Current provision and challenges for paediatric radiotherapy in Romania: A survey by the SIOP Europe QUARTET project

•Several challenges impact the delivery of paediatric radiotherapy in Romania.•Unclear proton referral procedures are prohibitively complex and laborious.•Participation in clinical trials is limited by national infrastructure and engagement.•Romanian clinicians support the concept of a shared RTQA platform.•Action is needed to reduce disparities and improve outcomes for children in Romania.