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dc.contributor.authorRosen, David
dc.creatorRosen, David
dc.date.accessioned2020-06-17T01:32:03Z
dc.date.available2020-06-17T01:32:03Z
dc.date.issued2020
dc.identifier.doi10.1016/j.prro.2018.02.004
dc.identifier.doi10.1016/j.ijrobp.2017.06.1553
dc.identifier.urihttp://hdl.handle.net/10150/641632
dc.descriptionA Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.
dc.description.abstractIntensity modulated radiation therapy (IMRT) is a radiation therapy (RT) modality that improves dose conformality compared with conventional external beam RT and is now used in the treatment of approximately 40% of patients. 1 Although there is a well-documented improved side effect profile in using IMRT to treat both prostate and head and neck cancers,2,3 the benefits of routine IMRT in other disease sites are less established. Moreover, there are some disadvantages to ubiquitous IMRT utilization, including a relatively high price,4 the potential for near misses, and a large volume of low-dose normal tissue exposure with emerging implications such of beam path toxicity and second malignancies.5,6 The Medicare Physician and Other Supplier Public Use File (POSPUF) was first created in 2014 by the Centers for Medicare and Medicaid Services (CMS) and contains data on services rendered by physicians to Medicare beneficiaries in the United States. In this study, we used the POSPUF to analyze the variability in IMRT use among radiation oncology providers.
dc.language.isoen
dc.publisherThe University of Arizona.
dc.rightsCopyright © is held by the author. Digital access to this material is made possible by the College of Medicine - Phoenix, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/
dc.subjectOncology
dc.subjectIMRT
dc.subjectradiation therapy
dc.subjectmedicare
dc.subjectintensity modulated radiation therapy
dc.subject.meshCancer
dc.titleEvidence or Excess-based? Intensity Modulated Radiation Therapy Utilization among Elderly Patients in the United States
dc.title.alternativeProvider Variability in Intensity Modulated Radiation Therapy Utilization Among Medicare Beneficiaries in the United States
dc.typetext
dc.typeElectronic Thesis
dc.typePoster
dc.identifier.journalPractical Radiation Oncology
dc.description.collectioninformationThis item is part of the College of Medicine - Phoenix Scholarly Projects 2020 collection. For more information, contact the Phoenix Biomedical Campus Library at pbc-library@email.arizona.edu.
dc.contributor.mentorWalker, Gary V.
refterms.dateFOA2020-06-17T01:32:03Z


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