Poster Presentation NSW State Cancer Conference 2023

Adapting Radiation Oncology to Rural and Regional communities (#188)

Catherine Osborne 1
  1. NSW Health, Dubbo, NSW, Australia

Radiation Therapy departments have been built in Australian regional and rural areas to improve access to Radiation Therapy and reduce the geographical challenges of distance as a barrier to access. Regardless of the additional capital investment to build Regional Radiation Therapy departments, utilisation rates in regional areas remain lower than metropolitan regions. The literature suggests socio-economic, cultural and health system factors influence a regional patients decision making in regard to cancer therapies.

The Western Cancer centre in Dubbo NSW is adapting Radiation Oncology treatment regimens to improve the patient experience and overcome barriers to accessing care using simulation free radiation therapy, hypo-fractionated radiation therapy and stereotactic body radiation therapy (SBRT). This presentation uses case studies to highlight the impact on patient experience for rural cancer patients. 

  1. 2017 Sandra C. Thompson, Shelley Cheetham and Siddhartha Baxi "The enablers, barriers and preferences of accessing radiation therapy facilities in the rural developed world – a systematic review"
  2. Wong, S et al 2021 "Diagnostic Computed Tomography Enabled Planning for Palliative Radiation Therapy: Removing the Need for a Planning Computed Tomography Scan"
  3. Schuler, T. 2021 "Introducing Computed Tomography SimulationeFree and Electronic Patient- Reported OutcomeseMonitored Palliative Radiation Therapy into Routine Care: Clinical Outcomes and Implementation Experience"
  4. Back, M et al. 2018 "Optimising Outcomes for Glioblastoma through sub-speciliation in a regional cancer centre"
  5. Brunt, A M et al 2020 "Hypo fractionated breast radiotherapy for 1 week versus 3 weeks (FAST forward): 5-year efficacy and later normal tissue effects results from a multicentre non inferiority randomised phase 3 trial."
  6. Barra, S etc al. 2021 "Short fractionation radiotherapy for early prostate cancer in the time of COVID 19: long term excellent outcomes from multicentre Italian trial suggests a larger adoption in clinical practice."
  7. Corkum, M 2022 "Ultra hypo fractionated radiotherapy for localised prostate cancer: how far can we go?