Are there enough radiation oncologists to lead the new Spanish radiotherapy?
Por:
Rodriguez, A, Arenas, M, Lara, P, Lopez-Torrecilla, J, Algara, M, Conde, A, Perez-Montero, H, Munoz, J, Peleteiro, P, Perez-Calatayud, M, Contreras, J, Ferrer, C, Ortiz, M, Exposito, J, Palacios, A, Herruzo, I, Medina, J, Martinez, M, Bayo, E, Jaen, J, Peracaula, F, Perez, C, Ramos, M, Gonzalez, J, Begara, J, Nuno, C, Bezares, A, Serradilla, A, Lazo, A, Tejedor, M, Mendez, L, Juan, G, Olay, L, Pardo, J, Noe, A, Mestre, F, Oton, C, Fuentes, C, Prada, P, Perez, L, Lozano, E, Villas, M, Tripero, J, Lobo, R, Munoz, M, Tisaire, J, Fernandez, J, Teijeira, M, Rodriguez, J, Perez-Romasanta, L, Lopez, F, Rodriguez, D, Ceballos, A, Cantalapiedra, R, Biete, A, Craven, J, Pedro, A, Giralt, J, Guedea, F, Villa, S, Sole, J, Eraso, A, Carceller, J, Guix, B, Miralbell, R, Casals, J, Gonzalez, P, Duarte, M, Jerez, J, Marino, A, Gomez-Caamano, A, Munoz, V, Lopez, M, Zugazabeitia, L, Torrado-Moya, L, Ossola, G, Morera, R, Murillo, M, Sancho, S, Perez-Regadera, J, Lozano, M, Vazquez, G, Lopez, E, de la Fuente, C, Samper, P, Ludena, B, Saez, J, Azinovic, I, Rubio, C, del Cerro, E, Carballo, N, Sotoca-Ruiz, A, Garcia, R, Salinas, J, Fondevilla, A, Martinez-Monge, R, Martinez, E, Alia, A, Ciria, J, Rosa, J, Bilbao, P, Martin, J, Casquero, F, Arribas, L, Tormo, A, Ferrer, E, Larrea, L, Soler, M, Garcia, E, Soler, P, Santos, M, Vazquez, G, Canon, R, Miro, A and Spanish Soc Oncology Radiotherapy
Publicada:
1 dic 2019
Resumen:
Aim Radiation oncology services in Spain are undergoing a process of technical modernization, but-in a context of increasing demand by an ageing population-it is unclear whether there are enough radiation oncologists to staff the newly equipped units. This study aims to assess the number of specialists working in radiation oncology services in Spain relative to current and future needs. Materials and methods In the second half of 2017, the Commission on Infrastructures of the Spanish Society for Radiation Oncology (SEOR) sent a questionnaire on radiation oncology staff to the heads of all 122 public (n = 76, 62%) and private (n = 46, 38%) radiation oncology services in Spain. Data collected were the number of professionals, their position, and their year of birth for specialists and residents in each service. In the descriptive analysis, for continuous variables we calculated means, standard deviations and ranges for each Spanish region and work post. For qualitative variables, we constructed frequency tables. All analyses were performed with R statistical software, version 3.5.1. Results The survey response rate was 100% among service heads across all 122 centers. The total number of radiation oncologists working in these centers is 721, or 15.4 per million population, with considerable variations between regions. Given the national recommendations to have 20 radiation oncologists per million population, there is currently a deficit of 204 specialists. If the 163 upcoming retirements are also taken into account, there will be 367 fewer radiation oncologists than required to meet the 25% increase in indications for radiotherapy projected for 2025. Conclusions The classic model for calculating staff needs based on the number of treatments is outdated, and recommendations should be revised to reflect the current reality. A new model should integrate the most complex technological advances and emerging plans in radiotherapy, without neglecting the other activities carried out in radiation oncology services that are not directly linked to patient care.
