20 FEBRUARY 2019 / Completion of SNF’s Grant for the Replacement of Radiotherapy Equipment around Greece

Οn Thursday, February 14th, 2019, two new linear accelerators were inaugurated in the Radiotherapy Department of Attikon University General Hospital through a grant from the Stavros Niarchos Foundation (SNF).

The inauguration ceremony marked the completion of the SNF’s program to replace radiotherapy equipment, through grants totaling €20 million, in public hospitals around Greece. The Stavros Niarchos Foundation Radiotherapy Program, which is now completed, includes the procurement and installation of ten linear accelerators in seven public hospitals around Greece, the grant also covers the maintenance of all linear accelerators and a training program for staff, in collaboration with prominent international medical centers.

In the context of the program, new linear accelerators have been installed in the following public hospitals: Attikon University General Hospital (2 linear accelerators), the Athens Alexandra General Hospital, Theageneio Cancer Hospital in Thessaloniki (2 linear accelerators), and the University General Hospitals of Alexandroupoli, Larissa, Patras and Heraklion (2 linear accelerators). In addition to the equipment installed through this program, replacement of  the linear accelerator is planned at the 401 General Military Hospital of Athens, to be available and accessible to all citizens, through another SNF grant, which aims at strengthening Greece’s military hospitals.

The Co-President ofthe Stavros Niarchos Foundation, Andreas Dracopoulos, said, “This day is important for all of us. For those of us at the Stavros Niarchos Foundation, who have collaborated systematically with representatives of the medical world over the last few years so that ten new linear accelerators can operate to their full potential in seven public hospitals across the country. And for our fellow human beings who are battling cancer, as well as for the doctors and nurses—the heart of every healthcare establishment—who are fighting by our side, every day. Access to the best possible health services and the latest technology ought to be the privilege of all, and not just of a lucky few. Following this belief, we wanted to do what was within our means to strengthen the ‘arsenal’ of tools available to patients and doctors in their battle against cancer. Today, the radiotherapy technology of seven public hospitals in our country is comparable to that of leading hospitals in Europe and America. Our efforts do not stop here. We continue, as much as we can, to reinforce the public health sector in our country, through a series of major projects that are already in progress, under the SNF’s Health Initiative.”

The President of the Hellenic Republic, Prokopis Pavlopoulos, honored the inauguration event with his presence. In his speech, he mentioned the following:"Stavros Niarchos Foundation continues – and surpasses – the legacy of the great benefactors who, as history shows, have contributed significantly to the course of our state, from its founding and throughout its development. It is also my duty to highlight that the Stavros Niarchos Foundation's contribution to the national health system has taken place at a crucial moment for Greece and our society overall, supporting the welfare state and social cohesion, which the deep, long-term crisis has dangerously undermined."

The Stavros Niarchos Foundation Radiotherapy Program started in 2014 at the initiative of the SNF, setting as a priority the outfitting of public hospitals with newest technology equipment for the optimal treatment of cancer. The initiative was implemented in collaboration with preeminently competent authorities, both in Greece and abroad, with many years of experience in the field of radiotherapy, namely the Hellenic Society for Radiation Oncology, the Hellenic Association of Medical Physicists, and a scientific team from the Johns Hopkins Medicine Department of Radiology in the U.S.

In order to effectively assess the situation, at the start of the program in 2014, visits were conducted to 18 public and military hospitals across the country that include radiotherapy departments. The assessment led to the conclusion that 67% of all equipment had exceeded its service life (ten years), resulting to the underperformance of Radiotherapy Departments, with consequences to the effectiveness of the treatment for thousands of patients.

Based on this data, and on international projects of a similar scale, the SNF’s Radiotherapy was designed so that the radiotherapy department of each public hospital involved would have at its disposal at least one state-of-the-art linear accelerator, featuring technology less than 10 years old.

Today, all ten linear accelerators are operational, offering radiotherapy techniques similar to those implemented by leading medical centers of the world. Furthermore, compared to equipment with older technology, they have the ability to administer a greater dose to tumors, with minimum damage to healthy tissues. As confirmed by experts, this translates to a better life for patients, both during the treatment period and in the years to follow.
According to current data for the total of 31 linear accelerators operating in 18 public and military hospitals in Greece, the average age of the machines is estimated at 7.4 years, while the average age of the 17 linear accelerators operating in eight private hospitals is almost 8.5 years.

Staff Training and Equipment Maintenance
In addition to the procurement and installation of the linear accelerators, the Stavros Niarchos Foundation grant supports the training of medical staff to further enhance the theoretical and practical background of the hospital staff operating the machines. The training program is implemented in collaboration with Radiotherapy Department of the University of Texas Health San Antonio MD Anderson Cancer Center and professor Nikos Papanikolaou, which hosts members of the Greek hospitals teams that were are part of the program for a period of three weeks.

The aim of the training is to offer participants the opportunity to get familiarized with a new mode of operation, requiring the exclusive use of digital medical records, as well as to further enhance their understanding of the treatment design process and the choice of appropriate radiotherapy techniques.

Lastly, the Stavros Niarchos Foundation grant also covers the maintenance costs of the equipment for at least two years, which, in total, exceeds €2 million per year.

Video from the Inaguration of Linear Accelerators at ATTIKON University General Hospital

The SNF on Health
The SNF Radiotherapy Program follows on the heels of a number of recent grants supporting the health sector in Greece. Since 1996, when the SNF began its grant-making activity, the Foundation has provided grants of more than €140 million for the support of health programs in Greece. Indicative examples include an SNF grant to the National Center for Emergency Care (EKAV), totaling €14 million, which covered the procurement of 143 state-of-the-art ambulances and their full maintenance for a period of eight years, as well as the digital upgrade of EKAV’s operations center; a grant for the renovation of all Pediatric Intensive Care Units (ICUs); as well as a grant for the construction and complete outfitting of hostels to house the relatives of patients in hospitals around the country. In addition, the SNF initiative establishing of the Mobile Medical Units, in collaboration with the NGO Regeneration and Progress, has yielded significant results in providing free healthcare programs to residents of islands and remote areas in Greece.

Recent SNF grants in the health sector are part of the broader Stavros Niarchos Foundation Health Initiative, which has been underway since September 2017, and is now expected to exceed USD 480 million. The SNF Health Initiative was announced following discussions with the Ministry of Health, which identified the highest-priority needs in the field. The project embraces major infrastructure interventions across Greece: the design and construction of a new building for the General Hospital of Komotini the Children’s Hospital of Thessaloniki, and the General Hospital of Sparti, designed by the internationally renowned architectural firm Renzo Piano Building Workshop (RPBW). Furthermore, the grant includes the reinforcement of the National Center for Emergency Services (EKAV) air ambulance services, the procurement of new medical equipment, as well as the establishment of educational programs.