Overutilization of IMRT/IGRT in treatment of rectal cancer:
Cost implications of deviation from evidence-based practices.
•
98% of deviations involved use of IMRT and/or IGRT
•
Justification for IMRT/IGRT use included :
-
treatment volumes comparable to anal cancer
-
inadequate bowel displacement by routine
techniques
-
obesity.
•
Cost for a course of 3D CRT + weekly port films was
$6,591 vs.
$32,292 for IMRT + daily IGRT
03/01/13
Curry AH et al., 2014 ASCO Quality Care Symposium, Abstr 34