Abstract
Background: Timely access to radiotherapy is crucial for optimal cancer treatment
outcomes, as delays in receiving treatment can lead to disease progression and decreased
chances of survival. Healthcare systems need to prioritise efficient scheduling and coordination
of radiotherapy services to ensure patients receive timely care. This study aims to
quantitatively analyse the key time intervals in the cancer care continuum, specifically from
diagnosis to the start of radiotherapy treatment in Gauteng. Methods: Data from 800 patients
treated between January and December 2023 were analysed using a retrospective
analysis of patient records from the two public radiotherapy centres in Gauteng Province,
one in Johannesburg and the other in Pretoria, focusing on key time intervals in the cancer
care continuum. The durations from diagnosis to the commencement of radiotherapy
were analysed. Results: The mean duration of the first consultation was 8.32 months,
highlighting significant delays in accessing specialised care. This finding is further supported
by the average time until a Computed Tomography (CT) simulation, which was
13.38 months, highlighting a considerable delay in treatment planning. Conclusion: This
study highlights systemic delays in the Gauteng radiotherapy pathway, highlighting the
need for optimisation of referral processes, resource constraints, and strategies to improve
cancer care.