Eastern Europe Research Articles

Chinese investment in Central and Eastern Europe: Studying the evolution of industrial relations after the takeover of a Slovenian company

The article studies the approach Chinese investors apply to industrial relations at the company level in Central and Eastern Europe. The takeover of a home appliances producer in Slovenia by a Chinese state-owned enterprise and the trajectory of company-level industrial relations are analysed. Adopting a political economy approach, we examine the role played by market-related factors (especially FDI motivation), institutional context, trade union power resources and the Chinese state as an investor. The study contributes in two ways. First, it shows the inadequacy of market-based explanations as host institutions and actors modify transfer outcomes, blurring the ideal types, such as the ‘latecomer’ model and its apparent CEE counterpart. Second, the strategic interests of Chinese SOEs may unwillingly empower local actors struggling to influence transfer outcomes.

Directions of change in spatial planning systems in Central and Eastern Europe after 1989

ABSTRACT The aim of this article is to examine the main changes in spatial planning systems in Central and Eastern European (CEE) countries after the end of communism in 1989, and to relate these changes to the main challenges facing spatial planning in these countries. The authors used the following countries as case studies: Bulgaria, Estonia, Hungary, Latvia, Lithuania, Poland, Romania, Slovakia and Ukraine. They analysed the framework conditions, such as the main spatial planning instruments and the main planning legislation. They then looked at the rationale behind each country’s planning legislation and examined the legal status before implementation. This allowed them to identify the main directions of significant legal changes in each country.

Államháztartási kiadások alakulása populista kormányok alatt Kelet-Közép-Európában

Since the 2010s, a populist turn has been taking place in Central and Eastern Europe, and consequently populist parties have assumed control over the respective governments. In the literature, populist rule has been characterised with a) an irresponsible fiscal policy which ignores the budget constraint; and b) a biased redistribution policy that deliberately divides society into two antagonistic groups. Our analysis, covering the period between 2010 and 2022, demonstrates that populist governments in the region – generally speaking – have not relied on the accumulation of public deficit and debt; they, have, in fact, not differed from their non-populist peers with regard to fiscal discipline. Nevertheless, incumbent populist parties have used a conscious redistribution policy in their spending activities by favouring certain groups in society. Yet the spending preferences of populist parties in the region do show discrepancies as well; therefore, no single type of fiscal programme can be identified in the studied period.

How likely are Eastern European and central Asian countries to achieve global NCD targets: multi-country analysis

BackgroundIn Europe, mortality rates from noncommunicable diseases (NCDs) among persons 30–69 years of age (“NCD premature mortality rates”) have declined significantly, except in twelve countries of Eastern Europe and Central Asia, namely Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Russia, Tajikistan, Turkmenistan, Ukraine and Uzbekistan. Data on long-term trends in NCD mortality in these countries are limited. We analyzed NCD premature mortality rates, identified change points in NCD mortality trends and forecasted how likely countries are to achieve the global NCD targets, stratified by gender and NCD type.MethodsWe used the 1990–2019 Global Burden of Disease database to analyze NCD trends and identified country-specific change points by using piecewise linear regression. We assessed the likelihood of achieving the global targets for reducing NCD premature mortality rates among persons 30–69 years of age from four NCDs: cancers, diabetes, cardiovascular and chronic respiratory diseases. The global NCD targets are 25% reduction in mortality from 2010 to 2025 (WHO 25X25 target) and 33%—from 2015 to 2030 (SDG 3.4.1). We applied the analysis to both genders and four NCDs.ResultsOnly Kazakhstan and Russia are likely to achieve the global NCD targets. For Kazakhstan, WHO 25X25 and SDG 3.4.1 global targets for mortality rates were 494.3 and 374.8 per 100,000 population respectively; the corresponding predicted values (PVs) were 360.6 [CI 260.1–461.1] and 245.1 [CI 113.4–376.8]. For Russia, WHO 25X25 and SDG 3.4.1 global targets were 560.5 and 442.8 per 100,000 population respectively; the corresponding PVs were 427.7 [CI 270.3–585.1] and 311.0 [CI 102.8–519.1]. Achieving NCD global targets is less likely for Kyrgyzstan, while it is unlikely for the rest of countries. Most countries had higher mortality rates and slower progress among men compared with women. The likelihood of achieving overall global NCD targets was mainly explained by reduction in cardiovascular mortality.ConclusionsIn most Eastern Europe and Central Asia countries, progress towards achieving NCD global targets is slow, or there’s a reverse trend. Further quantitative and qualitative research is needed to understand the underlying reasons. Separate indicators are needed to monitor trends for cancers, diabetes and chronic respiratory diseases.

