Patients Treated with Leksell Gamma Knife ® 1968-2014.
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Transcript of Patients Treated with Leksell Gamma Knife ® 1968-2014.
Patients Treated with Leksell Gamma Knife®
1968-2014
2
• Global Statistics Slide Number
Cumulative volume3
Indications treated annually 4 2014 regional volume
5 Average regional volume
6 Global case mix by year
7 Cumulative regional case mix 8 2014 case mix
9 Cumulative case mix
10 Cumulative indications treated 11 Indications treated 2014
12 Case mix by country
13 Indications fractionated 2014 43
• Indication-Specific Statistics
Vascular Disorders16
Functional Disorders21
Ocular Disorders 26 Benign Tumors
30 Malignant Tumors
37
• Region & Country Statistics
Asia (excluding Japan) Cumulative volume
46 Indications treated annually 47 Cumulative case mix
48 Cumulative indications treated 49 2014 volume
50 China cumulative volume
51 China case mix
52 South Korea cumulative volume 53 South Korea case mix
54 Taiwan cumulative volume
55 Taiwan case mix
56
TABLE OF CONTENTS North America Cumulative volume
58 Indications treated annually 59 Cumulative case mix
60 Cumulative indications treated 61 2014 volume
62 United States cumulative volume 63 United States case mix
64
Japan Cumulative volume
66 Indications treated annually 67 Cumulative case mix
68 Cumulative indications treated 69 2014 volume
70
Latin America Cumulative volume
72 Indications treated annually 73 Cumulative case mix
74 Cumulative indications treated 75 2014 volume
76
Europe Cumulative volume
78 Indications treated annually 79 Cumulative case mix
80 Cumulative indications treated 81 2014 volume
82 Turkey cumulative volume
83 Turkey case mix
84 United Kingdom cumulative volume
85 United Kingdom case mix
86
Middle East & Africa Cumulative volume
88 Indications treated annually 89 Cumulative case mix
90 Cumulative indications treated 91 2014 volume
92
• Please note that making detailed year over year comparisons is not advised due to the annual variability in number of centers reporting. The percent of centers reporting has ranged from 68% to 100%. The rate for 2014 is 95%.
• Data for specific countries is only provided for those countries with 7 or more Gamma Knives.
• The Society has increasingly improved the specificity of indication-specific reporting to allow for a more refined representation of clinical practice. For example, Essential Tremor treatments were reported within 'Other Functional Disorders' prior to 2012, but separately for the past three years.
• Please reference the Leksell Gamma Knife® Society when using or distributing the data in this presentation and do not hesitate to contact the Secretariat for any questions regarding the data.
CAVEATS
3
Leksell Gamma Knife®
OVER 884,000 PATIENTS TREATED THROUGH 2014, WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
4
Leksell Gamma Knife®
INDICATIONS TREATED ANNUALLY THROUGH 2014, WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
5
Leksell Gamma Knife®
