Evidence map›Paper›PMID 24443733›Full record

ArticleJournal of oncology practice2014

Projected supply of and demand for oncologists and radiation oncologists through 2025: an aging, better-insured population will result in shortage.

Wenya Yang, James H Williams, Paul F Hogan, Suanna S Bruinooge, Gladys I Rodriguez, Michael P Kosty, Dean F Bajorin, Amy Hanley, Ashley Muchow, Naya McMillan and 1 more

Abstract read
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In one paragraph

Article in Journal of oncology practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

118 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. End-of-Life Cancer Care Resource Utilisation in Rural Versus Urban Settings: A Systematic Review.International journal of environmental research and public health · 2020
    Pooled it
  3. Pooled it
  4. Reviewing cancer care team effectiveness.Journal of oncology practice · 2015
    Pooled it
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  9. Developing the multidisciplinary and multispecialty workforce and the systems needed to sustain high-quality care from diagnosis through long-term survivorship.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
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  15. National trends in oncology specialists' EHR inbox work, 2019-2022.Journal of the National Cancer Institute · 2025
    Article
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58 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Wenya YangThe Lewin Group, Falls Church; American Society of Clinical Oncology, Alexandria, VA; South Texas Oncology and Hematology, San Antonio, TX; Scripps Clinic, La Jolla, CA; Memorial Sloan-Kettering Cancer Center, New York, NY; and Beth Israel Deaconess Medical Center, Boston, MA.
James H Williams
Paul F Hogan
Suanna S Bruinooge
Gladys I Rodriguez
Michael P Kosty
Dean F Bajorin
Amy Hanley
Ashley Muchow
Naya McMillan
Michael Goldstein

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe American Society of Clinical Oncology (ASCO) published a study in 2007 that anticipated a shortage of oncologists by 2020. This study aims to update and better assess the market for chemotherapy and radiation therapy and the impact of health reform on capacity of and demand for oncologists and radiation oncologists.

methodsThe supply of oncologists and radiation oncologists, by age, sex, and specialty, was projected through 2025 with an input-output model. The Medical Expenditure Panel Survey, commercial claims, and Medicare claims were analyzed to determine patterns of use by patient characteristics such as age, sex, health insurance coverage, cancer site, physician specialty, and service type. Patterns of use were then applied to the projected prevalence of cancer, using data from the SEER Program of the National Cancer Institute.

resultsBeginning in 2012, 16,347 oncologists and radiation oncologists were active and supplying 15,190 full-time equivalents (FTEs) of patient care. Without consideration of the Affordable Care Act (ACA), overall demand for oncologist services is projected to grow 40% (21,255 FTEs), whereas supply may grow only 25% (18,997 FTEs), generating a shortage of 2,258 FTEs in 2025. When fully implemented, the ACA could increase the demand for oncologists and radiation oncologists by 500,000 visits per year, increasing the shortage to 2,393 FTEs in 2025.

conclusionAnticipated shortages are largely consistent with the projections of the ASCO 2007 workforce study but somewhat more delayed. The ACA may modestly exacerbate the shortage. Unless oncologist productivity can be enhanced, the anticipated shortage will strain the ability to provide quality cancer care.

Indexed as

Medical OncologyRadiation OncologyAgedFemaleHealth Services Needs and DemandHealth WorkforceHumansInsurance, HealthMaleMedicareMiddle AgedModels, TheoreticalNeoplasmsPhysiciansSEER ProgramSocieties, Medical

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.