| Stoker (2014); Indonesia; cohort Prospective [17] |
n=67; nasopharynx cancer; 47-year-old |
To describe why the overall time to radiotherapy and the interval from diagnosis to therapy takes longer. |
The main reason for absent for radiotherapy session were due to unavailability of the machines. Other reasons include poor patient conditions, national holidays, radiation adjustments, power outages, treatment planning systems that are not operational, factors related to the patient and the type of insurance. |
| Lam (2015); Australia; cross-sectional [9] |
n=574; Breast cancer; 63-year-old |
To explore the radiotherapy affordability and increase breast conservation therapy (BCT) acceptance rates |
Increasing the affordability of radiotherapy by reducing transportation costs does not increase the acceptance of breast conservation therapy (BCT) because the convenience of therapy is the main consideration for patients |
| Calaguas (2016); Southeast Asia; qualitative study [11] |
N/A |
To explore the accessibility of radiotherapy in Southeast Asia through the socioeconomic perspective of the Philippines, where urban and rural locations affect this condition. |
Improving access to radiotherapy is a complex issue in the highly heterogeneous region of Southeast Asia. Not only poverty barriers, but also sociocultural factors that influence health seeking behavior from the community to be noted in cancer therapy. |
| Smith (2017); Australia; cohort prospective [18] |
n=21; prostate, breast, gynecological, head and neck cancer, hematology malignancies, and melanoma; 64-year- old |
To explore patient perceptions in their involvement in choosing therapy, patient knowledge and understanding regarding therapy, and interaction preferences with health workers |
Trust in the radiation oncology specialist, feeling explained about the side effects and benefits of therapy, a treatment team showing concern for the patient, and feeling part of the department make the patient more likely to accept treatment. |
| Egger (2019); Australia; cohort prospective [19] |
n=1071; prostate cancer; >40-year-old |
To describe the trend of urology specialists in referring high risk prostate cancer patients to radiation oncology specialists 4 months after radical prostatectomy and receiving radiotherapy 6 months after consultation with radiation oncologists. |
Only 30% of patients with high-risk features are referred to a radiation oncology specialist. This is influenced by perceptions and referral bias of urology specialists. When patients had seen a radiation oncology specialist, 61% received radiotherapy within 6 months. This demonstrates the importance of eliminating referral bias to increase radiotherapy acceptability |
| Minichsdorfer (2020); Austria; cross-sectional [20] |
n=101; pulmonary, breast, and other type of cancer; 56.2-year- old |
To assess patient information and expectations when starting their first cancer therapy, and communication satisfaction with healthcare professionals |
Patients who do not speak fluent German feel that there is a lack of communication. Poor doctor-patient communication is often the main factor for poor palliative care. A significant number of patients anticipate the adverse side effects of therapy with a more positive approach. |
| Yap (2021); Australia; cohort retrospective [8] |
n=267; Metastatic cancer (25% primary lung cancer, 16% colorectal, 10% unknown); 72-year- old |
To compare actual and optimal use of radiotherapy |
Radiotherapy acceptance is lower, especially in elderly patients and those with more comorbidities. |
| Author, place, and design of study |
Total sample, type of cancer, median age |
Objective |
Main associated determinants |
| Jin (2021); China; Cross-sectional [15] |
n=103; breast cancer; 25-75-year-old |
To evaluate the stigma and demographic influences, disease- related factors, psychosocial, self-efficacy, and how to adjust to breast cancer survivors. |
Stigma from breast cancer survivors is related to breast asymmetry, belief in karma, and financial inadequacy. Support from family, health workers, and peer groups is a strength for cancer survivors. |
| Greer (2022); United States of America; cross-sectional [10] |
n=418.754; all type of cancer; all ages range. |
To explore the distance to facilities, race and ethnicity and radiotherapy acceptance and mortality |
Patients who lived in rural areas must travel 3 times the distance compared to who lived in urban areas thus made them have fewer radiotherapy sessions and increased mortality. |
| Zeilani (2022); Jordan; cross-sectional [21] |
n=13; all type of cancer; >18-year-old |
To describe the experience of family support from the perspective of a cancer patient |
Arabic culture where the family bears the burden of caring for the patient, religious and cultural practitioners give strength to the patient to undergo cancer therapy. |
| Liu (2022); China; cross-sectional [22] |
n=16; pulmonary cancer; 36-73-year- old |
To explore the factors that influence patient adherence to undergoing oral- targeted therapy |
Lung cancer survivors experience many psychosocial pressures, such as stigma and belief in karma. Discomfort due to cancer and side effects of therapy are one of the factors that make patients give up on therapy. Patients need adequate information about therapy, including costs, to be able to make good decisions. |
| Moradi (2022); Canada; experimental [23] |
N/A |
To improve the schedule of radiotherapy centers and performance indicators |
The development of machine algorithms can be carried out to predict the absence and punctuality of patients in the Patient Appointment Schedule (PAS) and prioritize patients with severe illness and delays in therapy |
| Suarilah (2022); Indonesia; cross-sectional [24] |
n=15; obstetric and gynecological cancer; 18-65-year-old |
To describe the narratives and experiences of Indonesian women diagnosed with obstetric and gynecological cancer in making therapeutic decisions |
The majority have a passive role in the therapeutic decision-making process, whereas patients who are working and financially independent are more active in decision-making. Family support can be interpreted negatively by patients and hinder therapy. |
| Mesiti (2023); USA; cross-sectional [12] |
n=800; colon cancer; 37-66-year-old |
To explore the general public’s acceptance of immediate adjuvant chemotherapy for colon cancer |
Individuals with long working hours, high levels of education and male sex have different tendencies in choosing therapy in terms of time, quality of life that is maintained, and side effects that occur. |
| Carmo (2023); Brazil; cross-sectional [16] |
n=15; obstetric and gynecological cancer; 18-65-year-old |
To describe the narratives and experiences of Indonesian women diagnosed with obstetric and gynecological cancer in making therapeutic decision |
Trust in health workers increases expectations and acceptance for therapy. |
