Hanks G E, Diamond J J, Kramer S
Cancer. 1985 May 1;55(9 Suppl):2198-201. doi: 10.1002/1097-0142(19850501)55:9+<2198::aid-cncr2820551423>3.0.co;2-7.
The Patterns of Care Study data are used to correlate therapy equipment and practice characteristics with outcome, using Hodgkin's disease, prostate cancer, and cervix cancer as examples. The shift to linear accelerators and higher photon energy is supported, as is the increased use of treatment simulators. Part-time practitioners of radiation therapy and facilities whose only equipment is a less-than-80-cm cobalt unit have poor technical support and exhibit poor staging, poor achievement of minimum tumor dose, and poor patient follow-up as compared to the national average or best-performing strata of practice. These facilities should either upgrade their equipment, technical support, and level of practice or close.
“治疗模式研究”数据被用于将治疗设备及实践特征与治疗结果相关联，以霍奇金淋巴瘤、前列腺癌和宫颈癌为例。向直线加速器和更高光子能量的转变得到了支持，治疗模拟机的使用增加也得到了支持。与全国平均水平或最佳实践层面相比，放射治疗兼职从业者以及仅配备小于80厘米钴单元设备的机构技术支持较差，且分期不佳、最低肿瘤剂量达成情况不佳以及患者随访情况不佳。这些机构要么升级其设备、技术支持和实践水平，要么关闭。