TOTAL NUMBER OF TREATMENTS BY REGION 2014
95% centers reporting
17.6321.070
21.536
2.950
12.448
18.608
6
Leksell Gamma Knife®
AVERAGE NUMBER OF PERFEXION TREATMENTS PER REGION AND CENTER 2014
AVERAGE NUMBER OF TREATMENTS PER CENTER WORLDWIDE:
293
US: 183Canada: 316
95% centers reporting
7
Leksell Gamma Knife®
GLOBAL CASE MIX BY YEAR
13%
27%
49%46
%38%
33%
36%34%
34%
40% 42% 45%48% 46
%45%
46%
46% 43
%
44%
43%
46%
45%
47% 43
%
44%
33%
31%38%
42% 41%42%
39%35%37%
34% 31% 33% 32% 33% 35% 35% 35% 35% 38% 39% 39% 39% 39% 40%51%
40%
27%22% 19% 18% 16% 14% 13% 12% 11% 11% 10% 11% 11% 11% 10% 10% 10% 11% 10% 10% 10% 10%
3% 1% 2%1%
2% 3%1%
4% 6% 8% 9% 8% 9% 9% 9% 9% 8% 8% 8% 8% 7%
1%7% 7% 7% 7% 7%
68-100% centers reporting1991 reflects cumulative numbers
8
Leksell Gamma Knife®
CASE MIX FOR 1991 – 2014 BY REGION
27%
16%
31%
15%
71%
7%
21%
30%
13%
15%
49%
7%
51%
5%
46%
6%
20%
2% 1%
41%
6% 1%
67%
4%
28%
16%
68-100% centers reporting1991 reflects cumulative numbers
9
Leksell Gamma Knife®
CASE MIX FOR 2014 BY REGION
29%
32%
76%
24% 17
%
57%
52%
49%
18%
47%
67%
25%
15%
11%
5%
19%
12% 4%
5%
6%
9%
5% 13
%
1%
1%
1%
95% centers reporting
10
Leksell Gamma Knife®
TREATMENTS BY INDICATION 1991 – 2014, WORLDWIDE
325.009
386.895
3.317
64.995
103.991
68-100% centers reporting1991 reflects cumulative numbers
11
Leksell Gamma Knife®
INDICATIONS TREATED 1991 – 2014, WORLDWIDE
*Essential Tremor treatments reported as Other Functional Disorders prior to 2012
*
68-100% centers reporting1991 reflects cumulative numbers
12
Leksell Gamma Knife®
INDICATIONS TREATED 2014, WORLDWIDE
95% centers reporting
13
Leksell Gamma Knife®
CASE MIX BY COUNTRY 2014
CHINA JAPAN SOUTH KOREA
2%
95% centers reporting
14
Leksell Gamma Knife®
CASE MIX BY COUNTRY 2014
TAIWAN UNITED KINGDOM
2.2%
95% centers reporting
15
Leksell Gamma Knife®
CASE MIX BY COUNTRY 2014
UNITED STATES TURKEY
2%
95% centers reporting
16
Leksell Gamma Knife®
VASCULAR DISORDERS, CUMULATIVE PATIENTS TREATED WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
17
Leksell Gamma Knife®
VASCULAR DISORDERS, CUMULATIVE PATIENTS TREATED WORLDWIDE
86.987
353
5.905
10.136
610
68-100% centers reporting1991 reflects cumulative numbers
18
Leksell Gamma Knife®
VASCULAR DISORDERS TREATED ANNUALLY, WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
19
5.352
Leksell Gamma Knife®
VASCULAR DISORDERS, PATIENTS TREATED 2014 WORLDWIDE
1.393
268172
4
2.4%
95% centers reporting
20
Leksell Gamma Knife®
ARTERIOVENOUS MALFORMATIONS, CUMULATIVE PATIENTS TREATED WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
21
Leksell Gamma Knife®
FUNCTIONAL DISORDERS, CUMULATIVE PATIENTS TREATED WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
22
Leksell Gamma Knife®
FUNCTIONAL DISORDERS, CUMULATIVE PATIENTS TREATED WORLDWIDE
56.617
2.824
2.110
1.531
787475
267105
8275
65
1823
103
*
68-100% centers reporting1991 reflects cumulative numbers
2.4%
*Essential Tremor treatments reported as Other Functional Disorders prior to 2012
23
Leksell Gamma Knife®
FUNCTIONAL DISORDERS TREATED ANNUALLY, WORLDWIDE
