The recent article Radiotherapy for benign diseases in Turkey: a patterns of care survey of the Turkish Society for Radiation Oncology (TROD 05-002) provides an interesting insight into the use of radiotherapy to treat benign diseases in the country — including its uptake and barriers.
A questionnaire survey was sent to all radiation oncology departments in Turkey to investigate the patterns of radiotherapy care in cases of benign diseases.
Here’s a summary of our key takeaways:
- From those that responded, 130,846 patients were treated with radiotherapy in these departments. However only 6,346 patients (4.85% of the total) were were treated for benign conditions
- Of the benign diseases treated, the most common were: meningioma (35%), plantar fasciitis (19%), schwannoma (16%), arteriovenous malformation (11%), and pituitary adenoma (7%)
- Of the patients who underwent radiotherapy for benign diseases, the commonest indication in 72% of patients was radiosurgery for intracranial benign disease
In addition, the authors observe that despite various treatment centres reporting experiences with age-related macular degeneration, desmoid tumour, plantar fasciitis, and vertebral hemangioma, radiotherapy applications for these diseases have tended to decrease in recent years.
The article describes the reasons for this as:
- The lack of adequate randomised studies in the field
- Concern for radiation-induced secondary malignancy
- Advances in other forms of treatment
- Lack of awareness of radiotherapy for benign diseases among radiation oncologists and other specialists
The article also mentions what is being done to raise awareness of this treatment modality, including:
- The publication of a review by The Royal College of Radiologists, intended for use as a manual by clinicians in the UK
- The recent publication in the International Journal of Radiation, Biology and Physics of a review of the use of low-dose radiotherapy in osteoarthritis in the US, emphasising the need for additional investigations in to the potential role of radiotherapy
- A practical proposal for a radiotherapy CT-based contouring atlas for non-malignant skeletal and soft tissue disorders in the British Journal of Radiology#
- The founding of the IORBC, with the objective of raising awareness of radiotherapy for benign conditions
Read the full article here:
Yıldırım, H.C., Dinçbaş, F.Ö., Demircan, V. et al. Radiotherapy for benign diseases in Turkey: a patterns of care survey of the Turkish Society for Radiation Oncology (TROD 05-002). Strahlenther Onkol (2023).