Phylogeographic structure of Italian Formica pratensis (Retzius 1783) populations in the framework of the species Eurasian range

AbstractThe phylogeography and demographical history of Italian Formica pratensis populations were examined and compared with the Eurasian-wide dataset available for this species and the other red wood ant species Formica lugubris. Forty-eight workers belonging to eight populations from both Alps and Apennines were analysed sequencing a 1.5-kilobase mitochondrial DNA fragment, including the cytochrome b gene and part of the NADH dehydrogenase subunit 6 gene. A total of 127 sequences were screened, scoring 53 different haplotypes amongst all specimens, with five new haplotypes discovered in the Italian populations. All the Italian haplotypes clustered in a monophyletic clade, underlining a clear phylogeographical separation of this group from the other Eurasian groups and suggesting a glacial separate forest refugia and different post-glacial colonisation patterns. The haplotypes from the Alps and the Apennines showed a high genetic proximity, pointing out an ancient (Pleistocene) wide distribution of this species across all these areas and common ancestral lineages. No shared haplotypes were scored between Northern and Central Apennine populations, but the low inter-population genetic distance indicated similar post-glacial selective processes acting on these groups. The diversity we recorded may be influenced by the actual fragmentation of F. pratensis populations across its entire Eurasian range, and by the limited geographical origin and sample dimension of the dataset analysed. Future studies with a more extensive sampling in the Alps and Eastern Europe are needed to confirm our result.

The impact of minimum wage on automotive companies' performance

This paper aims to verify the relationship between minimum wage growth and the financial indicators of automotive companies. As a hi-tech sector, the automotive industry is usually not expected to be affected by minimum wage policies. The introduction of the minimum wage in Germany and the dynamic development of the minimum wage in Eastern European countries make it possible to assess this relationship. German, Czech, Polish, and Slovak automotive company data was obtained from the Orbis database. Panel regression models were applied to test for dependencies. The paper detects the association between the growth of the minimum wage and the increase in personnel cost, which is next to the associations with several financial indicators at the company level. The identified impact is specific to small and medium-sized companies.

A multifaceted analysis of decreasing trust in health institutions in the EU during the COVID-19 pandemic

BackgroundPublic trust is crucial during health crises, such as the COVID-19 pandemic, for the effective implementation of scientific and policy interventions. This study investigates factors contributing to the decline in trust in the health sector within the European Union during the pandemic.MethodsUsing the publicly available 2020–2022 Standard Eurobarometer dataset, we employed a "geography of trust" approach. We applied equal quantile mapping to visualise high and low trust countries and Local Spatial Autocorrelation (LISA) to identify statistically significant clusters. Using a series of one-way ANOVA, we found associations between socio-economic and other variables available in the same dataset with trust.ResultsTrust in health institutions and medical staff declined in 20 of 27 EU countries from 2020 to 2022. Clear geographical clusters of Western and Central Europe as the high-trust countries and Eastern Europe as the low-trust countries emerged through mapping. One-way ANOVA revealed that contrary to several studies, age, gender, and most demographics did not vary with trust, but trust was directly associated with the satisfaction with measures taken to fight the COVID-19 pandemic, and individual perceptions about their life and national affairs (p < 0.001).ConclusionHigh-trust Western European countries share characteristics in health systems, governance, and pandemic responses. Understanding this interplay could inform trust-building strategies. The persistent low trust in Eastern Europe may stem from slow government responses and requires nuanced approaches considering unique contexts. The decline in traditionally high-trust countries highlights challenges even in established social contexts. This study provides valuable insights for policymakers aiming to foster trust during health crises.

AI in Surgery: Navigating Trends and Managerial Implications Through Bibliometric and Text Mining Odyssey.

