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AbstractAbstract
[en] This analysis presents the resources needed and costs at the present time globally and by region to give full access to RT. The variables and methodology were the same used by the GTFRCC. The GTFRCC reported the resources needed and costs to reach full access to RT in 2035 by income group, but not per region (Atun R et al. Expanding global access to radiotherapy. Lancet Oncol 2015; 16(10)). The division in regions adopted by the IAEA was used: Africa (AF), North America (NA) only includes USA and Canada, Latin America and the Caribbean (LAC) includes Mexico, Asia-Pacific (AP) includes Australia, New Zealand, and the Pacific islands, and all the post-Soviet states are included in Europe (EU). AP is bigger than all the other regions together in terms of population and also in terms of additional resources needed. The weighted GNI per capita is US$ 2,086 for AF, US$ 6,343 for AP, US$ 9,863 for LAC, US$ 25,225 for EU, and US$ 54,140 for NA. This is an important observation, as the scale of salaries and training costs used by the GTFRCC was fixed for each income group, but the reality shows that there are big differences between the same income group in different regions (Zubizarreta E et al. Analysis of global radiotherapy needs and costs by geographic region and income level. Clinical Oncology 2017, 29). According to IAEA-DIRAC there are 13,133 megavoltage machines worldwide, of which cobalt machines represent 15%, and the total number required is 16,666, but NA has near the double of machines needed. Assuming working days of 12 hs. AF covers 34% of its needs, AP 61%, EU 92%, and LAC 88%. Globally, 73% of the needs are covered worldwide.
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International Atomic Energy Agency, Division of Human Health, Vienna (Austria); 307 p; 2017; p. 288-289; ICARO2: International Conference on Advances in Radiation Oncology; Vienna (Austria); 20-23 Jun 2017; Also available on-line: https://humanhealth.iaea.org/HHW/RadiationOncology/ICARO2/Book_of_Synopses.pdf; 2 figs.
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