Post on 19-Jun-2020
6/26/2014
1
Building a Global Brachytherapy Community
• Andre‐Guy Martin, MD, MSc, FRCP and Tim R. Williams, MD– The Need for a Global Brachytherapy Community
– The International Cancer Expert Corps
– The GEC‐ESTRO Perspective on the Globalization of Brachytherapy
– Brachytherapy In China
– The Concept of a Global Brachytherapy Community
– Panel Discussion
– Contact information for LinkedIn Group
Global Brachytherapy Macroeconomics
Tim R. Williams, MDMedical Director, Radiation Oncology
The Lynn Cancer InstituteBoca Raton, Florida
6/26/2014
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Selected Countries:Greater than four month weight for elective surgery
Blandon, et al, Health Affairs 21(3):182(2002) www.healthaffairs.org
6/26/2014
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Advanced Technology in CanadaInterventional Procedures
Baerlocher, CMAJ 176(5):616 (2007)
Advanced Technology in Canada
• Complex mix of decentralized national, provincial, and local authorities
• At the federal level regulatory approval comes from• At the federal level, regulatory approval comes from the Therapeutic Products Directorate of Health Canada
• Requires manufacturers to submit scientific data on safety, efficacy, and quality
• Health Technology Assessment organizations have been established at many provincial and local levelsbeen established at many provincial and local levels to “assist” hospitals and other agencies with adoption decisions
6/26/2014
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New Technology in the UK
• NICE – National Institute for Clinical Evidence
• NASTY – Not Available So Treat YourselfSo Treat Yourself
http://nursesforreform.wordpress.com/2006/11/06/so‐long‐as‐nice‐is‐nasty‐you‐will‐only‐pay‐twice/
Advanced Technology in the UK
http://www.publications.parliament.uk/pa/cm200405/cmselect/cmhealth/398/398i.pdf
6/26/2014
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Health Spending in Central and East Europe
Waters et al, Health Affairs 27(3):478 (2008) www.healthaffairs.org
Asian Countries: Out of Pocket Expenses
Yip and Hsiao, Health Affairs 23(3):10 (2008) www.healthaffairs.org
6/26/2014
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Selected Countries:Overall Satisfaction with Health Care System
Blandon, et al, Health Affairs 21(3):182(2002). www.healthaffairs.org
Global Radiation center and Brachy center development
7,000
8,000
2,000
3,000
4,000
5,000
6,000
0
1,000
2007 2008 2009 2010 2011 2012 E 2013 E 2014
Global RC Global BC
NUC‐T584‐02Source: Nucletron internal survey estimates afterloaders excluding electronic Brachy .
6/26/2014
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Global Radiation/Brachytherapy center development and afterloader installed base.
7000
8000
7,000
8,000
2000
3000
4000
5000
6000
2,000
3,000
4,000
5,000
6,000
# afterload
ers
radiation/brachytherap
y centers
0
1000
0
1,000
2007 2008 2009 2010 2011 2012 E 2013 E 2014
#
Afterloaders Radation centers Brachy centers
NUC‐T584‐02Source: Nucletron internal survey estimates afterloaders excluding electronic Brachy .
Global Brachytherapy market adoption decreased from 45% in 2010 to 44% in 2011. Number of Brachy centers in APAC decreased the most, mainly in China.
Europe/Aflame 201149%
Global 2011
RNA 2010
RNA 2011
APAC 2010
APAC 2011
Europe/Aflame 2010
44%
42%
46%
37%
44%
48%
NUC‐T584‐02
0 1000 2000 3000 4000 5000 6000 7000
Global 2010
Global 2011
Radiation center with Brachy facility Radiation Centers
45%
Source: Nucletron internal survey estimates afterloaders excluding electronic Brachy .
6/26/2014
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Brachy center development by region
1,200
1,400
400
600
800
1,000
0
200
2007 2008 2009 2010 2011 2012 E 2013 E 2014
RNA BC E+A BC APAC BC
NUC‐T584‐02Source: Nucletron internal survey estimates afterloaders excluding electronic Brachy .
Brachy adoption development
50%
55%
60%
15%
20%
25%
30%
35%
40%
45%
50%
0%
5%
10%
2007 2008 2009 2010 2011 2012 E 2013 E 2014
Global RNA Europe&Aflame APAC
NUC‐T584‐02Source: Nucletron internal survey estimates afterloaders excluding electronic Brachy .
6/26/2014
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Global brachy adoption is 44% of RT sites. Large overall RT adoption unmet need exists in emerging markets (2011)
7
Radiation/Brachy centers and afterloaders per million inhabitants
1
2
3
4
5
6
# per m
illion inhab
itan
ts
0
World Asia Europe NA Latam ME ANZ
Radiation centers per million inhabitants Brachy centers per million inhabitants
Afterloaders per million inhabitants
17
Building a Global Brachytherapy Community
• Andre‐Guy Martin, MD, MSc, FRCP and Tim R. Williams, MD
– The Need for a Global Brachytherapy Community
– The International Cancer Expert Corps
– The GEC‐ESTRO Perspective on the Globalization of Brachytherapy
– Brachytherapy In Chinay py
– The Concept of a Global Brachytherapy Community
– Panel Discussion
– Contact information for LinkedIn Group
6/26/2014
10
Linkedin BrachyNext User’s 2014 Group
• Log on to Linkedin.com
• Search “BrachyNext2014”
• Click “Join”
• Post a question, start a conversation, request information, search for equipment, establish a cooperative relationship with another center
• And much more!
6/26/2014
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Linkedin BrachyNext 2014 Group