*
68-100% centers reporting1991 reflects cumulative numbers
*Essential Tremor treatments reported as Other Functional Disorders prior to 2012
24
Leksell Gamma Knife®
FUNCTIONAL DISORDERS, PATIENTS TREATED 2014 WORLDWIDE
4.468
195
1623834
3428
2721
126
14
2
95% centers reporting
25
Leksell Gamma Knife®
TRIGEMINAL NEURALGIA, CUMULATIVE PATIENTS TREATED WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
26
Leksell Gamma Knife®
OCULAR DISORDERS, CUMULATIVE PATIENTS TREATED WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
27
Leksell Gamma Knife®
OCULAR DISORDERS, CUMULATIVE PATIENTS TREATED WORLDWIDE
350
321
2.646
68-100% centers reporting1991 reflects cumulative numbers
28
Leksell Gamma Knife®
OCULAR DISORDERS TREATED ANNUALLY, WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
29
Leksell Gamma Knife®
OCULAR DISORDERS, PATIENTS TREATED 2014 WORLDWIDE
227
33
3
95% centers reporting
30
Leksell Gamma Knife®
BENIGN TUMORS, CUMULATIVE PATIENTS TREATED WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
31
Leksell Gamma Knife®
BENIGN TUMORS, CUMULATIVE PATIENTS TREATED WORLDWIDE
125.760
85.32463.692
9.189
8.277
6.254
5.5275.194
3.9123.341
3.3112.869
1.985
12090
164
68-100% centers reporting1991 reflects cumulative numbers
1.9%
1.7%
32
Leksell Gamma Knife®
BENIGN TUMORS TREATED ANNUALLY, WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
33
Leksell Gamma Knife®
BENIGN TUMORS, PATIENTS TREATED 2014 WORLDWIDE
7.632
13.031
4.459
881
749
512422
396306
251237
164158
917045
1.7%
95% centers reporting
34
Leksell Gamma Knife®
MENINGIOMA, CUMULATIVE PATIENTS TREATED WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
35
Leksell Gamma Knife®
VESTIBULAR SCHWANNOMA, CUMULATIVE PATIENTS TREATED WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
36
Leksell Gamma Knife®
PITUITARY ADENOMAS, CUMULATIVE PATIENTS TREATED WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
37
Leksell Gamma Knife®
MALIGNANT TUMORS, CUMULATIVE PATIENTS TREATED WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
38
Leksell Gamma Knife®
MALIGNANT TUMORS, CUMULATIVE PATIENTS TREATED WORLDWIDE
386.895
250334
1.0792.032
13.055
35.141
68-100% centers reporting1991 reflects cumulative numbers
39
Leksell Gamma Knife®
MALIGNANT TUMORS TREATED ANNUALLY, WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
40
Leksell Gamma Knife®
MALIGNANT TUMORS, PATIENTS TREATED 2014 WORLDWIDE
29.405
3969
135184
985
1.530
95% centers reporting
41
Leksell Gamma Knife®
METASTATIC TUMOR, CUMULATIVE PATIENTS TREATED WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
42
Leksell Gamma Knife®
GLIAL TUMOR, CUMULATIVE PATIENTS TREATED WORLDWIDE
68-100% centers reporting1991 reflects cumulative numbers
43
Leksell Gamma Knife®
INDICATIONS FRACTIONATED 2014, USING THE LEKSELL FRAME OR WITH EXTEND™
40
210
362
51 centers reporting
44
Leksell Gamma Knife®
INDICATIONS FRACTIONATED 2014, USING THE LEKSELL FRAME OR WITH EXTEND™
51 centers reporting
Asia excluding Japan1990 - 2014
PATIENTS TREATEDWITH LEKSELL GAMMA KNIFE®
