Evidence map›Paper›PMID 39317752›Full record

ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2025

Sustainability in radiation oncology: opportunities for enhancing patient care and reducing CO

Ahmed Bedir, Maximilian Grohmann, Sebastian Schäfer, Matthias Mäurer, Steffen Weimann, Julian Roers, Dominik Hering, Michael Oertel, Daniel Medenwald, Christoph Straube

Abstract read
In one paragraph

Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Sustainability in German radiotherapy: professionals' perspectives on energy savings-results of a DEGRO working group survey.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2026
    Article
  3. Analysis and stress-test of the spatial accessibility to German radiation oncology centers.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2026
    Article
  4. Green radiotherapy: aitro survey on sustainability awareness among Italian radiation therapists.Technical innovations & patient support in radiation oncology · 2026
    Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ahmed BedirDepartment of Radiation Oncology, Health Services Research Group, University Hospital Halle (Saale), Ernst-Grube-Str. 40, 06120, Halle (Saale), Germany. ahmed.bedir@uk-halle.de.ORCID 0000-0001-5659-1485
Maximilian GrohmannDepartment of Radiotherapy and Radiation Oncology, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
Sebastian SchäferDepartment of Radiotherapy and Radiation Oncology, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
Matthias MäurerDepartment for Radiotherapy and Radiation Oncology, University Hospital Jena, Friedrich-Schiller-University, Am Klinikum 1, 07747, Jena, Germany.
Steffen WeimannDepartment for Radiotherapy and Radiation Oncology, University Hospital Jena, Friedrich-Schiller-University, Am Klinikum 1, 07747, Jena, Germany.
Julian RoersDepartment of Radiation Oncology, University Hospital Muenster, Albert-Schweitzer-Campus 1 A1, 48149, Münster, Germany.
Dominik HeringDepartment of Radiation Oncology, University Hospital Muenster, Albert-Schweitzer-Campus 1 A1, 48149, Münster, Germany.
Michael OertelDepartment of Radiation Oncology, University Hospital Muenster, Albert-Schweitzer-Campus 1 A1, 48149, Münster, Germany.
Daniel MedenwaldDepartment of Radiation Oncology, Health Services Research Group, University Hospital Halle (Saale), Ernst-Grube-Str. 40, 06120, Halle (Saale), Germany.
Christoph StraubeDepartment of Radiation Oncology, Klinikum Landshut, Robert-Koch-Str. 1, 84034, Landshut, Germany.

Funding

Deutsche Forschungsgemeinschaft 413668513
6 · The paper itself

Abstract

BACKGROUND AND

objectiveRadiotherapy often entails a substantial travel burden for patients accessing radiation oncology centers. The total travel distance for such treatments is primarily influenced by two factors: fractionation schedules and the distances traveled. Specific data on these aspects are not well documented in Germany. This study aims to quantify the travel distances for routine breast cancer patients of five radiation oncology centers located in metropolitan, urban, and rural areas of Germany and to record the CO

methodsWe analyzed the geographic data of breast cancer patients attending their radiotherapy treatments and calculated travelling distances using Google Maps. Carbon dioxide emissions were estimated assuming a standard 40-miles-per-gallon petrol car emitting 0.168 kg of CO

resultAddresses of 4198 breast cancer patients treated between 2018 and 2022 were analyzed. Our sample traveled an average of 37.2 km (minimum average: 14.2 km, maximum average: 58.3 km) for each radiation fraction. This yielded an estimated total of 6.2 kg of CO

conclusionOur study highlights the environmental consequences associated with patient commutes for external-beam radiotherapy, indicating that reducing the number of treatment fractions can notably decrease CO

Indexed as

Breast NeoplasmsCarbon DioxideRadiation OncologyTravelFemaleGermanyHealth Services AccessibilityHumansCarbon DioxideCarbon footprintClimate changeFossil fuelsHealth servicesRadiation fractionsTravel distance

Identifiers

PMID39317752
PMCPMC12283903

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.