Background:This research employs bibliometric and text-mining analysis to explore artificial intelligence (AI) advancements within surgical procedures. The growing significance of AI in healthcare underscores the need for healthcare managers to prioritize investments in this technology. Purpose:To assess the increasing impact of AI on surgical practices through a comprehensive analysis of scientific literature, providing insights that can guide managerial decision-making in adopting AI solutions.Research Design:The study analyzes over 6000 scientific articles published since 1990 to evaluate trends and contributions in the field, informing managers about the current landscape of AI in surgery.Study Sample:The research focuses on publications from various influential publishers across North America, Northern Asia, and Eastern & Western Europe, highlighting key markets for AI implementation in surgical settings.Data Collection and Analysis:A bibliometric approach was utilized to identify key contributors and influential journals. At the same time, text-mining techniques highlighted significant keywords related to AI in surgery, aiding managers in recognizing essential areas for further exploration and investment.Results:The year 2022 marked a significant upsurge in publications, indicating widespread AI integration in healthcare. The U.S. emerged as the foremost contributor, followed by China, the UK, Germany, Italy, the Netherlands, and India. Key journals, such as Annals of Surgery and Spine Journal, play a crucial role in disseminating research findings, serving as valuable resources for managers seeking to stay informed.Conclusions:The findings underscore AI's pivotal role in enhancing diagnostic precision, predicting treatment outcomes, and improving operational efficiency in surgical practices. This progress represents a significant milestone in modern medical science, paving the way for intelligent healthcare solutions and further advancements in the field. Healthcare managers should leverage these insights to foster innovation and improve patient care standards.

The impact of social status and biological sex on diet at 10th century CE Hungarian sites from stable carbon and nitrogen isotope analyses

Stable isotope analysis is a valuable tool to determine the diet of past societies, as well as the relationship that diet has with biological sex and social class. In this research, we performed stable carbon and nitrogen isotope analyses on individuals from four 10th century CE Hungarian sites (Karos-Eperjesszög, Tiszanána, Bodroghalom, and Üllő-Ilona út) to determine if their diet was affected by their sex or social status. We also compared these sites with Kenézlő-Fazekaszug, our previously published, contemporaneous site. The study yielded some unexpected results, indicating that elevated social status was not a reliable indicator of high animal protein consumption among the residents of the upper class Karos site. Additionally, the results suggested that biological sex was only a factor in animal protein consumption at the putative middle-class sites, such as Tiszanána. With its comprehensive sampling, this research provides new stable isotopic data to the Central and Eastern European database, as well as exciting results about a crucial period in Hungarian history. It may also serve as the impetus for future stable isotope analyses of other 10th century Hungarian sites.

Authoritarian governance of academia in Central and Eastern Europe: Chances of a European counter-culture

Abstract This article highlights the challenges of external reactions to authoritarian higher education governance in certain Central and Eastern European countries, especially Hungary and Poland. It interprets the political change in these countries as an authoritarian cultural backlash, which is not just a legal or political problem, but a kind of post-fascist cultural revolution contesting the liberal script. First, the article explains the framework of authoritarian policing in academia based on the more general works of Bob Altemeyer and Zeev Sternhell. Second, it tries to answer the question: What tools could counter these tendencies from the perspective of the European Union? As the article interprets the rise of authoritarianism as a phenomenon rooted in the cultural deficit of the countries concerned, it argues that a programme for a democratic and pluralist cultural counter-revolution should be implemented. However, no nation can be democratized solely by external actors, and the basics of democratic thinking should be developed from the grassroots level. If the crisis in academia is rooted in a value-crisis within the societies concerned, then measures countering this phenomenon should also include promoting Enlightened pluralism at all levels of these societies.

Income convergence in Central and Eastern Europe: Evidence from cross-country panel data analysis

Income convergence in Central and Eastern Europe: Evidence from cross-country panel data analysis

Knowledge, Attitudes, and Practices Regarding Cervical Cancer Awareness and Prevention in Southern Eastern Europe: A Narrative Review

This narrative review examines the knowledge, attitudes, and practices (KAP) related to cervical cancer across Southeastern Europe, with a focus on disparities in awareness, prevention efforts, and healthcare access. A comprehensive search of PubMed over the past 12 years was conducted to assess gaps in KAP regarding cervical cancer and human papillomavirus (HPV) prevention. The findings revealed significant gaps in KAP, including limited knowledge about cervical cancer risk factors, inadequate attitudes toward screening, and poor preventive practices, such as low participation in screening programs and HPV vaccine uptake. Economic challenges and inconsistent healthcare communication further hinder progress. The review emphasizes the need for targeted public health strategies, focusing on improving education, social mobilization, and access to essential services. Further research is necessary to address sociocultural and economic factors contributing to these gaps and to develop tailored interventions suited to the region's diverse populations.

Global, regional, and national burden of pancreatitis in children and adolescents.

