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Radiotherapy for head and neck cancer in Lombardy: a survey by the Lombardy Group of the Italian Association for Radiation Oncology

Abstract

Aims

In 2013, a survey was conducted to analyze the available resources and their use in the radiation treatment of patients with malignancies of the head and neck region in Lombardy, on behalf of the Lombardy group of the Italian Association of Radiation Oncology.

Methods

A questionnaire was sent to 26 of 34 radiotherapy centers active in the region. Two centers were excluded because they did not treat head and neck cancers (Besta Neurological Institute and Cyberknife center), 4 had started their activity in 2013 or late 2012, and 2 satellite centers had their results included in the main center’s response. Items investigated included number of patients with head and neck cancer treated in 2012, general technical issues, and integration with surgery and chemotherapy.

Results

Twenty-four questionnaires were returned (92% response rate). There was a good consistency on the use of radiotherapy in different settings, whereas integration with chemotherapy showed more heterogeneous data. Treatment techniques were 3D conformal radiotherapy or intensity-modulated radiotherapy with image-guided radiotherapy in most cases and a low rate of treatment-related death was observed.

Conclusions

This survey provides important data on the use of radiotherapy resources for patients with head and neck cancer in Lombardy. The data offer the opportunity to further investigate issues that could better standardize head and neck cancer treatment and allocate resources across the region.

Tumori 2015; 101(5): 560 - 565

Article Type: ORIGINAL RESEARCH ARTICLE

DOI:10.5301/tj.5000359

Authors

Anna Merlotti, Nadia Di Muzio, Paolo Antognoni, Francesco Filippone, Ernestina Bianchi, Simona Castiglioni, Lorenza Bruschieri, Giovanni Ivaldi, Luigi De Cicco, Luca Marzoli, Roberto Orecchia

Article History

Disclosures

Financial support: None.
Conflict of interest: None.

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Authors

Affiliations

  • Radiation Oncology Department, A.O. Busto Arsizio, Varese - Italy
  • Radiation Oncology Department, HSR, Milano - Italy
  • Radiation Oncology Department, A.O. Ospedale di Circolo e Fondazione Macchi, Varese - Italy
  • Radiation Oncology Department, Spedali Riuniti, Bergamo - Italy
  • Radiation Oncology Department, A.O. Sant’Anna, Como - Italy
  • Radiation Oncology Department, Casa di Cura S. Pio X, Milano - Italy
  • Radiation Oncology Department, A.O. Treviglio, Bergamo - Italy
  • Radiation Oncology Department, Fond. Maugeri, Pavia - Italy
  • Medical Physics Department, A.O. Busto Arsizio, Varese - Italy
  • Radiation Oncology Department, IEO, Milano - Italy

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