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COVID-19 impact in radiotherapy practice in an oncology hub: a screenshot from Lombardy, Italy.
Corrao, Giulia; Bergamaschi, Luca; Zaffaroni, Mattia; Sarra Fiore, Massimo; Bufi, Giammaria; Leonardi, Maria Cristina; Lazzari, Roberta; Alterio, Daniela; Cattani, Federica; Pravettoni, Gabriella; Mastrilli, Fabrizio; Orecchia, Roberto; Marvaso, Giulia; Jereczek-Fossa, Barbara Alicja.
  • Corrao G; Division of Radiation Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
  • Bergamaschi L; Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
  • Zaffaroni M; Division of Radiation Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
  • Sarra Fiore M; Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
  • Bufi G; Division of Radiation Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
  • Leonardi MC; Division of Radiation Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
  • Lazzari R; Division of Radiation Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
  • Alterio D; Division of Radiation Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
  • Cattani F; Division of Radiation Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
  • Pravettoni G; Division of Radiation Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy.
  • Mastrilli F; Medical Physics Unit, IEO, European Institute of Oncology IRCCS, Milan, Italy.
  • Orecchia R; Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
  • Marvaso G; Applied Research Division for Cognitive and Psychological Science, European Institute of Oncology IRCCS, Milan, Italy.
  • Jereczek-Fossa BA; Medical Administration, CMO, IEO, European Institute of Oncology IRCCS, Milan, Italy.
Tumori ; 107(6): 498-503, 2021 Dec.
Article in English | MEDLINE | ID: covidwho-983620
ABSTRACT

OBJECTIVE:

During 2020, medical clinical activities were dramatically modified by the coronavirus disease 2019 (COVID-19) emergency. We aim to evaluate the impact of COVID-19 on radiotherapy (RT) practice in a hub cancer center.

METHODS:

Retrospective data collection of patients with suspected COVID-19 infection, identified by pathognomonic symptoms feedback at triage realized at the entrance to RT division. Inclusion criteria were diagnosis of oncologic disease, COVID-19-related symptoms, and signed written informed consent.

RESULTS:

Between 1 March and 30 June 2020, 1,006 patients accessed our RT division for RT simulation or treatment. Forty-four patients matched inclusion criteria (4.4% of all patients) 29 women and 15 men. Seventeen patients had metastatic disease. Twenty-one patients reported fever, 6 presented dyspnea, 4 complained of ageusia and anosmia, and 3 developed conjunctivitis. Thirty-six patients underwent nasal swab, with 7 positive results. From our cohort, 4 cases of pneumonia were diagnosed with computed tomography scan imaging 3 were related to COVID-19 infection, while the fourth was evaluated as an RT adverse event. From the entire series, 4 patients died 3 during hospitalization in intensive care unit of complications of COVID-19 and 1 of other causes neither COVID-19 nor cancer-related.

CONCLUSIONS:

Cancer hub allows for safe RT practice continuation while minimizing the spread of contagion in this frail patient population. A challenge for the future will be to understand pandemic consequences in cancer natural history and manage its clinical impact.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Radiotherapy / Practice Patterns, Physicians' / Radiation Oncology / SARS-CoV-2 / COVID-19 / Neoplasms Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Tumori Year: 2021 Document Type: Article Affiliation country: 0300891620980065

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Radiotherapy / Practice Patterns, Physicians' / Radiation Oncology / SARS-CoV-2 / COVID-19 / Neoplasms Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Tumori Year: 2021 Document Type: Article Affiliation country: 0300891620980065