46
Leksell Gamma Knife®
OVER 235,000 PATIENTS TREATED THROUGH 2014ASIA (excluding Japan)
68-100% centers reporting1991 reflects cumulative numbers
47
Leksell Gamma Knife®
INDICATIONS TREATED ANNUALLYASIA (excluding Japan)
68-100% centers reporting1991 reflects cumulative numbers
48
Leksell Gamma Knife®
CASE MIX 1991 - 2014ASIA (excluding Japan)
355
12.412
39.02364.698
120.246
68-100% centers reporting1991 reflects cumulative numbers
49
Leksell Gamma Knife®
INDICATIONS TREATED 1991 – 2014, ASIA (excluding Japan)
*
68-100% centers reporting1991 reflects cumulative numbers
*Essential Tremor treatments reported as Other Functional Disorders prior to 2012
50
Leksell Gamma Knife®
CASE MIX 2014ASIA (excluding Japan)
21
1.120 11.103
3.127
6.165
100% centers reporting
51
Leksell Gamma Knife®
OVER 157,000 PATIENTS TREATED THROUGH 2014CHINA
68-100% centers reporting1991 reflects cumulative numbers
52
Leksell Gamma Knife®
CASE MIX 1991 - 2014CHINA
9.129
82.592
42.368
289
23.362
68-100% centers reporting1991 reflects cumulative numbers
53
Leksell Gamma Knife®
OVER 42,000 PATIENTS TREATED THROUGH 2014SOUTH KOREA
68-100% centers reporting1991 reflects cumulative numbers
54
Leksell Gamma Knife®
CASE MIX 1991 - 2014SOUTH KOREA
16.302
17.991
50
7.326
1.216
68-100% centers reporting1991 reflects cumulative numbers
55
Leksell Gamma Knife®
OVER 13,000 PATIENTS TREATED THROUGH 2014TAIWAN
68-100% centers reporting
56
Leksell Gamma Knife®
CASE MIX 1993 - 2014TAIWAN
1.055
3.034
12
6.549
2.981
68-100% centers reporting
57
North America1987 - 2014
PATIENTS TREATEDWITH LEKSELL GAMMA KNIFE®
58
Leksell Gamma Knife®
OVER 225,000 PATIENTS TREATED THROUGH 2014NORTH AMERICA
68-100% centers reporting1991 reflects cumulative numbers
59
Leksell Gamma Knife®
INDICATIONS TREATED ANNUALLYNORTH AMERICA
68-100% centers reporting1991 reflects cumulative numbers
60
Leksell Gamma Knife®
CASE MIX 1991 - 2014NORTH AMERICA
63.547
35.604
16.703109.738
128
68-100% centers reporting1991 reflects cumulative numbers
61
Leksell Gamma Knife®
INDICATIONS TREATED 1991 – 2014, NORTH AMERICA
*
68-100% centers reporting1991 reflects cumulative numbers
*Essential Tremor treatments reported as Other Functional Disorders prior to 2012
62
Leksell Gamma Knife®
CASE MIX 2014NORTH AMERICA
4.444
2.372
766
10.03515
93% centers reporting
63
Leksell Gamma Knife®
OVER 215,000 PATIENTS TREATED THROUGH 2014UNITED STATES
68-100% centers reporting1991 reflects cumulative numbers
64
Leksell Gamma Knife®
CASE MIX 1991 - 2014UNITED STATES
59.999
34.002
106.26015.813
107
68-100% centers reporting1991 reflects cumulative numbers
65
Japan1990 - 2014
PATIENTS TREATEDWITH LEKSELL GAMMA KNIFE®
66
Leksell Gamma Knife®
OVER 210,000 PATIENTS TREATED THROUGH 2014JAPAN
68-100% centers reporting1991 reflects cumulative numbers
67
Leksell Gamma Knife®
INDICATIONS TREATED ANNUALLYJAPAN
68-100% centers reporting1991 reflects cumulative numbers
68
Leksell Gamma Knife®
CASE MIX 1991 - 2014JAPAN
4.930
15.366
107
41.423
150.456
2.3%
68-100% centers reporting1991 reflects cumulative numbers
