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Review of Radiotherapy Activity in Scotland, 2 Years Post COVID.

L Grocutt1, T Rowe2, D Caldwell3

  • 1CRUK RadNet Glasgow, University of Glasgow, Glasgow, United Kingdom; Department of Radiotherapy Physics, the Beatson West of Scotland Cancer Centre, Glasgow, United Kingdom.

Clinical Oncology (Royal College of Radiologists (Great Britain))
|June 21, 2025
PubMed
Summary

Radiotherapy services in Scotland saw a significant increase in activity in the two years following the COVID-19 pandemic. This recovery, particularly for breast, cervical, rectal, and prostate cancers, suggests a return to normal cancer care post-pandemic.

Keywords:
COVID-19SARS-CoV-2ScotlandUKpandemicradiotherapy

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Area of Science:

  • Oncology
  • Radiotherapy
  • Public Health

Background:

  • The COVID-19 pandemic raised concerns about its negative impact on ongoing cancer care.
  • Understanding the post-pandemic recovery of radiotherapy services is crucial for assessing the overall effect on cancer treatment.

Purpose of the Study:

  • To investigate the impact of the COVID-19 pandemic on radiotherapy services in Scotland.
  • To quantify changes in radiotherapy activity in the years following the initial pandemic period.

Main Methods:

  • Quantitative data on radiotherapy activity were collected for two years post-pandemic (01/04/2021-31/03/2023).
  • Activity metrics including total/mean weekly courses, dose, fractionation, and treatment intent were compared to pre-pandemic and early pandemic periods (01/04/2019-31/03/2021).

Main Results:

  • Total radiotherapy courses increased by 32-35% in the two years post-pandemic compared to the first pandemic year.
  • Average weekly radiotherapy courses rose significantly, with a notable increase in radical treatments (+8.1%) and a decrease in palliative treatments (-9%).
  • Radiotherapy utilization saw a greater reduction in females during the pandemic, but a substantial recovery (65-69% increase) in the post-pandemic period, contrasting with a smaller increase for males (9-15%).

Conclusions:

  • Radiotherapy activity in Scotland significantly increased in the two years after the COVID-19 pandemic.
  • The largest recovery was observed in breast, cervical, rectal, and prostate cancer treatments.
  • The increase is likely due to the reinstatement of diagnostic tests, surgeries, and cancer screenings suspended during the pandemic.