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Implications of Radiotherapy Utilization in Korea from 2010 to 2019

Authors
 Jeongshim Lee  ;  Woo Chul Kim  ;  Won Sup Yoon  ;  Chai Hong Rim 
Citation
 JOURNAL OF KOREAN MEDICAL SCIENCE, Vol.36(18), 2021-05 
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
ISSN
 1011-8934 
Issue Date
2021-05
MeSH
Aged ; Databases, Factual ; Humans ; Male ; Middle Aged ; National Health Programs ; Neoplasms / epidemiology ; Neoplasms / radiotherapy* ; Radiosurgery / statistics & numerical data ; Radiosurgery / trends ; Radiotherapy / methods* ; Radiotherapy / statistics & numerical data* ; Radiotherapy / trends ; Radiotherapy, Conformal / statistics & numerical data ; Radiotherapy, Conformal / trends ; Radiotherapy, Intensity-Modulated / statistics & numerical data ; Radiotherapy, Intensity-Modulated / trends ; Republic of Korea
Keywords
Intensity-Modulated Radiation Therapy ; Radiotherapy ; South Korea ; Stereotactic Radiotherapy ; Utilization
Abstract
Background: This study was to assess the rate of radiotherapy (RT) utilization according to the modality in South Korea to identify the implications of contemporary RT patterns.

Methods: We collected information from claims and reimbursement records of the National Health Insurance Service from 2010 to 2019. We classified the location of each institution as capital (Seoul, Incheon, and Gyeonggi-do) and non-capital areas.

Results: The rate of RT utilization in total cancer patients nationwide was 24.5% in 2010, which consistently has increased to 36.1% in 2019 (annual increase estimate [AIE], 4.5%). There was an abrupt increase in patients receiving intensity-modulated RT (IMRT), with an AIE of 33.5%, and a steady decline in patients receiving three-dimensional conformal RT (3DCRT), with an AIE of -7.1%. The commonest RT modality was IMRT (44.5%), followed by 3DCRT and stereotactic RT (SRT) (37.2% and 13.5%) in 2019. An increasing trend of advanced RT (such as IMRT and SRT) utilization was observed regardless of the region, although the AIE in the capital areas was slightly higher than that in non-capital areas.

Conclusion: The utilization of overall RT application and especially of advanced modalities remarkably increased from 2010 to 2019. We also found gaps in their AIEs between capital and non-capital areas. We should ensure that advanced RT is accessible to all cancer patients across South Korea.
DOI
10.3346/jkms.2021.36.e117
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiation Oncology (방사선종양학교실) > 1. Journal Papers
Yonsei Authors
Lee, Jeong Shim(이정심)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/190923
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