69
Leksell Gamma Knife®
INDICATIONS TREATED 1991 – 2014, JAPAN
*
68-100% centers reporting1991 reflects cumulative numbers
*Essential Tremor treatments reported as Other Functional Disorders prior to 2012
70
Leksell Gamma Knife®
CASE MIX 2014JAPAN
133
614
9
2.268
9.424
100% centers reporting
71
Latin America1985 - 2014
PATIENTS TREATEDWITH LEKSELL GAMMA KNIFE®
72
Leksell Gamma Knife®
OVER 5,500 PATIENTS TREATED THROUGH 2014LATIN AMERICA
68-100% centers reporting1991 reflects cumulative numbers
73
Leksell Gamma Knife®
INDICATIONS TREATED ANNUALLYLATIN AMERICA
68-100% centers reporting1991 reflects cumulative numbers
74
Leksell Gamma Knife®
CASE MIX 1991 - 2014LATIN AMERICA
1.744
1.217
60
2.376
358
68-100% centers reporting1991 reflects cumulative numbers
75
Leksell Gamma Knife®
INDICATIONS TREATED 1991 – 2014, LATIN AMERICA
*
68-100% centers reporting1991 reflects cumulative numbers
*Essential Tremor treatments reported as Other Functional Disorders prior to 2012
76
Leksell Gamma Knife®
CASE MIX 2014LATIN AMERICA 261
205
8
498
98
90% centers reporting
77
Europe1968 - 2014
PATIENTS TREATEDWITH LEKSELL GAMMA KNIFE®
78
Leksell Gamma Knife®
OVER 180,000 PATIENTS TREATED THROUGH 2014EUROPE
68-100% centers reporting1991 reflects cumulative numbers
79
Leksell Gamma Knife®
INDICATIONS TREATED ANNUALLYEUROPE
68-100% centers reporting1991 reflects cumulative numbers
80
Leksell Gamma Knife®
CASE MIX 1991 - 2014EUROPE
28.507
10.940
85.375
58.392
2.642
68-100% centers reporting1991 reflects cumulative numbers
81
Leksell Gamma Knife®
INDICATIONS TREATED 1991 – 2014, EUROPE
*
68-100% centers reporting1991 reflects cumulative numbers
*Essential Tremor treatments reported as Other Functional Disorders prior to 2012
82
Leksell Gamma Knife®
CASE MIX 2014EUROPE
2.128
1.178
9.129
5.968
205
93% centers reporting
83
Leksell Gamma Knife®
OVER 22,000 PATIENTS TREATED THROUGH 2014TURKEY
68-100% centers reporting
84
Leksell Gamma Knife®
CASE MIX 1997 - 2014TURKEY
492
5.059
72
12.419
4.218
68-100% centers reporting
85
Leksell Gamma Knife®
OVER 22,000 PATIENTS TREATED THROUGH 2014UNITED KINGDOM
68-100% centers reporting1991 reflects cumulative numbers
86
Leksell Gamma Knife®
CASE MIX 1991 - 2014UNITED KINGDOM
1.186
7.829
302
9.934
3.364
68-100% centers reporting1991 reflects cumulative numbers
87
Middle East & Africa1996 - 2014
PATIENTS TREATEDWITH LEKSELL GAMMA KNIFE®
88
Leksell Gamma Knife®
OVER 17,000 PATIENTS TREATED THROUGH 2014MIDDLE EAST & AFRICA
68-100% centers reporting
89
Leksell Gamma Knife®
INDICATIONS TREATED ANNUALLYMIDDLE EAST & AFRICA
68-100% centers reporting
90
Leksell Gamma Knife®
CASE MIX 1996 - 2014MIDDLE EAST & AFRICA 2.648
2.394
2512.042
748
68-100% centers reporting
91
Leksell Gamma Knife®
CUMULATIVE INDICATIONS 1996 – 2014, MIDDLE EAST & AFRICA
*
68-100% centers reporting*Essential Tremor treatments reported as Other Functional Disorders prior to 2012
92
Leksell Gamma Knife®
CASE MIX 2014MIDDLE EAST & AFRICA 494
349
5
1.962
140
88% centers reporting