ESTRO 2024 - Abstract Book

S2814

Interdisciplinary - Health economics & health services research

ESTRO 2024

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1487

Digital Poster

Radiotherapy access in the Asia-Pacific: Are we making progress for low- & middle-income countries?

Dania Abu Awwad 1 , Jesmin Shafiq 2 , Geoffrey P Delaney 2 , Yacuz Anacak 3 , Freddie Bray 4 , Jerickson A Flores 5 , Soehartati Gondhowiardjo 6 , Minjmaa Minjgee 7 , Tiara BM Permata 8,9 , Jaffar C Pineda 10 , Suhana Yusak 11 , Eduardo Zubizarreta 12 , Mei Ling Yap 2,13,14 1 University of Sydney, Faculty of Medicine and Health, Sydney, Australia. 2 Ingham Institute, Collaboration for Cancer Outcomes Research and Evaluation, Sydney, Australia. 3 Ege University School of Medicine & Hospital, Department of Radiation Oncology, Izmir, Turkey. 4 International Agency for Research on Cancer, Cancer Surveillance Branch, Lyon, France. 5 Jose R. Reyes Memorial Medical Center, Manila, Manila, Philippines. 6 Cipto Mangunkusumo General Hospital, Indonesian Radiation Oncology Society, Jakarta, Indonesia. 7 National Cancer Center, Ulaanbaatar, Ulaanbaatar, Mongolia. 8 Cipto Mangunkusumo National General Hospital, Department of Radiation Oncology, Jakarta, Indonesia. 9 Universitas Indonesia, Faculty of Medicine, Jakarta, Indonesia. 10 AC Sacred Heart Medical Center, Pampanga, Pampanga, Philippines. 11 National Cancer Institute, Putrajaya, Putrajaya, Malaysia. 12 International Atomic Energy Agency, Vienna International Centre, Vienna, Austria. 13 University of New South Wales, George Institute for Global Health, Sydney, Australia. 14 Western Sydney University, Liverpool and Macarthur Cancer Therapy Centres, Sydney, Australia

Purpose/Objective:

Radiation therapy (RT) is an essential component of cancer treatment, yet disparities in access to RT services persist globally. Two-thirds of all RT megavoltage machines (MVMs) worldwide are located in high-income countries (HIC), with much higher deficits in low- and middle-income countries (LMIC). More than half (53%) of all new cancer cases occur in the Asia-Pacific region. However, the Asia-Pacific accounts for an even higher proportion of global cancer deaths (59%). This study aimed to assess the progress made to access to RT services over the past decade and assess changes needed in the next decade to improve access, using novel