Clinical oncology最新文献

{"title":"Global Oncology Index: Mapping Disparities in Cancer Care Across Globe.","authors":"N Ranjan","doi":"10.1016/j.clon.2026.104355","DOIUrl":"https://doi.org/10.1016/j.clon.2026.104355","url":null,"abstract":"<p><strong>Aims: </strong>Cancer is a leading global health challenge, with 20 million new cases and 10 million deaths reported in 2022 (GLOBOCAN). Disparities in cancer care, driven by socioeconomic status and healthcare infrastructure, result in higher mortality in low- and middle-income countries (LMICs). The Global Oncology Index (GOI) aims to quantify these disparities and guide targeted interventions.</p><p><strong>Materials and methods: </strong>The 2025 GOI was developed for 141 countries using incidence-mortality factors from GLOBOCAN 2022 and radiotherapy (RT) infrastructure from the International Atomic Energy Agency (IAEA) register, as radiation is an indispensable part of cancer therapy for around 50% of patients, and RT machine related details were possible to retrieve reliably from the IAEA register, unlike those of surgical and chemotherapeutical centres The GOI formula, [(Incidence age-standardized rate (ASR) - Mortality ASR)/Mortality ASR] × RT centers per million population, integrates cancer burden with treatment capacity. Correlation with Human Development Index (HDI) was assessed.</p><p><strong>Results: </strong>GOI scores ranged from 22.29 (United States) to 0.006 (Ethiopia). High-income countries, including Australia (17.69) and Japan (14.81), led the rankings, while LMICs in Africa and Asia (eg Yemen: 0.007) ranked lowest. Countries are categorized into very low, low, medium, and high GOI country depending on percentile values. Very low GOI countries have a GOI of less than 0.17 (25th percentile), low GOI countries have a GOI between 0.17 and 0.889 (25th-50th percentile), medium GOI countries have a GOI between 0.89 and 2.329 (50th-75th percentile) and high GOI countries have a GOI value between 2.33 or more (>75th percentile). A significant positive correlation (r = 0.574, P < .001) was also observed between GOI and HDI, highlighting socioeconomic influences on oncology outcomes.</p><p><strong>Conclusion: </strong>The GOI underscores global oncology disparities, emphasizing the need for enhanced RT infrastructure and early detection in LMICs. While RT-focused, the index may overlook other treatment modalities, suggesting future refinements to improve comprehensiveness.</p>","PeriodicalId":10403,"journal":{"name":"Clinical oncology","volume":"60 ","pages":"104355"},"PeriodicalIF":2.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149237206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing Africa's Radiotherapy Workforce Crisis: Harnessing Artificial Intelligence for Equitable Cancer Care.","authors":"K Njoku, A Choudhury, N Lasebikan","doi":"10.1016/j.clon.2026.104346","DOIUrl":"https://doi.org/10.1016/j.clon.2026.104346","url":null,"abstract":"","PeriodicalId":10403,"journal":{"name":"Clinical oncology","volume":"60 ","pages":"104346"},"PeriodicalIF":2.5,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"154 - Immunopodcasts: Digital Empowerment and Revolutionising Patient Education and Confidence in Immunotherapy","authors":"Anjali Rajkumar,&nbsp;Helen Winter","doi":"10.1016/j.clon.2026.104151","DOIUrl":"10.1016/j.clon.2026.104151","url":null,"abstract":"","PeriodicalId":10403,"journal":{"name":"Clinical oncology","volume":"56 ","pages":"Article 104151"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148641672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"135 - Prospective Peer Review of Radiotherapy Contours for Patients Receiving Radical Radiotherapy for Primary Lung Cancer at Nottingham University Hospitals NHS Trust: Can We Successfully Implement the 2022 RCR Guidance?","authors":"Laura Christian,&nbsp;Abigail Pascoe","doi":"10.1016/j.clon.2026.104145","DOIUrl":"10.1016/j.clon.2026.104145","url":null,"abstract":"","PeriodicalId":10403,"journal":{"name":"Clinical oncology","volume":"56 ","pages":"Article 104145"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148657338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"152 - The introduction of a joint Clinical Oncology and Palliative Care ‘Symptom Control Clinic’ at Oxford University Hospital NHS Foundation Trust.","authors":"Hayley Jones,&nbsp;Tuana Haznedar,&nbsp;Tanya Greenway,&nbsp;Victoria Bradley,&nbsp;Robert Owens","doi":"10.1016/j.clon.2026.104150","DOIUrl":"10.1016/j.clon.2026.104150","url":null,"abstract":"","PeriodicalId":10403,"journal":{"name":"Clinical oncology","volume":"56 ","pages":"Article 104150"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148641758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"128 - The implementation of a Pre-assessment appointment for patients preparing to undergo External Beam Radiotherapy for Prostate Cancer","authors":"Renita Horton","doi":"10.1016/j.clon.2026.104141","DOIUrl":"10.1016/j.clon.2026.104141","url":null,"abstract":"","PeriodicalId":10403,"journal":{"name":"Clinical oncology","volume":"56 ","pages":"Article 104141"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148634151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"143 - Stereotactic Ablative Body Radiotherapy (SABR) for Hepatocellular Carcinoma (HCC) and Metastatic Liver Disease (MLD) in Weston Park Cancer Centre (WPCC): A retrospective review of real-world experience.","authors":"Osanmofe Gbenebichie,&nbsp;Ahmad Sabbagh,&nbsp;Alice Dewdney","doi":"10.1016/j.clon.2026.104136","DOIUrl":"10.1016/j.clon.2026.104136","url":null,"abstract":"","PeriodicalId":10403,"journal":{"name":"Clinical oncology","volume":"56 ","pages":"Article 104136"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148634154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"145 - Biology is King' reimagined. Conveying treatment decision uncertainties through a simple, effective visual shared decsion making tool to improve communication and patient involvement in oncology treatment discussions.","authors":"Mick Button,&nbsp;Amy Clogston,&nbsp;Ahmed Essa,&nbsp;Sahar Iqbal,&nbsp;Sarah Walters","doi":"10.1016/j.clon.2026.104148","DOIUrl":"10.1016/j.clon.2026.104148","url":null,"abstract":"","PeriodicalId":10403,"journal":{"name":"Clinical oncology","volume":"56 ","pages":"Article 104148"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148641756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"156 - Preliminary outcomes of the South Wales Spinal Network MSCC Service and MSCC coordinator in South West Wales","authors":"Eleri Lewis,&nbsp;Jennifer Kahan,&nbsp;Sophie Kirby,&nbsp;Najmus Sahar Iqbal,&nbsp;Jessica Lambourne,&nbsp;Navin Verghese","doi":"10.1016/j.clon.2026.104152","DOIUrl":"10.1016/j.clon.2026.104152","url":null,"abstract":"","PeriodicalId":10403,"journal":{"name":"Clinical oncology","volume":"56 ","pages":"Article 104152"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148641671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"133 - A Quality Improvement Project: Improving Treatment Escalation Plan (TEP) Completion at a Specialised Cancer Centre","authors":"Yong FaI Kong,&nbsp;Judith Roulston,&nbsp;Jane Edgecombe","doi":"10.1016/j.clon.2026.104144","DOIUrl":"10.1016/j.clon.2026.104144","url":null,"abstract":"","PeriodicalId":10403,"journal":{"name":"Clinical oncology","volume":"56 ","pages":"Article 104144"},"PeriodicalIF":2.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148657339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}