Pancreatitis poses a growing public health concern among children and adolescents, yet comprehensive data on its prevalence, incidence, mortality, and disability-adjusted life years (DALYs) remain scarce. This study aims to analyze global, regional, and national trends in pancreatitis burden over the past 3decades. Using data from the Global Burden of Disease (GBD) 2019 database spanning 1990-2019, we assessed pancreatitis prevalence, incidence, mortality, and DALYs, reporting on numbers, rates, age-standardized prevalence rate (ASPR), age-standardized incidence rate (ASIR), age-standardized mortality rate (ASMR), age-standardized DALYs rate (ASDR), and average annual percentage changes (AAPCs). Trends were analyzed by age, sex, region, and socio-demographic index (SDI) using jointpoint analysis and predictive modeling. Globally, pancreatitis prevalence and incidence rates have increased (AAPC prevalence=0.13, 95% CI: 0.11-0.16; AAPC incidence=0.30, 95% CI: 0.28-0.32), while mortality and DALYs rates have decreased (AAPC mortality=-1.30, 95% CI: -1.53, -1.07; AAPC DALYs=-1.21, 95% CI: -1.41, -1.01). Both genders showed similar trends. Children under 5 and adolescents 15-19 had higher mortality and DALYs rates. Low SDI regions experienced the greatest increase in ASIR. Eastern Europe exhibited high and rising ASIR, ASMR, and ASDR. Projections indicate continued rise in prevalence with declining mortality and DALYs. Pancreatitis burden in children and adolescents has surged globally, especially in lower SDI regions. These findings underscore the urgent need for targeted interventions and healthcare resources in affected areas.

A Catholic safe haven: University students from Eastern Europe in Spain during Francoism

In 1946, Madrid became home to a Catholic university residence, the colegio mayor Santiago Apóstol, which catered specifically to refugee students from Eastern Europe who had fled the aftermath of the Second World War and the creation of Communist regimes in their home countries. This residence hall, which housed about 800 students from 20 nationalities between its opening in the postwar era and its rededication in 1969, was part of the anticommunist governmental strategy to overcome the political isolation that Francoist Spain found itself in. It was also part of the efforts of the Catholic church to support refugees from Eastern Europe in the early Cold War. This article aims to bring these strands together, focusing on the founding of the residence hall as a Catholic and governmental endeavor. In a second step, the article focuses on the residence hall itself, considering the agency of the residence’s officials and its students, and contemplating the residence’s academic and exile networks both in Spain and internationally.

Students’ attitudes towards an instructor’s foreign accent and non-standard language variety

Abstract This study reports the outcomes of a speaker evaluation experiment conducted in a higher educational context in Flanders, in which we investigated the influence of language variety (Standard vs. Colloquial Dutch), accent (Flemish vs. Eastern European) and name (Flemish vs. Eastern European) on students’ perceptions of a female university instructor. The results suggest that participants exhibited a relatively high level of tolerance toward both non-conforming speech and non-conforming speakers. Whereas Colloquial Dutch scored lower than Standard Dutch on standardness, we observed no negative effects of Colloquial Dutch on the teacher’s didactic competence, status, or social attractiveness. We did not find any evidence of a negative bias triggered by an Eastern European name. Whereas the Eastern European accent did have a negative impact on the teacher’s social attractiveness, we did not find any evidence of an accent bias affecting judgements of the teacher’s didactic competence and status.

A-251 Simplification of Molecular Diagnostics for Sexually Transmitted Infection Point-of-Care Testing

Abstract Background HPV-caused cancers contribute to a large disease burden, accounting for 5% of all cancers. It is estimated that over 700,000 people develop HPV-related cancers each year with the majority being cervical cancer. The burden of this disease is disproportionately carried by low-income countries with the highest rates of HPV cervical infections primarily found in sub-Saharan Africa, Latin America, Eastern Europe, and South-East Asia. Many regions in low-resource countries lack adequate access to sensitive point-of-care screening tools, preventing timely diagnosis and treatment. Current low-cost methods, such as Pap smears and visual inspection using acetic acid suffer from low sensitivity, specificity, and reproducibility which limit their effectiveness as a screening modality. Many countries use nucleic acid amplification tests (NAATs) to identify key HPV infections which may progress towards cervical cancer. However, the expenditure for NAAT-capable equipment and reagents are cost-prohibitive for rural and underserved communities. To reduce screening barriers, we developed an isothermal HPV molecular test that can detect all 14 cancer-causing HPV strains using a novel amplification methodology combined with G-quadruplex DNAzyme colorimetric detection. Methods We developed a novel isothermal amplification technique that is related to loop-mediated isothermal amplification (LAMP) but uses modified looped primers to enable exponential amplification at 60°C for 1 hour. The modified primers only require two binding sites compared to 4-6 in LAMP. To detect the amplified products, we used G-quadruplex peroxidase-like DNAzyme probes which reduce ABTS to produce a visually interpreted result. Analytical validation evaluated the method’s limit of detection, specificity, and accuracy. As proof of concept in a relevant matrix, clinical cervical brushings collected ThinPrep Pap media were tested with the new method and compared to an FDA-approved reference qPCR test. Results Repeated experiments demonstrate that the lowest detectable HPV DNA concentration was approximately 1000 genomic copies/µL with no amplification with other pathogens. As proof of concept, the comparison to the reference standard demonstrated high accuracy. Conclusions The application of our assay is intended as a near-patient screening tool with further evaluation by a clinician for confirmation. With an accurate and rapid screening tool, we envision low-resource regions across the world will have the tools to rapidly detect and treat cervical cancers in their early stages.