Filiaciones:
Rodriguez, A:
Hosp Ruber Int, Dept Radiat Oncol, Calle Maso 38, Madrid 28034, Spain
Arenas, M:
Hosp Univ Sant Joan de Reus, Dept Radiat Oncol, Avinguda Doctor Josep Laporte 2, Tarragona 43204, Spain
Univ Rovira & Virgili, Tarragona, Spain
Lara, P:
Hosp Univ San Roque, Dept Radiat Oncol, Calle Dolores de la Rocha 5, Las Palmas Gran Canaria 35001, Spain
Univ Fernando Pessoa Canarias, Las Palmas Gran Canaria, Spain
Lopez-Torrecilla, J:
ERESA Hosp Gen Univ, Dept Radiat Oncol, Calle Casa Misericordia 12, Valencia 46014, Spain
Algara, M:
Hosp del Mar, Dept Radiat Oncol, Passeig Maritim de la Barceloneta 25,29, Barcelona 08003, Spain
Univ Autonoma Barcelona, Bellaterra, Spain
Conde, A:
Hosp Univ & Politecn La Fe, Dept Radiat Oncol, Avda Fernando Abril Martorell 106, Valencia 46026, Spain
Perez-Montero, H:
Inst Catalan Oncol, Avda Gran Via Hospitalet 199-203, Barcelona 08908, Spain
Munoz, J:
Hosp Univ Badajoz, Dept Radiat Oncol, Ave Elvas S-N, Badajoz 06080, Spain
Peleteiro, P:
Hosp Clin Univ Santiago de Compostela, C Choupana S-N, La Coruna 15706, Spain
Perez-Calatayud, M:
Hosp Univ & Politecn La Fe, Dept Radiat Oncol, Avda Fernando Abril Martorell 106, Valencia 46026, Spain
Contreras, J:
Hosp Reg Malaga, Dept Radiat Oncol, Avda Carlos Haya, Malaga 29006, Spain
Ferrer, C:
Consorcio Hosp Prov Castellon, Dept Radiat Oncol, Avda Dr Clara 19, Castellon de La Plana 12002, Spain
Ortiz, M:
Hosp Univ Virgen del Rocio, Seville, Spain
Exposito, J:
Hosp Univ Virgen de las Nieves, Granada, Spain
Palacios, A:
Hosp Univ Reina Sofia, Cordoba, Spain
Herruzo, I:
Hosp Reg Univ Carlos Haya, Malaga, Spain
Medina, J:
Hosp Univ Virgen de la Victoria, Malaga, Spain
Martinez, M:
Complejo Hosp Jaen, Jaen, Spain
Bayo, E:
Hosp Juan Ramon Jimenez, Huelva, Spain
Hosp Virgen Macarena, Seville, Spain
Jaen, J:
Hosp Puerta del Mar, Cadiz, Spain
Peracaula, F:
Hosp Punta Europa, Cadiz, Spain
Perez, C:
Complejo Hosp Torrecardenas, Almeria, Spain
Ramos, M:
Clin Infanta Luisa, Seville, Spain
Gonzalez, J:
Inst Oncol Cartuja, Seville, Spain
Begara, J:
Clin Xanit Limonar, Malaga, Spain
Nuno, C:
Clin Xanit Benalmadena, Malaga, Spain
Bezares, A:
Clin Radon Algeciras, Cadiz, Spain
Serradilla, A:
Clin Radon Jerez de la Frontera, Cadiz, Spain
Lazo, A:
Oncosur San Juan de Dios, Cordoba, Spain
Tejedor, M:
Hosp Univ Miguel Servet, Zaragoza, Spain
Mendez, L:
IMOMA, Oviedo, Spain
Juan, G:
Fdn Hosp Jove, Asturias, Spain
Olay, L:
Hosp Univ Cent Asturias, Oviedo, Spain
Pardo, J:
Hosp Univ Son Espases, Palma De Mallorca, Spain
Noe, A:
Hosp Can Misses, Ibiza, Spain
Mestre, F:
Policlin Miramar, Palma De Mallorca, Spain
Oton, C:
Hosp Univ Canarias, Tenerife, Spain
Fuentes, C:
Hosp Univ Nuestra Senora Candelaria, Tenerife, Spain
Prada, P:
Hosp Univ Marques de Valdecilla, Santander, Spain
Perez, L:
Clin Mompia, Santander, Spain
Lozano, E:
Hosp Gen Ciudad Real, Ciudad Real, Spain
Villas, M:
Complejo Hosp Univ, Albacete, Spain
Tripero, J:
Grp GenesisCare, Guadalajara, Spain
Lobo, R:
Grp GenesisCare, Toledo, Spain
Munoz, M:
Grp GenesisCare, Toledo, Spain
Tisaire, J:
Hosp Univ Jerez de la Frontera, Cadiz, Spain
Fernandez, J:
IVO, Cuenca, Spain
Teijeira, M:
Hosp Univ, Burgos, Spain
Rodriguez, J:
