Cancer Res Treat.  2021 Oct;53(4):935-943. 10.4143/crt.2021.409.

Patterns of Proton Beam Therapy Use in Clinical Practice between 2007 and 2019 in Korea

• Lee SU
• Yang K
• Moon SH
• Suh YG
• Yoo GS

• KMID: 2521570
• DOI: http://doi.org/10.4143/crt.2021.409

Abstract

Purpose
Proton beam therapy (PBT) is a state-of-the-art technology employed in radiotherapy (RT) for cancer patients. This study characterized how PBT has been used in clinical practice in Korea.
Materials and Methods
Patients who received any type of RT between 2007 and 2019 were identified from the radiation oncology registry of the two PBT facilities operating in Korea (National Cancer Center and Samsung Medical Center). The chi-square test was used to identify patient- and treatment-related characteristics associated with the receipt of PBT.
Results
A total of 54,035 patients had been treated with some form of RT in the two institutions, of whom 5,398 received PBT (10.0%). The number of patients who receive PBT has gradually increased since PBT first started, from 162 patients in 2007 to 1,304 patients in 2019. Among all types of cancer, PBT use in liver cancer has been steadily increasing from 20% in 2008-2009 to 32% in 2018-2019. In contrast, that in prostate cancer has been continuously decreasing from 20% in 2008-2009 to < 10% in 2018-2019. Male sex, very young or old age, stage I-II disease, residency in non-capital areas, a definitive setting, a curative treatment aim, enrollment in a clinical trial, re-irradiation and insurance coverage were significantly associated with the receipt of PBT (all p < 0.05).
Conclusion
Since PBT started in Korea, the number of patients receiving PBT has increased to more than 1,000 per year and treatment indications have expanded. Liver cancer is the most common primary tumor among all PBT cases in Korea.

Keyword

Proton therapy; Radiotherapy; Facilities and services utilization

Figure

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  Fig. 1 Yearly numbers of patients who received proton beam therapy and timeline of major events related to the use of proton beam therapy in Korea. NCC, National Cancer Center; RT, radiotherapy; SMC, Samsung Medical Center.

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  Fig. 2 (A–F) Changes in utilization of proton beam therapy among all patients in radiation oncology departments of two proton therapy centers by primary site and pediatric tumor (bule bar, National Cancer Center; red bar, Samsung Medical Center). GI, gastrointestinal.

Reference

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