Why History Matters? Populist Radical Right Governments in the EU and Their Foreign Policy

ABSTRACT Four European populist radical right (PRR) prime minister parties (PiS, Fidesz, SDS and FdI) have displayed differing approaches to foreign policy. In part, these differences can be explained by their specific visions of history. Central and Eastern European (CEE) parties such as PiS, Fidesz and to a certain extent SDS, became more radical and Eurosceptic when in power. FdI, on the other hand, became less Eurosceptic and more mainstream after coming to power. CEE parties have constructed their identities around anti-communism and the notion of Western betrayal, making the liberal West and the EU their significant Other. On the contrary, for FdI it is more difficult to have the EU as a significant Other in the same sense, because Italy was a founding member of the EU and its historical grievances are not directed at the West. The Russian invasion of Ukraine has also been approached and used differently by the leaders of these parties. Giorgia Meloni, Janez Janša and, at least initially, Jarosław Kaczyński used the war to strengthen their European credentials, while Viktor Orbán used it to intensify his fight against the liberal West.

NAVIGATING NEW CHALLENGES: WESTERN BALKANS AT THE CROSSROADS OF EU INTEGRATIONS

For several years now, European integration has been recognized as a key strategy to achieve dual goals in the Western Balkans: peace and stability. The European perspective is a commitment not only to the foreign policy of this region but also a great expectation of the citizens of these countries. The Western Balkans, as the European Union calls it after the integration of Bulgaria and Romania in 2007, is a political notion with more than a geographical definition. The Western Balkans, a region which includes: Albania, Bosnia and Herzegovina, Croatia, North Macedonia, Montenegro, Serbia, and Kosovo, throughout the Cold War period was the area where East and West were divided. After the fall of the communist regimes in Eastern and Southeastern Europe, which followed the signing of the Maastricht Treaty and the establishment of the European Union, euphoria and enthusiasm for joining a united Europe grew. Thus, the prospect of a common future of the Western Balkans in a democratic and prosperous Europe now seemed more than feasible. Today, the countries of the Western Balkans that have passed the transition period, still encounter the difficulties of their consolidation or the stability of bilateral agreements. Although they are located in the European continent with cultural diversity in a narrow space, they continue to remain out of place in the Euro-integration process. Economic development, commercial exchanges, investments, unemployment, etc., are another dimension of the countries of the Western Balkans, but also the initiatives of some countries for an opening within the area called a mini-Schengen, and then turned into “Open Balkan” which was specifically replaced by the “Berlin Process”, which began in 2014, as a proposal by the German Chancellor Angela Merkel to accelerate the European integration of the Western Balkan countries. The difficult economic situation combined with inherited political problems has created large discrepancies between countries of this region in relation to the benefits that come from the EU. The created situation has contributed to some states expanding and increasing their influencing power in this region, such as the influence of Russia. These issues represent some of the main points of view of the conference, which aims to bring together researches from the countries of the region to present their studies and views on the issues of the integration of Western Balkans into the EU and to exchange experiences, ideas and discuss other relevant issues related to the topics of the conference.

