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ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2026

SUSTAIN-RO study: a nationwide pilot survey on environmental sustainability practices among Spanish radiation oncology specialists.

Elías Gomis Sellés, Virginia García Reglero, Mariana Pérez de Antueno, Irene Martínez Montesinos, Miguel Ángel Berenguer Francés, Marta Gutiérrez Elizondo, Emilio Murcia Nadal, José Expósito

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Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Elías Gomis SellésDepartment of Radiation Oncology, Hospital Universitario y Politécnico La Fe, Valencia, Spain. eliasgse@gmail.com.ORCID http://orcid.org/0000-0001-9924-7561
Virginia García RegleroDepartment of Radiation Oncology, University Hospital Arnau de Vilanova, Lleida, Spain.
Mariana Pérez de AntuenoDepartment of Radiation Oncology, Instituto de Medicina y Radiomedicina, Buenos Aires, Argentina.
Irene Martínez MontesinosDepartment of Radiation Oncology, Hospital Universitario de Navarra, Navarra, Spain.
Miguel Ángel Berenguer FrancésDepartment of Radiation Oncology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Marta Gutiérrez ElizondoRadiation Oncology Department, Virgen de las Nieves University Hospital, Granada, Spain.
Emilio Murcia NadalDepartment of Radiation Oncology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
José ExpósitoRadiation Oncology Department, Virgen de las Nieves University Hospital, Granada, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo characterize sustainability practices and identify implementation barriers among radiation oncology (RO) professionals in Spain. MATERIAL AND

methodsA 38-item survey was distributed to members of the Spanish Society of Radiation Oncology (SEOR) in October 2025. Responses from 122 specialists (out of 1355 invited, 9.0% response rate) were analyzed using Chi-Square and Kruskal-Wallis tests.

resultsPrivate vehicles remain the primary mode of commuting (56.2%), even though 61.5% of specialists live within 10 km of their centers. Significant barriers include a 75.4% lack of formal sustainability training and a 92% absence of teleworking options. However, the public sector shows a significantly lower adoption of paperless workflows compared to the private sector (29.1% vs. 69.2%; p = 0.016). Interest in national green initiatives is high (median 8.0/10).

conclusionA significant gap exists between professional interest and institutional support. Education and improving departmental infrastructure are key to advancing sustainable RO in Spain.

Indexed as

Carbon emissionsRadiation oncologySustainability

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