Evidence map›Paper›PMID 42232894›Full record

ArticleCureus2026

A New Remote Classroom Approach to Contouring Training for Pelvic Malignancies in Low- to Middle-Income Asian Countries.

Yilan Liu, Caroline Carlson, Gregorius B Prajogi, Anuja Jhingran, Emma Holliday, Jonathan Paly, John Longo, Lindsay L Puckett, Nicholas G Zaorsky, Gustavo Sarria and 2 more

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Yilan LiuRadiation Oncology, University of Washington/Fred Hutchinson Cancer Center, Seattle, USA.
Caroline CarlsonRadiation Oncology, Northwestern University Feinberg School of Medicine, Chicago, USA.
Gregorius B PrajogiRadiation Oncology, Rumah Sakit Umum Pusat Nasional (RSUPN) Dr. Cipto Mangunkusumo Hospital, Jakarta, IDN.
Anuja JhingranRadiation Oncology, MD Anderson Cancer Center, Houston, USA.
Emma HollidayRadiation Oncology, MD Anderson Cancer Center, Houston, USA.
Jonathan PalyRadiation Oncology, Massachusetts General Hospital, Boston, USA.
John LongoRadiation Oncology, Medical College of Wisconsin, Milwaukee, USA.
Lindsay L PuckettRadiation Oncology, Medical College of Wisconsin, Milwaukee, USA.
Nicholas G ZaorskyRadiation Oncology, University Hospitals Seidman Cancer Center, Case Western Reserve School of Medicine, Cleveland, USA.
Gustavo SarriaRadiation Oncology, University of Bonn Medical Center, Bonn, DEU.
Serguei A CastanedaRadiation Oncology, CB Oncology, Cutler Bay, USA.
Benjamin C LiRadiation Oncology, University of Washington/Fred Hutchinson Cancer Center, Seattle, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe feasibility, learner interest, and educational impact of online contouring training in low- and middle-income countries (LMICs) in Asia have not been documented on a large participant scale; hence, we aimed to investigate these factors while conducting a training program in contouring pelvic malignancies. MATERIALS AND

methodsA 10-session contouring course was offered to primarily radiation oncologists in Southeast Asia (SEA) via Zoom (Zoom Communications, Inc., San Jose, USA). The curriculum included case-based learning and supplemental reading materials focusing on common contouring scenarios and errors. Participation and pre- and post-program surveys, including demographics, confidence scores, a 10-question contouring knowledge test, and anonymous feedback, were recorded and analyzed. Changes in pre- and post-program scores were evaluated using a paired t-test.

resultsA total of 276 physicians participated in the curriculum, with 144 participants completing pre- and post-confidence score surveys and knowledge tests. The attendance for each session averaged 140 (range 115-158). Among paired participants, mean confidence scores increased from 2.92 to 3.67 out of 5 (+26.28%, p<0.01) and were significantly improved across all disease sites (range +21.5% to +34.1%). Mean knowledge test scores increased from 4.47 to 6.53 out of 10 (+46.2%, p<0.01). The average likelihood of recommending this training program to another colleague was 9.63 out of 10.

conclusionsThe pelvic malignancies contouring training program, which focused on avoiding common errors, resulted in robust participation, significant improvements in confidence and knowledge scores, and excellent course recommendation scores. This strategy could potentially be replicated for continuous medical education, scaled to other countries, and applied to other cancer disease sites in the future.

Indexed as

low- and middle-income countryonline educationpelvic malignanciesradiation oncology educationradiation therapy contouring

Identifiers

PMID42232894
PMCPMC13222749

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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.