S1365
Interdisciplinary - Global health
ESTRO 2026
6 Department of Clinical, Surgical, Diagnostic, and Pediatric Sciences, University of Pavia, Pavia, Italy
To evaluate sustainability-related practices, infrastructure, and attitudes among Spanish radiation oncology (RO) specialists. Material/Methods: A nationwide anonymous online survey was distributed to RO specialists in Spain in October 2025 using Google Forms. The questionnaire explored transportation and workplace infrastructure, resource use, clinical aspects, and sustainability education. Results: A total of 122 RO specialists completed the survey (~15% of the national RO workforce), representing most Spanish regions (Figure 1; Figure 2).Transportation and workplace accessibilityAlthough 61.5% of respondents live <10 km of their workplace and 20.5% live between 10 and 30km, private vehicles were the main mode of commuting (56.2%), followed by public transport (18.2%), walking (19.8%), and cycling (5.8%). 44% of respondents do not have access to bicycle parking at the hospital. Furthermore, 92% lack teleworking options. Radiation oncologists consider that the main difficulty to improve their sustainability in this scenario is the lack of teleworking options (71/122 respondents) and the difficulty of arriving at the hospital with public transport (33/122).Resource use: paper and water Paper consumption remains high: 70% print daily clinical schedules and 79% print informed consent forms. Although 70% perceived that paper-saving initiatives are encouraged, nearly half of centers (48%) still send appointment notifications by postal mail, and 53% do not routinely use recycled paper. Only one-third of respondents considered their centers close to paperless environments, and a similar proportion (32.8%) reported providing written information to patients only when specifically required. Regarding water resources, 33% reported water fountains for staff and 43% for patients.Patients and clinical decision-making Sustainability considerations extend to patient care: 80.3% of respondents indicated that patient travel distance influences the choice of treatment schedules (as hypofractionated).Training and interest in sustainability Three out of four specialists (75.4%) have never received formal training in sustainability. Despite this limited exposure, interest in leadership and structured initiatives is high, with respondents rating the involvement of the national radiation oncology society as highly relevant (median 8.0/10).
Digital Poster Highlight 3349 SUSTAIN-RO study: A nationwide survey on sustainability practices among Spanish Radiation Oncology specialists Elías Gomis Sellés 1 , Virginia García Reglero 2 , Mariana Perez De Antueno 3 1 Radiation Oncology, Hospital Clínic, Barcelona, Spain. 2 Radiation Oncology, Hospital Universitario Arnau de Vilanova, Lleida, Spain. 3 Radiation Oncology, Cetac Juncal Radioterapia, Buenos aires, Argentina
Purpose/Objective:
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