The financial impact on reimbursement of moderately hypofractionated postoperative radiation therapy for breast cancer : an international consortium report
Autor: | Reshma Jagsi, Birgitte Vrou Offersen, C. Coles, Tarek Hijal, Yvonne Zissiadis, S.H.-C. Cheng, Philip Poortmans, Gustavo Nader Marta, Orit Kaidar-Person, Anna M. Kirby, Icro Meattini, D. Ramiah, Jean Philippe Pignol, G. Sancho, Alice Y. Ho |
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Přispěvatelé: | Coles, Charlotte [0000-0003-4473-8552], Apollo - University of Cambridge Repository |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Breast cancer health economics hypofractionation radiation therapy reimbursement Breast Neoplasms 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine Remuneration Humans Radiology Nuclear Medicine and imaging Breast Prospective Studies Prospective cohort study Reimbursement Health economics business.industry Financial impact Postoperative radiation medicine.disease Radiation therapy Oncology 030220 oncology & carcinogenesis Family medicine Female Radiation Dose Hypofractionation Dose Fractionation Radiation Human medicine business |
Zdroj: | Clinical oncology CLINICAL ONCOLOGY r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau instname Marta, G N, Ramiah, D, Kaidar-Person, O, Kirby, A, Coles, C, Jagsi, R, Hijal, T, Sancho, G, Zissiadis, Y, Pignol, J P, Ho, A Y, Cheng, S H C, Offersen, B V, Meattini, I & Poortmans, P 2021, ' The Financial Impact on Reimbursement of Moderately Hypofractionated Postoperative Radiation Therapy for Breast Cancer : An International Consortium Report ', Clinical Oncology, vol. 33, no. 5, pp. 322-330 . https://doi.org/10.1016/j.clon.2020.12.008 |
ISSN: | 0936-6555 |
Popis: | Aims: Moderately hypofractionated breast irradiation has been evaluated in several prospective studies, resulting in wide acceptance of shorter treatment protocols for postoperative breast irradiation. Reimbursement for radiation therapy varies between private and public systems and between countries, impacting variably financial considerations in the use of hypofractionation. The aim of this study was to evaluate the financial impact of moderately hypofractionated breast irradiation by reimbursement system in different countries. Materials and methods: The study was designed by an international group of radiation oncologists. A web-questionnaire was distributed to representatives from each country. The participants were asked to involve the financial consultant at their institution. Results: Data from 13 countries from all populated continents were collected (Europe: Denmark, France, Italy, the Netherlands, Spain, UK; North America: Canada, USA; South America: Brazil; Africa: South Africa; Oceania: Australia; Asia: Israel, Taiwan). Clinicians and/or departments in most of the countries surveyed (77%) receive remuneration based on the number of fractions delivered to the patient. The financial loss per patient estimated resulting from applying moderately hypofractionated breast irradiation instead of conventional fractionation ranged from 5-10% to 30-40%, depending on the healthcare provider. Conclusion: Although a generalised adoption of moderately hypofractionated breast irradiation would allow for a considerable reduction in social and economic burden, the financial loss for the healthcare providers induced by fee-for-service remuneration may be a factor in the slow uptake of these regimens. Therefore, fee-for-service reimbursement may not be preferable for radiation oncology. We propose that an alternative system of remuneration, such as bundled payments based on stage and diagnosis, may provide more value for all stakeholders. (C) 2020 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved. |
Databáze: | OpenAIRE |
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