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Public health policy and health economics

2409 - Paediatric radiation therapy across Europe – a European questionnaire survey supported by the SIOPe, ESTRO, PROS and several national paediatric hematology-oncology societies (NAPHOS)


11 Sep 2017


Public health policy and health economics


Bioethical Principles and GCP;  Surgical Oncology;  Radiation Oncology


charlotte demoor-goldschmidt


Annals of Oncology (2017) 28 (suppl_5): v605-v649. 10.1093/annonc/mdx440


C. demoor-goldschmidt1, C. Carrie2, G. Whitfield3, P. Meijinders4, K. Dieckmann5, B. Timmermann6, L. Zaletel7, P. Banovic8, M. Solak Mekic9, Y. Lassen10, K. Alexopoulou11, J. Giralt12, J. Vizkeleti13, L. Jarusevicius14, B. Ondrova15, P. Daly16, P. Brandal17, G. Janssens18, U. Ricardi19, R. Dieter-Kortmann20

Author affiliations

  • 1 Cancer And Radiation, Inserm U 1018 cancer and radiation team, 94805 - Villejuif/FR
  • 2 Radiotherapy, centre leon berard, lyon/FR
  • 3 Radiotherapy, the Christie, manchester/GB
  • 4 Radiotherapy, Iridium Cancer Network Antwerp-GZA- University of Antwerp, antwerp/BE
  • 5 Radiotherapy, Vienna General Hospital (AKH) - Medizinische Universität Wien, 1090 - Vienna/AT
  • 6 Radiotherapy, Clinic for Particle Therapy, West German Proton Center Essen, University Hospital Essen, essen/DE
  • 7 Radiotherapy, institute of oncology, ljublajna/SI
  • 8 Radiotherapy, IMC Banja Luka - Member of the Affidea Group, banja luka/BA
  • 9 Radiotherapy, Clinical Hospital Center “Sestre milosrdnice”-University Hospital for Tumors, University Hospital Center Sestre Milosrdnice, 10000 - Zagreb/HR
  • 10 Radiotherapy, Aarhus University Hospital, radiotherapy, aarhus/DK
  • 11 Radiotherapy, Athens General Hospital for Children & Adolescents, athens/GR
  • 12 Radiotherapy, Vall d'Hebron University Hospital, 08035 - Barcelona/ES
  • 13 Radiotherapy, national institute of oncology, budapest/HU
  • 14 Radiotherapy, Hospital of Lithuanian University of Health Sciences, 50009 - Kaunas/LT
  • 15 Radiotherapy, Proton therapy center Czech, prague/CZ
  • 16 Radiotherapy, St Lukes Radiation Oncology centre, dublin/IE
  • 17 Radiotherapy, Norwegian Radium Hospital, oslo/NO
  • 18 Radiotherapy, University Medical Center Utrecht – Princess Maxima Center for Pediatric Oncology, utrecht/NL
  • 19 Radiation Oncology, A.O.U. Citta della Salute e della Scienza di Torino, Turin/IT
  • 20 Radiotherapy, univeristy of Leipzig, leipzig/DE


Abstract 2409


Increased focus has been made to improve the quality of care and access to European trials in paediatric oncology. Information about paediatric radiotherapy (Ped-RT) throughout Europe is not widely available. The aim of this study was to provide an overview of resources and organization for Ped-RT.


Experts in Ped-RT oncology were invited by email to complete a 21-point questionnaire.


Sixty-nine answers from 24 countries (7 centres with proton) were collected and 16 centres were visited. A minority of radiation oncologists (11.74%) treat only children, which is in contrast with paediatric oncologists (93.44%) or surgeons (71.67%) who are more often dedicated. In 5 countries, ped-RT is centralized in one centre. Access to ped-RT formations is unequal throughout Europe even if everyone agrees with the fact that specific knowledges are needed. Regarding the techniques, 12% use sometimes, meaning for some patients, 2D- conventional radiotherapy, 4% still use Cobalt and 15% never or rarely use IMRT (Intensity Modulated Radiotherapy), 64% use hypofractionated treatments, defined as at least 3Gy per fraction and 32% when considering 5 Gy or more. Eighty-four percent have access to paediatric devices for personalized immobilization. Radiation treatments can be easily delivered under anaesthesia in 75% of the centres if necessary, or under hypnosis in 9% of centres (2 countries). The environment is mostly adapted to children, with dedicated waiting area (47%), patient information (83%), gifts (98%), the possibility to listen to music or songs (93%) or watch cartoons (12%).


This survey provides quantitative data demonstrating the current healthcare inequalities for children and adolescents who need radiotherapy in Europe. Nevertheless, an effort to guarantee a treatment of quality with the local environment has been pointed out.

Clinical trial identification

not applicable

Legal entity responsible for the study

C. Demoor-Goldschmidt




All authors have declared no conflicts of interest.

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