Complejo Asistencial Leon, Leon, Spain
Perez-Romasanta, L:
Hosp Clin Univ, Salamanca, Spain
Lopez, F:
Hosp Clin Univ, Valladolid, Spain
Rodriguez, D:
Hosp Clin Univ, Valladolid, Spain
Ceballos, A:
Complejo Asistencial Zamora, Zamora, Spain
Cantalapiedra, R:
Hosp Campo Grande, Valladolid, Spain
Biete, A:
Hosp Clin Univ, Barcelona, Spain
Craven, J:
Hosp Creu & St Pau, Barcelona, Spain
Clin Corachan, Barcelona, Spain
Pedro, A:
Hosp PLATO, Barcelona, Spain
Giralt, J:
Hosp Valle De Hebron, Barcelona, Spain
Guedea, F:
Hosp Duran & Reinals ICO, Barcelona, Spain
Villa, S:
Hosp Badalona, Barcelona, Spain
Sole, J:
Hosp Gen Cataluna, Barcelona, Spain
Eraso, A:
Hosp Univ Gerona, Girona, Spain
Carceller, J:
Hosp Arnau Vilanova, Lerida, Spain
Guix, B:
IMOR, Barcelona, Spain
Miralbell, R:
Ctr Med Teknon, Barcelona, Spain
Casals, J:
Hosp Quiron, Barcelona, Spain
Gonzalez, P:
Hosp Merida, Badajoz, Spain
Duarte, M:
Hosp Virgen del Puerto, Caceres, Spain
Jerez, J:
Clin San Miguel, Caceres, Spain
Marino, A:
Ctr Oncol Galicia, La Coruna, Spain
Gomez-Caamano, A:
Hosp Univ Santiago de Compostela, La Coruna, Spain
Munoz, V:
Hosp Mexoeiro de Vigo, Pontevedra, Spain
Lopez, M:
Complejo Hosp Orense, Orense, Spain
Zugazabeitia, L:
POVISA Vigo, Pontevedra, Spain
Torrado-Moya, L:
Hosp Univ Lugo, Lugo, Spain
Ossola, G:
Hosp San Pedro, Logrono, Spain
Morera, R:
Hosp Univ La Paz, Madrid, Spain
Murillo, M:
Hosp Univ La Princesa, Madrid, Spain
Sancho, S:
Hosp Univ Ramon & Cajal, Madrid, Spain
Perez-Regadera, J:
Hosp Univ Doce Octubre, Madrid, Spain
Lozano, M:
Hosp Univ Gregorio Maranon, Madrid, Spain
Vazquez, G:
Hosp Clin San Carlos, Madrid, Spain
Hosp Univ San Juan, Alicante, Spain
Lopez, E:
Fdn Jimenez Diaz, Madrid, Spain
de la Fuente, C:
Hosp Univ Puerta de Hierro, Madrid, Spain
Samper, P:
Hosp Rey Juan Carlos, Madrid, Spain
Ludena, B:
Hosp Univ Fuenlabrada, Madrid, Spain
Saez, J:
Hosp Cent Def Gomez Ulla, Madrid, Spain
Azinovic, I:
Grp Genesis Care, Madrid, Spain
Rubio, C:
CIOCC, Madrid, Spain
del Cerro, E:
Hosp Quiron, Madrid, Spain
Carballo, N:
MD Anderson, Madrid, Spain
Sotoca-Ruiz, A:
Hosp Ruber Int, Madrid, Spain
:
Hosp Univ Virgen de la Arrixaca, Murcia, Spain
Salinas, J:
Hosp Gen Univ Cartagena, Murcia, Spain
Fondevilla, A:
Inst Oncol Sudeste, Murcia, Spain
Martinez-Monge, R:
Clin Univ Navarra, Pamplona, Spain
Martinez, E:
Complejo Hosp Navarra, Pamplona, Spain
Alia, A:
Hosp Txagorritxu, Vitoria, Spain
Ciria, J:
Hosp Univ Donostia, San Sebastian, Spain
Rosa, J:
Inst Oncol San Sebastian, San Sebastian, Spain
Bilbao, P:
Hosp Univ Cruces, Bilbao, Spain
Martin, J:
Hosp Univ Basurto, Bilbao, Spain
Casquero, F:
Hosp Quiron, Bilbao, Spain
Arribas, L:
Inst Valenciano Oncol, Valencia, Spain
Tormo, A:
Hosp Univ La Fe, Valencia, Spain
Ferrer, E:
Hosp Clin, Valencia, Spain
:
Clin Virgen del Consuelo, Valencia, Spain
:
Hosp Univ Ribera, Valencia, Spain
Garcia, E:
Hosp Univ Elche, Alicante, Spain
Soler, P:
Hosp IMED Elche, Alicante, Spain
Santos, M:
Hosp Benidorm, Alicante, Spain
:
Hosp Clin San Carlos, Madrid, Spain
Hosp Univ San Juan, Alicante, Spain
Canon, R:
Hosp Quiron Torrevieja, Alicante, Spain
Miro, A:
Hosp Vithas Perpetuo Socorro, Alicante, Spain
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