ESTRO 2024 - Abstract Book

S2786

Interdisciplinary - Health economics & health services research

ESTRO 2024

Keywords: Travel distances, end of life, financial toxicity

References:

1 Chand CP, Greenley S, Macleod U, et al Geographical distance and reduced access to palliative radiotherapy: systematic review and meta-analysis BMJ Supportive & Palliative Care Published Online First: 15 March 2022. doi: 10.1136/bmjspcare-2021-003356

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Value-based planning of Radiotherapy Infrastructure in Colombia: A Comprehensive Analysis

Alejandro Gonzalez-Motta 1,2 , Ivan Bobadilla 1 , Maria Caicedo-Martínez 3 , Ricardo Cendales 4 , Gustavo A Viani 5 , Andre Gouveia 6 , Timothy P Hanna 7 , Eduardo Guerrero 3 , Andrea P Rodriguez 1 , Benjamin Li 8,9 , Oscar Gamboa 3,10 , Lina Loaiza 11,2 , Raul Murillo 10,12 , Fabio Y Moraes 7 1 Radiation Oncology Section, Centro de Tratamiento e Investigación Sobre Cáncer - Luis Carlos Sarmiento Angulo (CTIC - LCSA), Cundinamarca, Bogotá, Colombia. 2 Asociación Colombia de Radioterapia Oncológica, Cundinamarca, Bogotá, Colombia. 3 Department of Radiation Oncology, Instituto Nacional de Cancerología, Cundinamarca, Bogotá, Colombia. 4 Centro de Control de Cáncer, Cundinamarca, Bogotá, Colombia. 5 Ribeirão Preto Medical School, Department of Medical Imagings, Hematology and Oncology of University of São Paulo (FMRP-USP), São Paulo, São Paulo, Brazil. 6 Juravinski Cancer Centre, Department of Oncology, Division of Radiation Oncology, Ontario, Hamilton, Canada. 7 Department of Oncology, Queen's University, Ontario, Kingston, Canada. 8 Department of Radiation Oncology, University of Washington, Washington, Seattle, USA. 9 Rayos Contra el Cancer, Washington, Seattle, USA. 10 Centro Javeriano de Oncología - Hospital Universitario San Ignacio, Cundinamarca, Bogotá, Colombia. 11 Clinica Somer, Antioquia, Rionegro, Colombia. 12 Facultad de Medicina - Pontificia Universidad Javeriana, Cundinamarca, Bogotá, Colombia

Purpose/Objective:

Like many South American nations, Colombia grapples with a significant deficit in its capacity to offer radiotherapy (RT) services for cancer treatment. Our research employs the Linear Accelerator (LINAC) shortage index, to assess LINAC shortages in Colombia and support value-based planning of new LINAC resources.

Material/Methods:

In this cross-sectional study, a value-based planning approach was taken, where regional RT resources are prioritized based on greatest proportional gains in access, and thus treatment benefit. We used data from the Colombian National Administrative Statistic Department (DANE), the Colombian National Radiation Oncology Association (ACRO) database, and the global cancer observatory 2020 cancer statistics to compute the LINAC