our institution, in order to estimate the service cost ratio.MethodsWe collected the costs of parts used for all service work done on 32 medical linear accelerators over a two year period. The data was segregated by center, machine, linear accelerator type, and failure area in the machine.ResultsWe found the service cost ratio (excluding software support expenses) to be 3.13% [2.74%, 3.52%,]. We observed a variability of parts costs, and overall variability of the service cost ratio to be between 2.14% and 5.25%. This result is lower than other estimates for service costs for medical equipment in general and medical linear accelerators specifically. Two‐thirds of the service costs were due to labor costs, which indicate the importance of a well‐trained service technician workforce.ConclusionsWe estimated the service cost ratio for medical linear accelerators to be 3.13% [3.52%, 2.74%] of the initial capital cost. This result was lower than other estimates of the service cost ratio.

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The cost of radiation therapy

Cited by 54 publications

References 15 publications

The changes of radiotherapy in Lithuania: infrastructure, utilization rate, and cost

The changes of radiotherapy in Lithuania: infrastructure, utilization rate, and cost

An approach to plan and evaluate the location of radiotherapy services and its application in the New South Wales, Australia

Linear accelerator maintenance cost analysis

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