{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:03:36Z","timestamp":1790121816587,"version":"4.0.1"},"reference-count":50,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:00:00Z","timestamp":1784246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100011715","name":"Macmillan Cancer Support","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011715","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","clinicaloncologyonline.net","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Oncology"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.clon.2026.104302","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T15:39:24Z","timestamp":1784216364000},"page":"104302","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Radiotherapy Treatment and Beyond \u2013 Mapping Radiotherapy Late Effects Service Provision in England"],"prefix":"10.1016","volume":"58","author":[{"given":"R.","family":"Breen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2361-5740","authenticated-orcid":false,"given":"D.","family":"Hutton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5816-5498","authenticated-orcid":false,"given":"L.","family":"Oliver","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.clon.2026.104302_bib1","series-title":"Cancer statistics in the UK","year":"2024"},{"key":"10.1016\/j.clon.2026.104302_bib2","series-title":"Understanding cancer statistics \u2013 incidence, survival, mortality","year":"2023"},{"key":"10.1016\/j.clon.2026.104302_bib3","series-title":"NHS England cancer programme progress update","year":"2024"},{"key":"10.1016\/j.clon.2026.104302_bib4","series-title":"World-class radiotherapy in the UK: a vision","year":"2024"},{"key":"10.1016\/j.clon.2026.104302_bib5","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.addr.2016.11.005","article-title":"Stereotactic ablative body radiosurgery (SABR) or Stereotactic body radiation therapy (SBRT)","volume":"109","author":"Folkert","year":"2017","journal-title":"Adv Drug Deliv Rev"},{"key":"10.1016\/j.clon.2026.104302_bib6","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.2147\/CMAR.S351744","article-title":"Technological Advancements in External Beam Radiation Therapy (EBRT): An Indispensable Tool for Cancer Treatment","author":"Koka","year":"2022","journal-title":"Cancer Manag Res"},{"key":"10.1016\/j.clon.2026.104302_bib7","series-title":"Radiation oncology \u2013 principles, precepts and practice","first-page":"383","article-title":"Early and Late Toxicities of Radiotherapy","author":"Biswal","year":"2025"},{"key":"10.1016\/j.clon.2026.104302_bib8","doi-asserted-by":"crossref","first-page":"1538","DOI":"10.1002\/1878-0261.12750","article-title":"Prevention and treatment of radiotherapy-induced side effects","volume":"14","author":"Barazzuol","year":"2020","journal-title":"Mol Oncol"},{"key":"10.1016\/j.clon.2026.104302_bib9","series-title":"StatPearls [eBook]","article-title":"Adverse Effects of Radiation Therapy","author":"Majeed","year":"2023"},{"key":"10.1016\/j.clon.2026.104302_bib10","series-title":"Pelvic radiation disease best practice pathway","year":"2024"},{"key":"10.1016\/j.clon.2026.104302_bib11","series-title":"A qualitative analysis of patient narratives describing experiences of radiotherapy for gynaecological cancer: impacts on social, personal and sexual lives","first-page":"1","author":"Ashmore","year":"2023"},{"key":"10.1016\/j.clon.2026.104302_bib12","doi-asserted-by":"crossref","first-page":"84","DOI":"10.3857\/roj.2020.00213","article-title":"Late side effects of radiation treatment for head and neck cancer","volume":"38","author":"Brook","year":"2020","journal-title":"Radiat Oncol J"},{"key":"10.1016\/j.clon.2026.104302_bib13","doi-asserted-by":"crossref","first-page":"e15","DOI":"10.1136\/bmjspcare-2015-001032","article-title":"Evaluating the experiences and support needs of people living with chronic cancer: development and initial validation of the Chronic Experiences Questionnaire (CCEQ)","volume":"9","author":"Harley","year":"2019","journal-title":"Support Palliat Care"},{"key":"10.1016\/j.clon.2026.104302_bib14","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1007\/s11764-023-01451-9","article-title":"The association of cancer-related fatigue on the social, vocational and healthcare-related dimensions of cancer survivorship","volume":"19","author":"Jones","year":"2023","journal-title":"J Cancer Surviv"},{"key":"10.1016\/j.clon.2026.104302_bib15","doi-asserted-by":"crossref","first-page":"4476","DOI":"10.1080\/09638288.2025.2451213","article-title":"\u201cIt\u2019s a struggle\u201d: a qualitative investigation of relations between cancer-related fatigue and work outcomes","volume":"47","author":"Rossiter","year":"2025","journal-title":"Disabil