Impact of Hypofractionated Radiation Protocols on Reducing Travel Burden and Improving Patient Satisfaction: When Less Is More.

Purpose: Despite rising cancer incidence and mortality in Saudi Arabia, access to radiotherapy (RT) services is limited in some regions. This study aimed to examine the travel burdens of RT patients and assess the benefits of hypofractionated RT (HFRT).

Methods: This multicenter retrospective study included patients with breast cancer (BC) and prostate cancer (PC) treated with HFRT (26 Gy/5 fractions for BC and 60 Gy/20 fractions for PC) between 2020 and 2024. Patient data were collected from electronic records, and an online questionnaire assessed experiences and financial burdens. Google Maps determined the shortest driving distance from patients' residences to our RT center. Descriptive statistics compared accommodation, transportation costs, and time expenditure for shorter versus longer RT courses.

Results: A survey of 153 out of 187 patients (average age 57 years for BC, 70 years for PC) revealed significant travel burdens. Notably, 43% traveled from outside Jeddah, averaging 415 km, compared with 17.9 km for those within Jeddah. HFRT offered substantial transportation cost-savings, estimated at $101 in US dollars (USD) for patients with BC (an additional $133 (USD) for those outside Jeddah) and $213 (USD) for patients with PC (an additional $320 (USD) for those outside Jeddah). Median accommodation cost-savings were $733 (USD) for BC and $1,600 (USD) for PC. Median time-savings were 9.25 hours for BC and 30 hours for PC. All patients were satisfied with the treatment duration, with 42% preferring the shorter hospital stay and 8% citing financial reasons.

Conclusion: Patients with cancer in Saudi Arabia travel significant distances for RT. HFRT using shorter RT courses reduces patient-related costs, enhances satisfaction, and may improve access by addressing logistical challenges.