Journal
CURRENT ONCOLOGY REPORTS
Volume 18, Issue 4, Pages -Publisher
SPRINGER
DOI: 10.1007/s11912-016-0508-y
Keywords
Brachytherapy; Gynecologic cancer; Cervical cancer; Vaginal cancer; Utilization; Intensity-modulated radiotherapy
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Funding
- PHS HHS [R21 167800] Funding Source: Medline
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Despite its established efficacy, brachytherapy is underused in the management of cervical and vaginal cancers in some parts of the world. Possible reasons for the underutilization of brachytherapy include the adoption of less invasive techniques, such as intensity-modulated radiotherapy; reimbursement policies favoring these techniques over brachytherapy; poor physician or patient access to brachytherapy; inadequate maintenance of brachytherapy skills among practicing radiation oncologists; transitioning to high-dose-rate (HDR) brachytherapy with increased time requirements; and insufficient training of radiation oncology residents.
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