Trends in the Utilization of Brachytherapy in Cervical Cancer in the United States
Citations
679 citations
Cites background from "Trends in the Utilization of Brachy..."
...Only 20 of the 52 African countries had brachytherapy in 2010.(54,66) Of 12 centers in Latin America, 3 do not perform gynecological brachytherapy....
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...Of 12 centers in Latin America, 3 do not perform gynecological brachytherapy.(54) One high-dose rate brachytherapy machine can treat approximately 10 to 12 patients per day....
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...including the ability to deliver a locally high and conformal dose to the site of disease with a rapid dose fall-off, thereby sparing adjacent structures such as the bladder, rectum, sigmoid, and small bowel.(54) Brachytherapy remains unavailable in many countries....
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...74).(54) A similar study of the National Cancer Data Base found brachytherapy use decreased from 97% in 2004 to 86% in 2011....
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492 citations
Cites background from "Trends in the Utilization of Brachy..."
...BT is a crucial component and has been shown to be an essential independent treatment factor associated with improved pelvic control [2] and overall survival [2,3]....
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...In the SEER analysis 2000–2009, the 5-year OS was 54% (n = 3246) [3]....
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246 citations
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Cites background or result from "Trends in the Utilization of Brachy..."
...Many studies, including that by Han et al (1, 2, 4), demonstrate the critical importance of brachytherapy in treatment of cervical cancer....
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...Han et al (1) observed a decline in SEER reporting of the use of brachytherapy starting in 2002 that persisted throughout the duration of the study until 2008....
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...The data from Han et al (1) suggest that clinicians continue to ignore past experience, perhaps once again seduced by new EBRT technologies, such as intensity modulated radiation therapy (IMRT) and stereotactic body RT (SBRT), into believing that these techniques could replace brachytherapy in the treatment of cervical cancer....
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...It therefore comes as no surprise that the recent study by Han et al (1) demonstrated a poorer survival rate when brachytherapy was not applied....
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...PCSs from 1996 to 1999 (4) and 2005 to 2007 (5) indicate rates of brachytherapy use of approximately 90% during those periods, higher than the 70%80% and 60% rates, respectively, reported by Han et al (1)....
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References
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