Rehabil"},{"key":"10.1016\/j.clon.2026.104302_bib16","doi-asserted-by":"crossref","first-page":"S8","DOI":"10.1016\/j.radi.2023.01.011","article-title":"Patient voices: An essential piece in Radiotherapy\u2019s data jigsaw","volume":"29","author":"Hutton","year":"2023","journal-title":"Radiography"},{"key":"10.1016\/j.clon.2026.104302_bib17","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.clon.2022.11.004","article-title":"Amplifying the Patient Voice: A Survey of Practitioners\u2019 Use of Patient-reported Outcome Measures Across Radiotherapy Providers in England","volume":"35","author":"Oliver","year":"2023","journal-title":"Clin Oncol"},{"key":"10.1016\/j.clon.2026.104302_bib18","series-title":"I want my life back - the long-term side-effects of radiotherapy: gaps in recognition and resourcing leaving patients suffering without treatment","year":"2020"},{"key":"10.1016\/j.clon.2026.104302_bib19","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1055\/s-0041-1740041","article-title":"Pelvic Radiation Disease","volume":"35","author":"Sammour","year":"2022","journal-title":"Clin Colon Rectal Surg"},{"key":"10.1016\/j.clon.2026.104302_bib20","series-title":"Evaluation of the pelvic radiation disease best practice pathway exploring use and impact of late effects symptom management guidance. E-Poster presented at the multinational association of supportive care in cancer (MASCC) conference, lille (France)","author":"Smith","year":"2024"},{"key":"10.1016\/j.clon.2026.104302_bib21","series-title":"The NHS long term plan","year":"2019"},{"key":"10.1016\/j.clon.2026.104302_bib22","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.1016\/j.pcl.2020.08.001","article-title":"Radiotherapy and Late Effects","volume":"67","author":"Palmer","year":"2020","journal-title":"Pediatr Clin North Am"},{"key":"10.1016\/j.clon.2026.104302_bib23","doi-asserted-by":"crossref","first-page":"S21","DOI":"10.1016\/j.radi.2024.09.043","article-title":"Understanding the Provision of Late Effects Services within the UK","volume":"30","author":"Julka-Anderson","year":"2024","journal-title":"Radiography"},{"key":"10.1016\/j.clon.2026.104302_bib24","article-title":"Late effects services for adults living with and beyond cancer: a scoping exercise of the current provision in the UK","volume":"25","author":"Julka-Anderson","year":"2026","journal-title":"Cancer Nurs Pract"},{"key":"10.1016\/j.clon.2026.104302_bib25","series-title":"Handbook of research methods in health social sciences","first-page":"844","article-title":"Thematic Analysis","author":"Braun","year":"2019"},{"key":"10.1016\/j.clon.2026.104302_bib26","series-title":"UK late effects services","year":"2025"},{"key":"10.1016\/j.clon.2026.104302_bib27","first-page":"6031","article-title":"Measuring quality of life in people living with and beyond cancer in the UK","volume":"29","author":"Moschopoulou","year":"2021","journal-title":"Support Care Cancer"},{"key":"10.1016\/j.clon.2026.104302_bib28","series-title":"Service Specification 170091S: adult external beam radiotherapy services delivered as part of a radiotherapy network","year":"2019"},{"key":"10.1016\/j.clon.2026.104302_bib29","series-title":"Pelvic radiation disease project secures funding to continue","year":"2024"},{"key":"10.1016\/j.clon.2026.104302_bib30","series-title":"New South West radiotherapy late effects service transforms patient care for cancer survivors","year":"2025"},{"key":"10.1016\/j.clon.2026.104302_bib31","series-title":"Evaluation \u2013 southwest radiotherapy late effects services","year":"2025"},{"key":"10.1016\/j.clon.2026.104302_bib32","series-title":"New service for long-term radiotherapy side effects","year":"2025"},{"key":"10.1016\/j.clon.2026.104302_bib33","series-title":"Radiotherapy late effects service secured for the future","year":"2025"},{"key":"10.1016\/j.clon.2026.104302_bib34","series-title":"Nottingham university hospitals\u2019 award-winning late effects service. Poster presented at the leading the way: radiography international advanced practice conference","author":"Hallam","year":"2016"},{"key":"10.1016\/j.clon.2026.104302_bib35","first-page":"1","article-title":"Guidance: The practical management of the gastrointestinal symptoms of pelvic radiation disease","volume":"0","author":"Andreyev","year":"2015","journal-title":"Frontline Gastroenterol"},{"key":"10.1016\/j.clon.2026.104302_bib36","doi-asserted-by":"crossref","first-page":"2084","DOI":"10.1016\/S0140-6736(13)61648-7","article-title":"Algorithm-based management of patients with gastrointestinal symptoms in patients after pelvic radiation treatment (ORBIT): a randomised controlled trial","volume":"382","author":"Andreyev","year":"2013","journal-title":"Lancet"},{"key":"10.1016\/j.clon.2026.104302_bib37","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1016\/j.radi.2022.04.009","article-title":"Advanced