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Short Communication

Utilization of radiotherapy and stereotactic body radiation therapy for renal cell cancer in the USA

    Waqar Haque

    Department of Radiation Oncology, Houston Methodist Hospital, Houston, TX 77030, USA

    ,
    Vivek Verma

    Department of Radiation Oncology, Allegheny General Hospital, Pittsburgh, PA 15212, USA

    ,
    Gary D Lewis

    Department of Radiation Oncology, University of Texas Medical Branch, Galveston, TX 77555, USA

    ,
    Simon S Lo

    Department of Radiation Oncology, University of Washington School of Medicine, Seattle, WA 98195, USA

    ,
    Edward Brian Butler

    Department of Radiation Oncology, Houston Methodist Hospital, Houston, TX 77030, USA

    &
    Bin S Teh

    *Author for correspondence: Tel.: +1 713 441 4800; Fax: +1 713 441 4493;

    E-mail Address: bteh@houstonmethodist.org

    Department of Radiation Oncology, Houston Methodist Hospital, Houston, TX 77030, USA

    Published Online:https://doi.org/10.2217/fon-2017-0536

    Aim: This study evaluated national practice patterns of cT1N0M0 renal cell cancer, with a focus on stereotactic body radiation therapy (SBRT) utilization. Methods: The National Cancer Database was queried (2004–2013) for patients with newly-diagnosed cT1a/bN0M0 renal cell cancer that received definitive treatment. Temporal trends in utilization were tabulated. Results: Altogether, 138,495 patients met inclusion criteria; 13,725 (9.9%) patients received ablative therapy, 57,924 (41.8%) partial nephrectomy, 67,168 (48.5%) radical nephrectomy and 308 (0.2%) external beam radiation therapy (EBRT). The proportion of EBRT that was SBRT increased substantially from 25% in 2004 to 95.4% in 2013, with a sharp inflection point from 2005 to 2006. Conclusion: SBRT utilization has sharply risen over time; in most recent years, the vast majority of EBRT is delivered in the form of SBRT.

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