Do radiation oncology outreach clinics affect the use of radiotherapy?

Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology
Pierre-Yves McLaughlinW J Mackillop

Abstract

The scope and effect of radiation oncology (RO) outreach activities within centralized radiotherapy (RT) systems is poorly defined. The purpose of this study was to describe the outreach activities of Ontario's regional cancer centres, and to explore the relationship between radiation oncology (RO) outreach clinics and rates of radiotherapy (RT) utilization at hospitals without RT on site (HWOS-RT). Ontario RO centres' outreach activities were identified by semi-structured interview. A multivariate analysis determined the association between on-site RT facilities, or presence of RO clinic at HWOS-RT, and RT utilization within one year of diagnosis (RT1Y), for all patients diagnosed with cancer in Ontario in 2011-2012. RO outreach varied widely by region. Of the largest 58 diagnosing hospitals, 14 had RT on-site, 19 had no RT but RO outreach clinic(s) and 25 had no RT or RO clinic. RT was used more frequently for patients diagnosed at hospitals with on-site RT compared to those at HWOS-RT (RT1Y = 35% vs. 29%, RR = 1.32 [95% CI 1.27-1.38]). For HWOS-RT, RT was used more frequently if there was an RO clinic (RT1Y = 31% vs. 29%, RR = 1.06 [95% CI 1.02-1.10]). RO outreach clinics were associated with a small but significant increase...Continue Reading

Citations

Feb 1, 2019·Nature Reviews. Clinical Oncology·Christopher M BoothWilliam J Mackillop
May 20, 2020·Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·J CorralJ M Borras
Sep 27, 2020·Asia-Pacific Journal of Clinical Oncology·Jesmin ShafiqMichael B Barton
May 15, 2020·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Tienush RassafUNKNOWN Committee for Clinical Cardiovascular Medicine of the German Cardiac Society
Apr 17, 2019·Clinical Oncology : a Journal of the Royal College of Radiologists·W J Mackillop, W Kong

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