ESTRO 2025 - Abstract Book

S4236

RTT - Education, training, advanced practice and role developments

ESTRO 2025

not simulated (SN) and (2) the proportion of patients simulated but not completing treatment verification (ST). A need for this intervention emerged from quality improvement (QI) data at a large academic medical center, highlighting inefficiencies and care continuity gaps in inpatient services. Material/Methods: A retrospective cohort study compared inpatients receiving standard care (Radiation Oncologist only) to those with APRT-supported care. Data from the EMR Mosaiq system (July 2020–October 2023) included patients referred for new radiation therapy courses, excluding those under 18 or already undergoing treatment. The APRT intervention consisted of a dedicated radiation therapy assessment designed to address pain and anxiety, establish goals of care, and enhance care coordination efficiency. This was compared to the control group, where patients were assessed solely by the Radiation Oncologist prior to simulation. Inverse Probability of Treatment Weighting (IPTW) minimized bias, and odds ratios (crude and propensity score-weighted) measured intervention effects. Statistical significance was set at P < .05. Results: In the SN cohort, the APRT intervention increased simulation completion rates from 82.01% to 92.82%, reducing the odds of incomplete simulation by 66% (Crude OR: 0.352; ATE OR: 0.337; ATT OR: 0.303; all P < .001). In the ST cohort, treatment verification completion rates rose from 80.21% to 95.65%, reducing the odds of incomplete verification by 81% (Crude OR: 0.184; ATE OR: 0.188; ATT OR: 0.190; all P < .001). Propensity score weighting balanced key covariates except gender. The APRT intervention improved workflow efficiency and reduced patient drop-off at critical stages, supporting robust process improvements and enhanced care delivery. Conclusion: The APRT intervention significantly enhanced inpatient radiation therapy throughput, increasing simulation and treatment verification completion rates. These findings highlight the APRT's role in optimizing care efficiency and improving patient outcomes. Future studies should explore cost-effectiveness of this intervention, and the APRT impact on subsequent stages in the treatment process. Proffered Paper United Nations accredited training: advancing radiation oncology skills through shared knowledge Yolanda Surjan, Laura Feighan, Debra Lee, Leah Cramp Global Centre for Research and Training in Radiation Oncology, The University of Newcastle, Newcastle, Australia Purpose/Objective: High-income countries (HICs) benefit from excellent healthcare systems and comprehensive healthcare education. Unfortunately, this is not the case in many low and middle-income countries (LMICs), where access to quality cancer care and education, remains limited and where it is predicted that more than 75% of cancer-related deaths will occur over the next decade. (1) It is everybody’s responsibility to help ensure that clinicians in LMICs have access to the same high-quality healthcare resources and education HICs enjoy. In response, the Global Centre for Research and Training in Radiation Oncology (GC-RTRO) (Australia), has developed the first of a suite of online short courses that are United Nations (UN) accredited. (2) The course focuses on concepts of quality assurance (QA) and radiation safety in radiation therapy (RT). Material/Methods: This first course aims to upskill radiation oncology health professionals in radiation safety and quality assurance practices. Delivered online, the course requires 6-8 hours of effort and provides an introductory understanding of ionising radiation characteristics, and the effects of radiation interactions on the human body. Distributed Keywords: Service improvement, time savings 2273