1 Intermountain Institute for Healthcare Delivery Research, Intermountain Healthcare, Salt Lake City, Utah (Drs Knighton, Kristiansson, and Daneryd and Mr Belnap); Habilitation Services, Uppsala County, Uppsala, Sweden (Dr Kristiansson); Joint Commission of County Councils for Advanced Radiotherapy, Uppsala, Sweden (Dr Daneryd); and Jönköping Academy for Improvement of Health and Welfare and Jönköping University, Jönköping, Sweden (Dr Daneryd).