ESTRO meets Asia 2024 - Abstract Book

S133

Interdisciplinary – Global health

ESTRO meets Asia 2024

North Sumatra, such as Aceh, Riau Islands and Riau Province. This result indicates that this is one of the referral centers for provinces, especially in Sumatra Island. In regards to the most common cancer, the top 5 cancers were breast, colon, rectal, nasopharynx and ovarian cancer (38.4, 11.4, 11, 10.4, and 5.7%, respectively). Other types of cancers were leukemia, lymphoma, lung, prostate and lung cancer. Out of those cancers included in this study, radiotherapy was given to 11.6% of patients.

Conclusion:

Most patients were female, aged around 50 years old, coming from North Sumatra Province. Breast, colorectal and nasopharynx were the three most common cancers in the center. Despite the number of patients, radiotherapy was given to only 11.6%. These results showed that there is room for improvement regarding the utilization of radiotherapy and expanding the number of radiotherapy in the center and region.

Keywords: Profile, cancer, North Sumatra

377

Proffered Paper

THE GREEN SIDE EFFECT OF A QUALITY PROJECT: HOW TO REDUCE THE CARBON FOOTPRINT IN RADIOTHERAPY Luca Capone 1 , Chiara D'Ambrosio 1 , Giorgio Hamid Raza 1 , Francesca Cavallo 2 , Debora Di Minico 2 , Valeria Denotti 3 , Silvia Lo Cascio 3 , Barbara Ragonese 3 , Piercarlo Gentile 1 1 Radiotherapy, UPMC HILLMAN CANCER CENTER SAN PIETRO, ROME, Italy. 2 Radiotherapy, UPMC VILLA MARIA, MIRABELLA ECLANO, Italy. 3 Quality, UPMC ITALY, ROME, Italy

Purpose/Objective:

Waiting lists have always been a critical issue in healthcare, especially in radiotherapy departments. In our center there are Quality procedures to maintain low levels of Turnaround Times (TT), defined as the elapsed time between the consult when the indication for treatment is given and the first day of treatment. That allow to provide radiotherapy treatment in less than 24h or 12h in patients considered in urgency cases. In a recent review on the applicability of eco-sustainable procedures in healthcare, several areas were identified to reduce greenhouse gas emissions, including the definition of a Green Team to define and monitor good company practices; energy savings; medical and urban waste management; reduction of staff and patient-related transport. Our aim is to assess the impact of optimized TT-related procedures in reducing the radiotherapy department's carbon footprint focusing on patient’s transportation.

Material/Methods:

In 2021, TT was taken into account as a Quality benchmark. Following the LEAN methodology, the indicator was monitored then root cause analysis was performed to define an action plan consisting of contributing factors and countermeasures. The target to be achieved was defined as the reduction of the number of days elapsed between the consult and the first day of treatment below the reference level proposed. To do that, a new procedure was suggested to define if patients must be treated in less than 24h or 12h. In order to assess the carbon footprint of the cancer center, the distance in km and the corresponding CO2 equivalent emissions of a medium-sized