Barriers to Receiving Proton-Craniospinal Irradiation for Pediatric Medulloblastoma Patients at a Rural Tertiary Care Center

To the best of our knowledge, this is the first study on barriers to accessing proton-CSI for pediatric medulloblastoma patients without in-state proton-CSI centers. Our study provides insight into geographic, social, and financial barriers, allowing clinical teams to identify solutions to overcome these barriers. Advocacy for access to care on behalf of this vulnerable patient population will expand treatment access on a state and national level.