Is economic status the main determinant of radiation therapy availability? The Arab world as an example of developing countries.
Radiother Oncol
; 140: 182-189, 2019 11.
Article
em En
| MEDLINE
| ID: mdl-31323472
BACKGROUND AND PURPOSE: Arab countries share a common location, history, language and culture with different economic characteristics. In this study, we analyze the availability and factors influencing radiotherapy services and cancer mortality incidence ratio (MIR) in Arabic countries. MATERIALS AND METHODS: Data were collected from GLOBOCAN report, World Health Organization, World Bank, United Nation and Directory of Radiotherapy Centre databases. RESULTS: The average number of megavoltage machines (MVM) in Arab countries is 0.84 machine per 1000 cancer patients. The number of MVM per 1000 cancer patients was found to be significantly correlated with gross domestic product (GDP) per capita (râ¯=â¯0.583, Pâ¯=â¯0.006). In addition, it was found to be significantly more in politically stable countries compared to unstable ones (Pâ¯=â¯0.004) and more in high and upper-middle income countries (median 0.94⯱â¯1.0) compared to lower-middle and low income countries (median 0.3⯱â¯0.51) (Pâ¯=â¯0.013). MIR was found to be significantly correlated with GDP per capita, physicians per 1000 population, MVM per 1000 cancer patients and absolute MVM deficit (râ¯=â¯-0.555, -0.625, -0.42, -0.436 and Pâ¯=â¯0.009, 0.006, 0.047, 0.043, respectively). On multivariate regression analysis, the number of physicians per 1000 population had the strongest prediction of MIR in Arabic countries (Pâ¯=â¯0.01). CONCLUSION: Although the economic status is of paramount importance, it is not the only factor determining the quantity and quality of radiotherapy services in the Arab world. More efforts are urgently needed to improve the status of radiation oncology and fill its gap in the Arab countries.
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Texto completo:
1
Temas:
ECOS
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Aspectos_gerais
Bases de dados:
MEDLINE
Assunto principal:
Radioterapia
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Neoplasias
Tipo de estudo:
Health_economic_evaluation
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Incidence_studies
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Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Radiother Oncol
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Arábia Saudita