Optimization of Patient Routing and Waiting Time for Radiotherapy in Women with Cervical Cancer in Almaty

Abstract

Relevance: Cervical cancer remains one of the leading causes of cancer-related mortality among women in Kazakhstan, despite the ongoing national screening program and the development of specialized oncological services. Timely initiation and completion of radiotherapy are key factors determining patient survival and local tumor control.

Aim: To analyze patient routing and waiting times for the initiation of radiotherapy among women diagnosed with cervical cancer and registered at the Almaty Oncology Center in 2024.

Methods: A retrospective descriptive study was conducted based on data from 105 patients who received external beam and brachytherapy. Time intervals from diagnosis to treatment initiation were assessed in relation to tumor stage, age, and treatment modality.

Results: The mean waiting time before starting radiotherapy was 36 days, with 72% of patients beginning treatment within 48 days. Women with advanced-stage disease started therapy earlier, reflecting the principle of clinical prioritization. The main causes of delay were prolonged diagnostic procedures, organizational barriers, and limited radiotherapy resources.

Conclusion: Optimization of patient routing, digitalization of referral processes, and strengthening of the radiotherapy workforce can significantly reduce treatment delays, improve therapeutic outcomes, and align oncological care with international standards.