Accepted for/Published in: JMIR Research Protocols
Date Submitted: May 2, 2024
Date Accepted: Jul 2, 2025
Date Submitted to PubMed: Jul 2, 2025
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Assessing the Feasibility of Implementing Remote Radiotherapy Planning to Increase Patient Flow in Johannesburg Academic Hospital, South Africa.
ABSTRACT
Background:
It is suggested that treatment planning systems play a key role in radiotherapy. Various commercial planning systems are currently available on the market. The promise of commercial planning systems to increase access to radiotherapy (RT) in low- and middle-income countries (LMICs) is crucial, as the inadequate resources and services to deal with cancer remains a significant barrier from screening and diagnosis to radiotherapy planning/treatment and quality assurance. Implementing remote radiotherapy planning in patient flow has not been well investigated and documented in LMICs.
Objective:
This study will assess the feasibility of a remote treatment planning system in a South African academic hospital.
Methods:
This ongoing prospective study commenced in November 2023 at the Charlotte Maxeke Johannesburg Academic Hospital (CMJAH), and it is expected to continue until June 2024. Patients >18 years old with a histopathological diagnosis of cervical, breast, prostate, head and neck, and rectal cancers who require radiotherapy at the initial consultation and are eligible for enrolment. Baseline information includes demographics, cancer characteristics, treatment, type of treatment planning, quality assurance, date of first consultation, CT simulation, initiation and treatment planning, approval of treatment planning, initiation, and completion of quality assurance of the planned treatment, initiation, and completion of treatment.
Results:
none
Conclusions:
In conclusion, this pioneering prospective study provides comprehensive insights into the clinical presentation, demographics, treatment modalities, and outcomes among diverse population groups receiving radiotherapy treatment in CMJAH, providing a significant impact on cancer care. These findinngs hold significant relevance for the centre and other centres in the country experiencing similar trends in the waiting period. By shedding light on the feasibility and efficacy of implementing remote planning service to enhance patient flow, this study underscores the potential for leveraging remote planning services to overcome barriers to accessing critical cancer care services in LMICs.
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