S1367
Interdisciplinary - Global health
ESTRO 2026
patients’ management with hypofractionation and telemedicine. Eur Rev Med Pharmacol Sci. 2020;24(23):12480-9.2. Hennequin C, Guillerm S, Quero L. Rationale for hypofractionation. Cancer Radiother. 2019;23(6-7):500-2.3. Krug D, Baumann R, Combs SE, et al. Moderate hypofractionation remains the standard of care for whole-breast radiotherapy in breast cancer: Considerations regarding FAST and FAST-Forward. Strahlenther Onkol. 2021;197(4):269- 80.4. Rodin D, Tawk B, Mohamad O, et al. Hypofractionated radiotherapy in the real-world setting: An international ESTRO-GIRO survey. Radiother Oncol. 2021; 157:32-9. Keywords: Radiotherapy, Hypofractionations, Global Health, An international needs assessment: How easy is it for physicians to make quality clinical decisions in radiation oncology? Benjamin C Li 1,2 , Leora B Ferro 3,4 , Haitham Shaheen 5 , Sondos Al Hkatib 6 , Emily Kruse 1,7 , Keerthiga Karthikeyan 7 , Nauman Malik 8 , Anuja Jhingran 9 , Matthew Culbert 10 1 Radiation Oncology, University of Washington, Seattle, USA. 2 Radiation Oncology, Fred Hutch Cancer Center, Seattle, USA. 3 Radiation Oncology, Samson Assuta Ashdod University Hospital, Ashdod, Israel. 4 Radiation Oncology, University of Washington and Fred Hutch Cancer Center, Seattle, USA. 5 Clinical Oncology, Suez Canal University, Ismalia, Egypt. 6 Radiation Oncology, University of Arkansas for Digital Poster 3413 Medical Sciences, Little Rock, USA. 7 N/A, Rayos Contra Cancer, Seattle, USA. 8 Radiation Oncology, Princess Margaret Cancer Centre, Toronto, Canada. 9 Radiation Oncology, MD Anderson Cancer Center, Houston, USA. 10 Radiation Oncology, Wellspring Oncology, Pinellas Park, USA Purpose/Objective Many radiation oncologists struggle to provide the highest quality care, especially in understaffed settings [1-4]. In order to assess the extent of these struggles internationally and how to overcome them, we sought to explore the time, effort, and resources required for modern clinical decision making. Material/Methods Through the professional network of the nonprofit Rayos Contra Cancer (RCC), we conducted a cross- sectional survey of radiation oncologists, clinical oncologists, and radiation and clinical oncology residents. The needs assessment measured the use of existing educational resources, time efficiency of resources, comprehensiveness of resources, and confidence in clinical decision-making and ability to stay updated in radiotherapy knowledge. The survey
Conclusion: Our survey identified key institutional determinants of hypofractionation uptake-case volume, access to advanced technologies, specialized training, and clinician engagement with current research. Recognizing and addressing these factors at country- and center-level will enable safer and more effective implementation of hypofractionated radiotherapy. This largest regional study to date provides a benchmark for capacity-building and standardizing practice across diverse settings. References: 1. Di Franco R, Borzillo V, D'Ippolito E, et al. COVID-19 and radiotherapy: potential new strategies for
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