ESTRO PT 2018

Practical Challenges to successfully conduct a randomized trial with particles

Patient

expectation

Possible solution

Particle Center

External Rad Onc facility

Equipoise concerns

Insurance approval: Most Insurances don’t pay for studies Insurances might pay if there is a (strong) tumor board recommendation for protons EVERY insurance contract states that it is the prerogative of the insurance to choose to pay for the less expensive treatment, if 2 treatments are considered equally effective