{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:24:53Z","timestamp":1761823493350},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,5,28]],"date-time":"2012-05-28T00:00:00Z","timestamp":1338163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Introduction:<\/jats:bold> Having previously modelled the optimal proportion of uterine cervix and corpus cancers that should be treated with brachytherapy (BT), we aimed to complete the assessment of the role of BT for gynaecological cancers by estimating the optimal proportion of vaginal cancer cases that should be treated with BT, the optimal BT utilisation (BTU) rate for vaginal cancer. We compared this with actual vaginal BTU and assessed quality of BT for vaginal cancer by a Patterns\u2010of\u2010Care Study (POCS).<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Evidence\u2010based guidelines were used to construct an optimal BTU decision tree for vaginal cancer. Searches of the epidemiological literature to ascertain the proportion of patients who fulfilled the criteria for BT were conducted. The robustness of the model was tested by sensitivity analyses and by peer review. A retrospective POCS of BT in New South Wales (NSW) for 2003 was conducted, and actual BTU for vaginal cancer was determined. Differences between optimal and actual BTU were assessed. Quality of BT for vaginal cancer was compared with published benchmarks.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> The optimal vaginal cancer BTU rate was estimated to be 85% (range 81\u201387%). In NSW in 2003, actual vaginal cancer BTU was only 42% (95% confidence interval 22\u201362%). In NSW, only nine patients were treated, all with intra\u2010vaginal cylinders, and two of four to lower than recommended doses.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> BT for vaginal cancers is underutilised in NSW compared with the proposed optimal models of care. BT quality may have been suboptimal and this may relate to the rarity of this disease.<\/jats:p>","DOI":"10.1111\/j.1754-9485.2012.02392.x","type":"journal-article","created":{"date-parts":[[2012,5,29]],"date-time":"2012-05-29T02:05:28Z","timestamp":1338257128000},"page":"483-489","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Estimation of the optimal brachytherapy utilisation rate in the treatment of vaginal cancer and comparison with patterns of care"],"prefix":"10.1111","volume":"56","author":[{"given":"Stephen R","family":"Thompson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geoff P","family":"Delaney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel S","family":"Gabriel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susannah","family":"Jacob","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael B","family":"Barton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,5,28]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.20444"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.20445"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2008.01.022"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.22337"},{"key":"e_1_2_6_6_2","unstructured":"Cancer Institute NSW.NSW Central Cancer Registry Reporting Module.2006. [Updated 2006 Cited 7 Feb 2007.] Available from URL:http:\/\/www.statistics.cancerinstitute.org.au"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(00)90001-8"},{"key":"e_1_2_6_8_2","unstructured":"National Cancer Institute.PDQ Vaginal Cancer Treatment.2011[Updated 2011 Cited 19 Oct 2011.] Available from URL:http:\/\/cancer.gov\/cancertopics\/pdq\/treatment\/vaginal\/HealthProfessional"},{"key":"e_1_2_6_9_2","volume-title":"Gynaecological Oncology Clinical Practice Guidelines","author":"NSW Gynaecological Oncology Study Group","year":"2004"},{"key":"e_1_2_6_10_2","unstructured":"BC Cancer Agency.Cancer Management Guidelines >> Gynecology >> 9. Vagina.2010[Updated 2010 Cited 19 Oct 2011.] Available from URL:http:\/\/www.bccancer.bc.ca"},{"key":"e_1_2_6_11_2","unstructured":"Yorkshire Cancer Network Gynaecology NSSG.Guidelines for the Management of Gynaecological Cancers.2011[Updated 2011 Cited 19 Oct 2011.] Available from URL:http:\/\/www.ycn.nhs.uk\/"},{"key":"e_1_2_6_12_2","unstructured":"Sydney Gynaecologic Oncology Group Royal Prince Alfred and Liverpool Hospitals Sydney.Clinical Practice and Management Policies. Johnathan Carter. 1\u20106\u20102004. Sydney Johnathan Carter 2004."},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(00)01401-2"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.21324"},{"key":"e_1_2_6_15_2","volume-title":"SEER*Stat 5.2.2. Surveillance, Epidemiology and End Results Cancer Incidence Public\u2010Use Database, 1973\u20132001","author":"National Cancer Institute (Cancer Statistics Branch)","year":"2004"},{"key":"e_1_2_6_16_2","unstructured":"Australian Institute of Health and Welfare (AIHW).Cancer Incidence Data: Cancer Age\u2010Standardised Database.2003. [Updated 2008 Cited 19 Mar 2008.] Available from URL:http:\/\/www.aihw.gov.au\/"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.1995.1008"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0090-8258(91)90332-Y"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.2001.6520"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.2001.6171"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/0090-8258(82)90075-0"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(92)91823-S"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/0360-3016(93)90061-Y"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2004.04.063"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(98)00401-5"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/28.6.388"},{"key":"e_1_2_6_27_2","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyf115"},{"key":"e_1_2_6_28_2","unstructured":"Board of the Faculty of Clinical Oncology The Royal College of Radiologists.The Role and Development of Brachytherapy Services in United Kingdom.2007[Updated 2007 Cited 6 May 2009.] Available from URL:http:\/\/www.rcr.ac.uk"}],"container-title":["Journal of Medical Imaging and Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1754-9485.2012.02392.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1754-9485.2012.02392.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T00:25:53Z","timestamp":1697329553000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1754-9485.2012.02392.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,5,28]]},"references-count":27,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2012,8]]}},"alternative-id":["10.1111\/j.1754-9485.2012.02392.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1754-9485.2012.02392.x","archive":["Portico"],"relation":{},"ISSN":["1754-9477","1754-9485"],"issn-type":[{"value":"1754-9477","type":"print"},{"value":"1754-9485","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,5,28]]},"assertion":[{"value":"2012-05-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}