Using Behavior Integration to Identify Barriers and Motivators for COVID-19 Vaccination and Build a Vaccine Demand and Confidence Strategy in Southeastern Europe

Introduction. The COVID-19 pandemic has significantly impacted global health, with Eastern Europe experiencing notable excess morbidity and mortality and vaccine hesitancy. This study utilized the Behavior Integration (BI) framework to identify barriers and motivators for COVID-19 vaccination and develop strategies to increase vaccine demand and confidence in Moldova, North Macedonia, and Serbia. Methods. A mixed-methods approach was employed, including qualitative interviews and quantitative surveys. The BI framework was used to integrate human behaviors with technical and operational considerations throughout the project. Results. A total of 2742 online surveys were collected in Moldova and Serbia, revealing significant barriers such as vaccine safety concerns (OR = 1.839, 95% CI: 1.328–2.547 in urban Moldova; OR = 1.990, 95% CI: 1.351–2.931 in urban Serbia), logistical challenges, and lack of institutional trust. Conversely, motivators included personal health concerns, recommendations from health care providers, and the desire to travel. The proposed social and behavior change strategy included a continuing medical education course that trained 2403 medical providers, with post-test results showing a 99% improvement in knowledge and confidence in applying the information, and collective engagement workshops for 3260 chronic disease patients and 842 pregnant women, of which 7% were vaccinated against COVID-19. Conclusions. The BI approach effectively identified and addressed vaccination barriers and motivators, leading to tailored strategies that increased vaccine uptake. Continuous stakeholder engagement, adaptive learning processes, and local organizations are crucial for refining program implementation, ensuring sustainability, and promoting public health.

Access to diagnostic imaging and radiotherapy technologies for patients with cancer in the Baltic countries, eastern Europe, central Asia, and the Caucasus: a comprehensive analysis

Only 10-40% of patients with cancer in low-income and middle-income countries were able to access curative or palliative radiotherapy in 2015. We aimed to assess the current status of diagnostic imaging and radiotherapy services in the Baltic countries, eastern Europe, central Asia, and the Caucasus by collecting and analysing local data. This Access to Radiotherapy (ART) comprehensive analysis used data from 12 countries: the three Baltic countries (Estonia, Latvia, and Lithuania), two countries in eastern Europe (Moldova and Ukraine), four countries in central Asia (Kazakhstan, Kyrgyzstan, Tajikistan, and Uzbekistan), and three countries in the Caucasus (Armenia, Azerbaijan, and Georgia), referred to here as the ART countries. We were not able to obtain engagement from Turkmenistan. The primary outcome was to update the extent of shortfalls in the availability of diagnostic imaging and radiotherapy technologies and radiotherapy human resources for patients with cancer in former Soviet Union countries. Following the methods of previous similar studies, we developed three questionnaires-targeted towards radiation oncologists, regulatory authorities, and researchers-requesting detailed information on the availability of these resources. Authors from participating countries sent two copies of the appropriate questionnaire to each of 107 identified institutions and coordinated data collection at the national level. Questionnaires were distributed in English and Russian and responses in both languages were accepted. Two virtual meetings held on May 30 and June 1, 2022, were followed by an in-person workshop held in Almaty, Kazakhstan, in September, 2022, attended by representatives from all participating countries, to discuss and further validate the data submitted up to this point. The data were collected on a dedicated web page, developed by the International Cancer Expert Corps, and were then extracted and analysed. Data were collected between May 10 and Nov 30, 2022. 81 (76%) of the 107 institutions contacted, representing all 12 ART countries, submitted 167 completed questionnaires. The Baltic countries, which are defined as high-income countries, had more diagnostic imaging equipment and radiotherapy human resources (eg, Latvia [1·74] and Lithuania [1·47] have a much higher number of radiation oncologists per 100 000 population than the other ART countries, all of which had <1 radiation oncologist per 100 000 population) and greater radiotherapy technological capacities (higher numbers of linear accelerators and, similar to Georgia, high total external beam radiotherapy capacity) than the other ART countries, as well as high cancer detection rates (Latvia 311 cases per 100 000 population, Lithuania 292, and Estonia 288 vs, for example, 178 in Armenia, 144 in Ukraine, and 72 in Kazakhstan) and low cancer mortality-to-cancer incidence ratios (Estonia 0·43, Latvia 0·49, and Lithuania 0·48; lower than all but Kazakhstan [0·41]). The highest cancer mortality-to-cancer incidence ratios were reported by Moldova (0·71) and Georgia (0·74). Our findings show that the number of cancer cases, availability of diagnostic imaging equipment, radiation oncologists and radiotherapy capacity, and cancer mortality-to-cancer incidence ratios all vary substantially across the countries studied, with the three high-income, well resourced Baltic countries performing better in all metrics than the included countries in eastern Europe, central Asia, and the Caucasus. These data highlight the challenges faced by many countries in this study, and might help to justify increased investment of financial, human, and technological resources, with the aim to improve cancer treatment outcomes. US Department of Energy's National Nuclear Security Administration's Office of Radiological Security.