Patterns of proton therapy use in pediatric cancer management in 2016: An international survey

•In 2016, 1860 pediatric patients were treated with protons in 40 centers.•The median number of pediatric patients per center is 29, but it widely varies.•CNS tumors were the cancer types most commonly treated in all continents.•The proportion of extra-cranial tumors is growing worldwide.•About half...

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Bibliographic Details
Published in:Radiotherapy and oncology 2019-03, Vol.132, p.155-161
Main Authors: Journy, Neige, Indelicato, Daniel J., Withrow, Diana R., Akimoto, Tetsuo, Alapetite, Claire, Araya, Masayuki, Chang, Andrew, Chang, John Han-Chih, Chon, Brian, Confer, Michael E., Demizu, Yusuke, Dendale, Rémi, Doyen, Jérôme, Ermoian, Ralph, Gurtner, Kristin, Hill-Kayser, Christine, Iwata, Hiromitsu, Kim, Joo-Young, Kwok, Young, Laack, Nadia N., Lee, Choonsik, Lim, Do Hoon, Loredo, Lilia, Mangona, Victor S., Mansur, David B., Murakami, Masao, Murayama, Shigeyuki, Ogino, Takashi, Ondrová, Barbora, Parikh, Rahul R., Paulino, Arnold C., Perkins, Stephanie, Ramakrishna, Naren R., Richter, Ronald, Rombi, Barbara, Shibata, Satoshi, Shimizu, Shinichi, Timmermann, Beate, Vern-Gross, Tamara, Wang, Chiachien J., Weber, Damien C., Wilkinson, John Ben, Witt Nyström, Petra, Yock, Torunn I., Kleinerman, Ruth A., Berrington de Gonzalez, Amy
Format: Article
Language:English
Subjects:
Adolescent
Adult
Child
Child, Preschool
Female
Humans
Infant
Life Sciences
Male
Neoplasms - epidemiology
Neoplasms - radiotherapy
Patterns of care
Pediatrics
Pediatrics - methods
Pediatrics - statistics & numerical data
Proton therapy
Proton Therapy - methods
Proton Therapy - statistics & numerical data
Radiotherapy Dosage
Survey
Surveys and Questionnaires
Young Adult
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Summary:•In 2016, 1860 pediatric patients were treated with protons in 40 centers.•The median number of pediatric patients per center is 29, but it widely varies.•CNS tumors were the cancer types most commonly treated in all continents.•The proportion of extra-cranial tumors is growing worldwide.•About half of the patients were treated with pencil beam scanning. To facilitate the initiation of observational studies on late effects of proton therapy in pediatric patients, we report on current patterns of proton therapy use worldwide in patients aged less than 22 years. Fifty-four proton centers treating pediatric patients in 2016 in 11 countries were invited to respond to a survey about the number of patients treated during that year by age group, intent of treatment, delivery technique and tumor types. Among the 40 participating centers (participation rate: 74%), a total of 1,860 patients were treated in 2016 (North America: 1205, Europe: 432, Asia: 223). The numbers of patients per center ranged from 1 to 206 (median: 29). Twenty-four percent of the patients were
ISSN:0167-8140
1879-0887
DOI:10.1016/j.radonc.2018.10.022