Clinical Oncology
Volume 21, Issue 6 , Pages 431-440 , August 2009

Geographical Variation in Radiotherapy Services Across the UK in 2007 and the Effect of Deprivation

  • M.V. Williams

      Affiliations

    • Oncology Centre, Box 193, Addenbrooke's Hospital, Cambridge University Hospital NHS Trust, Hills Road, Cambridge CB2 0QQ, UK
    • Corresponding Author InformationAuthor for correspondence: M. V. Williams, Oncology Centre Box 193, Addenbrooke's Hospital, Hills Road, Cambridge CB2 0QQ, UK. Tel: +44-1223-217020; Fax: +44-1223-274409.
    • ,
  • K.J. Drinkwater

      Affiliations

    • The Royal College of Radiologists, 38 Portland Place, London, W1B 1JQ, UK

Received 31 March 2009 ,Revised 9 May 2009 ,Accepted 12 May 2009.

References 

  1. Royal College of Radiologists . Equipment, workload and staffing for radiotherapy in the UK 1992–1997. BFCO (98) 2 London: Royal College of Radiologists; 1998;
  2. Ash D, Barrett A, Hinks A, Squire C. Re-audit of radiotherapy waiting times (2003). Clin Oncol. 2005;16:387–394
  3. Summers E, Williams M. Re-audit of radiotherapy waiting times 2005. Available at: www.rcr.ac.uk/docs/general/pdf/RTWT2005report.pdf[accessed 19.01.09]
  4. Drinkwater KJ, Williams M. Re-audit of radiotherapy waiting times in the United Kingdom, 2007. Available at: http://www.rcr.ac.uk/docs/general/pdf/ReportUKFINAL100408.pdf[accessed 19.01.09]
  5. Joint Council for Clinical Oncology . Reducing delays in cancer treatment: some targets. London: Royal College of Physicians and Royal College of Radiologists; 1993;
  6. Department of Health . Cancer reform strategy. London: Department of Health; 2007;Available at: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_081006
  7. Dodwell D, Crellin A. Waiting for radiotherapy. Br Med J. 2006;332:107–109
  8. Williams MV. Ignorance is a public health issue. Br Med J. 2007;334:915
  9. Mackillop WJ. Killing time: the consequences of delays in radiotherapy. Radiother Oncol. 2007;84:1–4
  10. Chen Z, King W, Pearcey R, Kerba M, Mackillop WJ. The relationship between waiting time for radiotherapy and clinical outcomes: a systematic review of the literature. Radiother Oncol. 2008;87:3–16
  11. The Scottish Government . Cancer in Scotland: radiotherapy activity planning 2011–15. Edinburgh: Scottish Executive; 2005;Available at: http://www.scotland.gov.uk/Publications/2006/01/24131719/0
  12. Welsh Assembly Government . Radiotherapy equipment needs and workforce implications 2006–2016. Cancer Services Co-ordinating Group Radiotherapy & Chemotherapy Advisory Group; May 2006;Available at: http://new.wales.gov.uk/about/departments/dhss/publications/health_pub_index/reports/radiotherapyequipmentneeds?lang=en[accessed 03.04.08]
  13. Williams MV, Summer ET, Drinkwater KJ, Barrett A. Radiotherapy dose fractionation, access and waiting times in the countries of the UK in 2005. Clin Oncol. 2007;19:273–286
  14. Williams MV, Drinkwater KJ. Radiotherapy in England in 2007: modelled demand and audited activity. Clin Oncol. 2009;21:431–440
  15. National Cancer Services Analysis Team (Natcansat) . UK national radiotherapy equipment survey 2007. Available at: http://www.canceruk.net/rtservices/rtequip2007/[accessed 07.03.09]
  16. http://www.wales.nhs.uk/sites3/Documents/242/WCISUTriennialReport2008_English.pdfhttp://www.isdscotland.org/isd/5671.html
  17. National Cancer Services Analysis Team (Natcansat) . NRAG interactive toolkit. Available at: http://www.canceruk.net/downloads/nrag/[accessed 07.03.09]
  18. Department of Health . Radiotherapy: developing a world class service for England. Available at: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_074575[accessed 19.01.09]
  19. Department of Health . Scenario subgroup—predicting future demand for radiotherapy. Available at: http://www.cancer.nhs.uk/documents/nrag_files/scenario%20sub%20group%20report%20-%20jan%2007%20-%20fin.pdf[accessed 19.01.09]
  20. Department of Health . Advice to NRAG. Appendix A: Treatment trees by cancer site. Available at: http://www.cancer.nhs.uk/documents/nrag_files/scenario%20%20report%20appendix%20a%20-%20treatment%20trees%20-%20fin.pdf[accessed 19.01.09]
  21. Erridge SC, Featherstone C, Chalmers R, Campbell J, Stockton D, Black R. What will be the radiotherapy machine capacity required for optimal delivery of radiotherapy in Scotland in 2015?. Eur J Cancer. 2007;43:1802–1809
  22. Delaney GP, Jacob S, Featherstone C, Barton NB. Radiotherapy in cancer care; estimating optimal utilisation from a review of evidence-based clinical guidelines. Collaboration of Cancer Outcomes Research and Evaluation (CCORE). Liverpool Hospital, Sydney, Australia. Available at: http://www.canceraustralia.gov.au/media/3425/radiotherapyreport.pdf[accessed 19.01.09]
  23. Delaney GP, Jacob S, Featherstone C, Barton NB. The role of radiotherapy in cancer treatment: estimating optimal utilisation from a review of evidence-based clinical guidelines. Cancer. 2005;104:1129–1137
  24. The Information Centre . National lung cancer audit, 2006. Leeds: The Information Centre; 2007;Available at: http://www.ic.nhs.uk/webfiles/Services/NCASP/audits%20and%20reports/19100507%20IC%20Lung%20Cancer%20Audit%20Report%202006-FV.pdf
  25. Imperatori A, Harrison RN, Leitch DN, et al. Lung cancer in Teesside (UK) and Varese (Italy): a comparison of management and survival. Thorax. 2006;61:232–239
  26. Office of the Deputy Prime Minister . The English indices of deprivation 2004 (revised). London: HMSO; 2007;Available at: http://www.communities.gov.uk/documents/communities/pdf/131206.pdf
  27. Zhang-Salomons J, Mackillop WJ. Estimating the lifetime utilization rate of radiotherapy in cancer patients: the multicohort current utilization table (MCUT) method. Comput Methods Programs Biomed. 2008;92:99–108
  28. Munro AJ. Deprivation and survival in patients with cancer: we know so much, but do so little. Lancet Oncol. 2005;6:912–913
  29. Tyldesley S, Boyd C, Sulze K, Walker H, MacKillop WJ. Estimating the need for radiotherapy for lung cancer: an evidence-based epidemic approach. Int J Radiat Oncol Biol Phys. 2001;49:973–985
  30. Department of Health . Radiotherapy technical development subgroup. Available at: http://www.cancer.nhs.uk/documents/nrag_files/technology%20subgroup%20report%20nov06%20-%20fin.pdf[accessed 07.03.09]

PII: S0936-6555(09)00151-4

doi: 10.1016/j.clon.2009.05.006

Clinical Oncology
Volume 21, Issue 6 , Pages 431-440 , August 2009

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