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Clinical and Translational Oncology

, Volume 19, Issue 2, pp 204–210 | Cite as

Demand for radiotherapy in Spain

  • A. Rodríguez
  • J. M. Borrás
  • J. López-Torrecilla
  • M. Algara
  • A. Palacios-Eito
  • A. Gómez-Caamaño
  • L. Olay
  • P. C. Lara
Research Article

Abstract

Aim

Assessing the demand for radiotherapy in Spain based on existing evidence to estimate the human resources and equipment needed so that every person in Spain has access to high-quality radiotherapy when they need it.

Material and methods

We used data from the European Cancer Observatory on the estimated incidence of cancer in Spain in 2012, along with the evidence-based indications for radiotherapy developed by the Australian CCORE project, to obtain an optimal radiotherapy utilisation proportion (OUP) for each tumour.

Results

About 50.5 % of new cancers in Spain require radiotherapy at least once over the course of the disease. Additional demand for these services comes from reradiation therapy and non-melanoma skin cancer. Approximately, 25–30 % of cancer patients with an indication for radiotherapy do not receive it due to factors that include access, patient preference, familiarity with the treatment among physicians, and especially resource shortages, all of which contribute to its underutilisation.

Conclusions

Radiotherapy is underused in Spain. The increasing incidence of cancer expected over the next decade and the greater frequency of reradiations necessitate the incorporation of radiotherapy demand into need-based calculations for cancer services planning.

Keywords

Radiotherapy-demand Optimal utilization Evidence-based practice Planning Spain 

Notes

Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflicts of interest.

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Copyright information

© Federación de Sociedades Españolas de Oncología (FESEO) 2016

Authors and Affiliations

  1. 1.Department of Radiation OncologyHospital Ruber InternacionalMadridSpain
  2. 2.Universidad de Barcelona, IDIBELLBarcelonaSpain
  3. 3.Department of Radiation OncologyERESA Hospital General UniversitarioValenciaSpain
  4. 4.Department of Radiation OncologyHospital de la EsperanzaBarcelonaSpain
  5. 5.Universitat Pompeu FabraBarcelonaSpain
  6. 6.Department of Radiation OncologyHospital Universitario Reina SofíaCórdobaSpain
  7. 7.Department of Radiation OncologyHospital Clínico Universitario Santiago de CompostelaSantiago de Compostela, La CoruñaSpain
  8. 8.Department of Radiation OncologyHospital Universitario Central de Asturias (HUCA)OviedoSpain
  9. 9.Department of Radiation OncologyHospital Universitario Dr NegrínLas PalmasSpain
  10. 10.Clinical Oncology, Universidad de Las PalmasLas PalmasSpain

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