ESTRO 2024 - Abstract Book

S2795

Interdisciplinary - Health economics & health services research

ESTRO 2024

Keywords: X-ray therapy, efficacy, workload

References:

Palmer AL, Pearson M, Whittard P, McHugh KE, Eaton DJ. Current status of kilovoltage (kV) radiotherapy in the UK: installed equipment, clinical workload, physics quality control and radiation dosimetry.

Micke O, Seegenschmiedt MH, Adamietz IA, Kundt G, Fakhrian K, Schaefer U, Muecke R; German Cooperative Group on Radiotherapy for Nonmalignant Diseases (GCG-BD). Low-Dose Radiation Therapy for Benign Painful Skeletal Disorders: The Typical Treatment for the Elderly Patient? Int J Radiat Oncol Biol Phys. 2017 Jul 15;98(4):958-963 Niewald M, Seegenschmiedt MH, Micke O, Graeber S, Muecke R, Schaefer V, Scheid C, Fleckenstein J, Licht N, Ruebe C; German Cooperative Group on Radiotherapy for Benign Diseases (GCGBD) of the German Society for Radiation Oncology (DEGRO). Randomized, multicenter trial on the effect of radiation therapy on plantar fasciitis (painful heel spur) comparing a standard dose with a very low dose: mature results after 12 months' follow-up. Int J Radiat Oncol Biol Phys. 2012 Nov 15;84(4):e455-62.

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The impact of moderate hypofractionation on costs and travel burden in breast cancer patients

Elvisa Kozma 1 , Jonida Tula 2 , Alketa Ymeri 1 , Anila Pema 1 , Orges Spahiu 1 , Erald Karaulli 1

1 University Hospital Mother Teresa, Oncology, Tirana, Albania. 2 University Hospital Shefqet Ndroqi, Oncology, Tirana, Albania

Purpose/Objective:

Developing countries are still facing difficulties caused by the limited number of radiotherapy machines. The department of Oncology at the University Hospital Mother Teresa is the only public center in Albania that irradiates breast cancer patients. The aim of this study was to analyze the effect of moderate hypofractionation on the costs of breast cancer treatment in a middle-income country like Albania.

Material/Methods:

We analyzed the numbers of breast cancer patients treated between years 2011-2016 using normal fractionation (50Gy/25fr) and 2017-2022 using moderate hypofractionation (40Gy/15fr) and the costs of radiotherapy treatment based on the costs of the CT-simulation, treatment planning and number of fractions. Travel distance and transit time from their home to hospital were also analyzed and calculated using Google Maps. Hospitalization costs for patients who stayed in the hospital during irradiation were also calculated.