Stereotactic radiosurgery (SR)

Pons JM
Record ID 31995000023
Catalan, English, Spanish
Authors' objectives:

To provide an overview of the current's state of scientific knowledge assessing the efficacy, safety, and cost of SR and the possible consequences of its introduction in Catalonia.

Authors' results and conclusions: The most common radiosurgery techniques are gamma knife and linear accelerators. They are similar in relation to physical measurement and with regard to the complete response rate to the treatment and the rate of complications. The differential cost of these techniques is a key factor to explain the distinct diffusion of each of them. The most common option nowadays is to adapt a conventional linac for radiosurgery; this is the option chosen in Catalonia (in one public and one private center). Estimates of the number of incidence patient candidates to SR are between 103-138 cases/year in our country but the inclusion of other considerations can modify these numbers (see text).
Authors' recommendations: SR presents a very promising perspective. Notwithstanding, we need randomized controlled trials to assess the efficacy and safety of SR. Also, other designs should assess the effectiveness of different techniques (among them and with other therapeutical options) as well as the impact of SR on survival and quality of life, especially, following the treatment for malignancy.
Authors' methods: Review
Project Status: Completed
Year Published: 1993
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Spain
MeSH Terms
  • Arteriovenous Malformations
  • Brain Neoplasms
  • Neurosurgery
  • Radiosurgery
Organisation Name: Agencia de Qualitat i Avaluacio Sanitries de Catalunya
Contact Address: Antoni Parada, CAHTA, Roc Boronat, 81-95 (2nd floor), 08005 Barcelona, Spain, Tel. +34 935 513 928, Fax: +34 935 517 510
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Copyright: Catalan Agency for Health Technology Assessment and Research
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.