PDF(Pubmed)
Abstract：
OBJECTIVE: Radiotherapy (RT) is an essential treatment modality against cancer and becoming even more in demand due to the anticipated increase in cancer incidence. Due to the rapid development of RT technologies amid financial challenges, we aimed to assess the available RT facilities and the issues with achieving health equity based on current equipment compared to the previous reports from Iran.
METHODS: A survey arranged by the Iran Cancer Institute\'s Radiation Oncology Research Center (RORC) was sent to all of the country\'s radiotherapy centers in 2022. Four components were retrieved: the reimbursement type, equipment, human resources, and patient load. To calculate the radiotherapy utilization rate (RUR), the Lancet Commission was used. The findings were compared with the previous national data.
RESULTS: Seventy-six active radiotherapy centers with 123 Linear accelerators (LINACs) were identified. The centers have been directed in three ways. 10 (20 LINACs), 36 (50 LINACs), and 30 centers (53 LINACs) were charity-, private-, and public-based, respectively. Four provinces had no centers. There was no active intraoperative radiotherapy machine despite its availability in 4 centers. One orthovoltage X-ray machine was active and 14 brachytherapy devices were treating patients. There were 344, 252, and 419 active radiation oncologists, medical physicists, and radiation therapy technologists, respectively. The ratio of LINAC and radiation oncologists to one million populations was 1.68 and 4.10, respectively. Since 2017, 35±5 radiation oncology residents have been trained each year.
CONCLUSIONS: There has been a notable growth in RT facilities since the previous reports and Iran\'s situation is currently acceptable among LMICs. However, there is an urgent need to improve the distribution of the RT infrastructure and provide more facilities that can deliver advanced techniques.
METHODS: A survey arranged by the Iran Cancer Institute\'s Radiation Oncology Research Center (RORC) was sent to all of the country\'s radiotherapy centers in 2022. Four components were retrieved: the reimbursement type, equipment, human resources, and patient load. To calculate the radiotherapy utilization rate (RUR), the Lancet Commission was used. The findings were compared with the previous national data.
RESULTS: Seventy-six active radiotherapy centers with 123 Linear accelerators (LINACs) were identified. The centers have been directed in three ways. 10 (20 LINACs), 36 (50 LINACs), and 30 centers (53 LINACs) were charity-, private-, and public-based, respectively. Four provinces had no centers. There was no active intraoperative radiotherapy machine despite its availability in 4 centers. One orthovoltage X-ray machine was active and 14 brachytherapy devices were treating patients. There were 344, 252, and 419 active radiation oncologists, medical physicists, and radiation therapy technologists, respectively. The ratio of LINAC and radiation oncologists to one million populations was 1.68 and 4.10, respectively. Since 2017, 35±5 radiation oncology residents have been trained each year.
CONCLUSIONS: There has been a notable growth in RT facilities since the previous reports and Iran\'s situation is currently acceptable among LMICs. However, there is an urgent need to improve the distribution of the RT infrastructure and provide more facilities that can deliver advanced techniques.
摘要：
目的：放射治疗（RT）是一种重要的癌症治疗方式，并且由于癌症发病率的预期增加，因此需求越来越多。由于RT技术在金融挑战下的快速发展，我们的目标是评估现有的RT设施以及与伊朗以前的报告相比，基于当前设备实现健康公平的问题。
方法：由伊朗癌症研究所放射肿瘤研究中心（RORC）安排的一项调查已于2022年发送到该国所有放射治疗中心。检索到四个组成部分：报销类型，设备,人力资源,和病人的负担。计算放疗利用率（RUR），使用了柳叶刀委员会。将调查结果与以前的国家数据进行了比较。
结果：确定了76个主动式放疗中心和123个线性加速器（LINAC）。这些中心有三种方向。10个（20个LINAC），36（50个LINAC），30个中心(53个LINAC)是慈善中心-，私人-,以公共为基础，分别。四个省没有中心。尽管有4个中心可用，但没有主动的术中放射治疗机。一台正电压X射线机处于活动状态，14台近距离放射治疗设备正在治疗患者。有344、252和419名活跃的放射肿瘤学家，医学物理学家,和放射治疗技术人员，分别。LINAC和放射肿瘤学家与100万人口的比例分别为1.68和4.10。自2017年以来，每年培训35±5名放射肿瘤科住院医师。
结论：自以前的报告以来，RT设施有了显着增长，伊朗的情况目前在LMIC中可以接受。然而,迫切需要改善RT基础设施的分布，并提供更多能够提供先进技术的设施。
方法：由伊朗癌症研究所放射肿瘤研究中心（RORC）安排的一项调查已于2022年发送到该国所有放射治疗中心。检索到四个组成部分：报销类型，设备,人力资源,和病人的负担。计算放疗利用率（RUR），使用了柳叶刀委员会。将调查结果与以前的国家数据进行了比较。
结果：确定了76个主动式放疗中心和123个线性加速器（LINAC）。这些中心有三种方向。10个（20个LINAC），36（50个LINAC），30个中心(53个LINAC)是慈善中心-，私人-,以公共为基础，分别。四个省没有中心。尽管有4个中心可用，但没有主动的术中放射治疗机。一台正电压X射线机处于活动状态，14台近距离放射治疗设备正在治疗患者。有344、252和419名活跃的放射肿瘤学家，医学物理学家,和放射治疗技术人员，分别。LINAC和放射肿瘤学家与100万人口的比例分别为1.68和4.10。自2017年以来，每年培训35±5名放射肿瘤科住院医师。
结论：自以前的报告以来，RT设施有了显着增长，伊朗的情况目前在LMIC中可以接受。然而,迫切需要改善RT基础设施的分布，并提供更多能够提供先进技术的设施。
