Radiotherapy prioritization in 143 national cancer control plans: Correlation with radiotherapy machine availability, geography and income level

•The inclusion rate of radiotherapy within 55% of NCCPs falls short of the 80% target set by GTFRCC.•Inclusion of radiotherapy specific planning in NCCPs varied according to income level and geography.•Prioritisation of radiotherapy in NCCPs is correlated with radiotherapy machine availability.•This...

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Published in:Radiotherapy and oncology 2022-11, Vol.176, p.83-91
Main Authors: Wilson, Brooke E., Oar, Andrew, Rodin, Danielle, Bray, Freddie, Ferlay, Jacques, Polo, Alfredo, Borras, Josep M., Bourque, Jean-Marc, Malik, Monica, Ynoe de Moraes, Fabio, Lievens, Yolande, Stevens, Lisa M., Zubizarreta, Eduardo, Yap, Mei Ling
Format: Article
Language:English
Subjects:
Delivery of Health Care
Geography
Global health
Global oncology
Humans
International Agencies
National cancer care plans
Neoplasms - radiotherapy
Radiation Oncology
Radiotherapy
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Summary:•The inclusion rate of radiotherapy within 55% of NCCPs falls short of the 80% target set by GTFRCC.•Inclusion of radiotherapy specific planning in NCCPs varied according to income level and geography.•Prioritisation of radiotherapy in NCCPs is correlated with radiotherapy machine availability.•This study supports the importance of including radiotherapy in a country’s NCCP. In 2015, the Global Task Force on Radiotherapy for Cancer Control (GTFRCC) called for 80% of National Cancer Control Plans (NCCP) to include radiotherapy by 2020. As part of the ongoing ESTRO Global Impact of Radiotherapy in Oncology (GIRO) project, we assessed whether inclusion of radiotherapy in NCCPs correlates with radiotherapy machine availability, national income, and geographic region. A previously validated checklist was used to determine whether radiotherapy was included in each country’s NCCP. We applied the CCORE optimal radiotherapy utilisation model to the GLOBOCAN 2020 data to estimate the demand for radiotherapy and compared this to the International Atomic Energy Agency (IAEA) Directory of Radiotherapy Centres (DIRAC) supply data, stratifying by income level and world region. World regions were defined according to the IAEA. Complete data (including GLOBOCAN 2020, DIRAC and NCCP) was available for 143 countries. Over half (55%, n = 79) included a radiotherapy-specific checklist item within the plan. Countries which included radiotherapy services planning in their NCCP had a higher median number of machines (1.68 vs 0.75 machines/1000 patients needing radiotherapy, p 
ISSN:0167-8140
1879-0887
DOI:10.1016/j.radonc.2022.09.001