Preprint Short Note Version 1 Preserved in Portico This version is not peer-reviewed

Image Guided Superficial Radiation Therapy Expands Access to a Multidisciplinary Cancer Care Model that Optimizes Outcomes for Underserved Rural Medical Beneficiaries

Version 1 : Received: 31 March 2024 / Approved: 1 April 2024 / Online: 1 April 2024 (13:32:28 CEST)

How to cite: Ma, L.; Stricker, J.; Hopkins, J.; Rowe, R.; Harris, P. Image Guided Superficial Radiation Therapy Expands Access to a Multidisciplinary Cancer Care Model that Optimizes Outcomes for Underserved Rural Medical Beneficiaries. Preprints 2024, 2024040056. https://doi.org/10.20944/preprints202404.0056.v1 Ma, L.; Stricker, J.; Hopkins, J.; Rowe, R.; Harris, P. Image Guided Superficial Radiation Therapy Expands Access to a Multidisciplinary Cancer Care Model that Optimizes Outcomes for Underserved Rural Medical Beneficiaries. Preprints 2024, 2024040056. https://doi.org/10.20944/preprints202404.0056.v1

Abstract

The shortage of physicians in rural communities contributes to increased mortality rates among Medicare beneficiaries. This increase in mortality risk is commonly due to diseases such as heart disease and cancer, including melanoma and non-melanoma skin cancer (NMSC). Mohs micrographic surgery (MMS) is considered the gold-standard treatment for NMSC tumors, however, due to a shortage of dermatologists and Mohs surgeons in rural areas, access to MMS is limited. In these areas, image guided superficial radiation therapy (IGSRT) serves as a viable option for the treatment of NMSC lesions, with fewer recurrences and 99% cure rates, which are comparable to MMS cure rates. IGSRT is performed in dermatology clinics with support from a multidisciplinary team, including radiation therapists, medical physicists, radiation oncologists, and dermatologists. As IGSRT is able to be performed by general dermatologists, Medicare beneficiaries in rural communities will have an increase in access to treatment options and a decrease in delayed skin cancer treatment.

Keywords

non-melanoma skin cancer; image guided superficial radiation therapy; Mohs micrographic surgery; basal cell carcinoma; squamous cell carcinoma; superficial radiation therapy 

Subject

Medicine and Pharmacology, Dermatology

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