practice roles of therapeutic radiographers\/radiation therapists: A systematic literature review","volume":"28","author":"Oliveira","year":"2022","journal-title":"Radiography"},{"key":"10.1016\/j.clon.2026.104302_bib38","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.radi.2022.12.003","article-title":"Advanced practice roles amongst therapeutic radiographers\/radiation therapists: A European survey","volume":"29","author":"Oliveira","year":"2023","journal-title":"Radiography"},{"key":"10.1016\/j.clon.2026.104302_bib39","unstructured":"Society of Radiographers. Radiotherapy Late Effects Special Interest Group.https:\/\/www.sor.org\/about\/get-involved\/special-interest-groups\/radiotherapy-late-effect-sig#:\u223c:text=Toxicities%20can%20affect%20any%20system,urinary%20problems%20and%20second%20malignancies; N.d. [Accessed 29 November 2025]."},{"key":"10.1016\/j.clon.2026.104302_bib40","series-title":"Late effects of cancer treatment","year":"2025"},{"key":"10.1016\/j.clon.2026.104302_bib41","first-page":"1","article-title":"Radiotherapy commissioning and tariff\u2014how can we deliver advanced, innovative, and personalised radiotherapy?","volume":"00","author":"Powell","year":"2025","journal-title":"BJR"},{"key":"10.1016\/j.clon.2026.104302_bib42","series-title":"Consultation on the 2026\/27 NHS payment Scheme: annex dpb: guidance on currencies (PRN02097)","year":"2025"},{"key":"10.1016\/j.clon.2026.104302_bib43","first-page":"1","article-title":"Considering late effects costs in radiotherapy funding","volume":"00","author":"Hutton","year":"2025","journal-title":"BJR"},{"key":"10.1016\/j.clon.2026.104302_bib44","series-title":"Case study: evaluation of the south west radiotherapy late effects service (SWAG cancer alliance)","year":"2025"},{"key":"10.1016\/j.clon.2026.104302_bib45","first-page":"1","article-title":"Sustainable capital funding for modern and innovative radiotherapy services","volume":"00","author":"Powell","year":"2025","journal-title":"BJR"},{"key":"10.1016\/j.clon.2026.104302_bib46","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1177\/1755738013484908","article-title":"What does a GP need to know about radiotherapy?","volume":"7","author":"Cosh","year":"2013","journal-title":"InnovAiT"},{"key":"10.1016\/j.clon.2026.104302_bib47","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/j.clon.2021.04.009","article-title":"Gastrointestinal Toxicity of Pelvic Radiotherapy: Are We Letting Women Down?","volume":"33","author":"Fernandes","year":"2021","journal-title":"Clin Oncol"},{"key":"10.1016\/j.clon.2026.104302_bib48","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1007\/s11136-017-1700-8","article-title":"Prevalence of patient-reported gastrointestinal symptoms and agreement with clinician toxicity assessments in radiation therapy for anal cancer","volume":"27","author":"Tom","year":"2018","journal-title":"Qual Life Res"},{"key":"10.1016\/j.clon.2026.104302_bib49","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1016\/j.clon.2016.01.011","article-title":"Do Patient-reported Outcome Measures Agree with Clinical and Photographic Assessments of Normal Tissue Effects after Breast Radiotherapy? The Experience of the Standardisation of Breast Radiotherapy (START) Trials in Early Breast Cancer","volume":"28","author":"Haviland","year":"2016","journal-title":"Clin Oncol"},{"key":"10.1016\/j.clon.2026.104302_bib50","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/j.radonc.2019.01.036","article-title":"Can patient-reported outcomes be used instead of clinician-reported outcomes and photographs as primary endpoints of late normal tissue effects in breast radiotherapy trials? Results from the IMPORT LOW trial","volume":"134","author":"Bhattacharya","year":"2019","journal-title":"Radiother Oncol"}],"container-title":["Clinical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0936655526002736?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0936655526002736?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T23:25:47Z","timestamp":1790119547000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0936655526002736"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":50,"alternative-id":["S0936655526002736"],"URL":"https:\/\/doi.org\/10.1016\/j.clon.2026.104302","relation":{},"ISSN":["0936-6555"],"issn-type":[{"value":"0936-6555","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Radiotherapy Treatment and Beyond \u2013 Mapping Radiotherapy Late Effects Service Provision in England","name":"articletitle","label":"Article Title"},{"value":"Clinical Oncology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clon.2026.104302","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Ltd on behalf of The Royal College of Radiologists.","name":"copyright","label":"Copyright"}],"article-number":"104302"}}