Global Radiotherapy: Current Status and Future Directions-White Paper

Area of Science:

• Oncology
• Public Health
• Radiation Therapy

Background:

• Cancer is a leading cause of death globally, with projected increases in incidence and mortality.
• Radiotherapy is essential for cancer control but faces significant access limitations, particularly in low- and middle-income countries.
• Existing global and regional initiatives require enhanced coordination to address disparities in cancer care.

Purpose of the Study:

• To assess the current global status of radiotherapy services, including achievements and challenges.
• To propose a roadmap for future directions in radiation oncology.
• To identify needs for a central framework and competency inventory to support global radiotherapy efforts.

Main Methods:

• Convened an international group of experts from radiation oncology societies.
• Conducted a thorough review of the current status of radiotherapy programs worldwide.
• Analyzed global and regional initiatives, achievements, and challenges in radiation oncology.

Main Results:

• A significant disparity exists in radiotherapy access globally.
• A central framework with an accessible repository is needed for better coordination of initiatives.
• A global inventory of competencies is required for safe, sustainable, and professional radiation oncology practice.

Conclusions:

• Improved coordination through a central framework is essential for global radiotherapy efforts.
• Establishing a global competency inventory will enhance the quality and safety of radiation oncology practice.
• This white paper provides a foundation for an action plan to advance global radiotherapy services.