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A snapshot on radiotherapy for head and neck cancer patients during the COVID-19 pandemic: a survey of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) head and neck working group
OBJECTIVES: The objective of the paper was to assess real-life experience in the management of head and neck cancer (HNC) patients during the COVID-19 pandemic in radiotherapy departments and to evaluate the variability in terms of adherence to American Society of Radiation Oncology (ASTRO) and Euro...
Autores principales: | , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Milan
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7538045/ https://www.ncbi.nlm.nih.gov/pubmed/33025304 http://dx.doi.org/10.1007/s11547-020-01296-7 |
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author | De Felice, Francesca D’Angelo, Elisa Ingargiola, Rossana Iacovelli, Nicola Alessandro Alterio, Daniela Franco, Pierfrancesco Bonomo, Pierluigi Merlotti, Anna Bacigalupo, Almalina Maddalo, Marta Di Rito, Alessia Fanetti, Giuseppe D’Onofrio, Ida Dionisi, Francesco Miccichè, Francesco Trignani, Marianna Musio, Daniela Paiar, Fabiola Romanello, Domenico Attilio Donato, Vittorio Orlandi, Ester |
author_facet | De Felice, Francesca D’Angelo, Elisa Ingargiola, Rossana Iacovelli, Nicola Alessandro Alterio, Daniela Franco, Pierfrancesco Bonomo, Pierluigi Merlotti, Anna Bacigalupo, Almalina Maddalo, Marta Di Rito, Alessia Fanetti, Giuseppe D’Onofrio, Ida Dionisi, Francesco Miccichè, Francesco Trignani, Marianna Musio, Daniela Paiar, Fabiola Romanello, Domenico Attilio Donato, Vittorio Orlandi, Ester |
author_sort | De Felice, Francesca |
collection | PubMed |
description | OBJECTIVES: The objective of the paper was to assess real-life experience in the management of head and neck cancer (HNC) patients during the COVID-19 pandemic in radiotherapy departments and to evaluate the variability in terms of adherence to American Society of Radiation Oncology (ASTRO) and European Society for Radiotherapy and Oncology (ESTRO) recommendations. MATERIALS AND METHODS: In May 2020, an anonymous 30-question online survey, comparing acute phase of outbreak and pre-COVID-19 period, was conducted. Two sections exploited changes in general management of HNC patients and different HNC primary tumors, addressing specific statements from ASTRO ESTRO consensus statement as well. RESULTS: Eighty-eight questionnaires were included in the demographic/clinical workflow analysis, and 64 were analyzed for treatment management. Forty-eight percent of radiotherapy departments became part of oncologic hubs. First consultations reduced, and patients were addressed to other centers in 33.8 and 18.3% of cases, respectively. Telematic consultations were used in 50% of follow-up visits and 73.9% of multidisciplinary tumor board discussions. There were no practical changes in the management of patients affected by different primitive HNCs. Hypofractionation was not favored over conventional schedules. CONCLUSIONS: Compared to pre-COVID era, the clinical workflow was highly re-organized, whereas there were no consistent changes in RT indications and schedules. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11547-020-01296-7) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-7538045 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Milan |
record_format | MEDLINE/PubMed |
spelling | pubmed-75380452020-10-07 A snapshot on radiotherapy for head and neck cancer patients during the COVID-19 pandemic: a survey of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) head and neck working group De Felice, Francesca D’Angelo, Elisa Ingargiola, Rossana Iacovelli, Nicola Alessandro Alterio, Daniela Franco, Pierfrancesco Bonomo, Pierluigi Merlotti, Anna Bacigalupo, Almalina Maddalo, Marta Di Rito, Alessia Fanetti, Giuseppe D’Onofrio, Ida Dionisi, Francesco Miccichè, Francesco Trignani, Marianna Musio, Daniela Paiar, Fabiola Romanello, Domenico Attilio Donato, Vittorio Orlandi, Ester Radiol Med Radiotherapy OBJECTIVES: The objective of the paper was to assess real-life experience in the management of head and neck cancer (HNC) patients during the COVID-19 pandemic in radiotherapy departments and to evaluate the variability in terms of adherence to American Society of Radiation Oncology (ASTRO) and European Society for Radiotherapy and Oncology (ESTRO) recommendations. MATERIALS AND METHODS: In May 2020, an anonymous 30-question online survey, comparing acute phase of outbreak and pre-COVID-19 period, was conducted. Two sections exploited changes in general management of HNC patients and different HNC primary tumors, addressing specific statements from ASTRO ESTRO consensus statement as well. RESULTS: Eighty-eight questionnaires were included in the demographic/clinical workflow analysis, and 64 were analyzed for treatment management. Forty-eight percent of radiotherapy departments became part of oncologic hubs. First consultations reduced, and patients were addressed to other centers in 33.8 and 18.3% of cases, respectively. Telematic consultations were used in 50% of follow-up visits and 73.9% of multidisciplinary tumor board discussions. There were no practical changes in the management of patients affected by different primitive HNCs. Hypofractionation was not favored over conventional schedules. CONCLUSIONS: Compared to pre-COVID era, the clinical workflow was highly re-organized, whereas there were no consistent changes in RT indications and schedules. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11547-020-01296-7) contains supplementary material, which is available to authorized users. Springer Milan 2020-10-06 2021 /pmc/articles/PMC7538045/ /pubmed/33025304 http://dx.doi.org/10.1007/s11547-020-01296-7 Text en © Italian Society of Medical Radiology 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Radiotherapy De Felice, Francesca D’Angelo, Elisa Ingargiola, Rossana Iacovelli, Nicola Alessandro Alterio, Daniela Franco, Pierfrancesco Bonomo, Pierluigi Merlotti, Anna Bacigalupo, Almalina Maddalo, Marta Di Rito, Alessia Fanetti, Giuseppe D’Onofrio, Ida Dionisi, Francesco Miccichè, Francesco Trignani, Marianna Musio, Daniela Paiar, Fabiola Romanello, Domenico Attilio Donato, Vittorio Orlandi, Ester A snapshot on radiotherapy for head and neck cancer patients during the COVID-19 pandemic: a survey of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) head and neck working group |
title | A snapshot on radiotherapy for head and neck cancer patients during the COVID-19 pandemic: a survey of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) head and neck working group |
title_full | A snapshot on radiotherapy for head and neck cancer patients during the COVID-19 pandemic: a survey of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) head and neck working group |
title_fullStr | A snapshot on radiotherapy for head and neck cancer patients during the COVID-19 pandemic: a survey of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) head and neck working group |
title_full_unstemmed | A snapshot on radiotherapy for head and neck cancer patients during the COVID-19 pandemic: a survey of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) head and neck working group |
title_short | A snapshot on radiotherapy for head and neck cancer patients during the COVID-19 pandemic: a survey of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) head and neck working group |
title_sort | snapshot on radiotherapy for head and neck cancer patients during the covid-19 pandemic: a survey of the italian association of radiotherapy and clinical oncology (airo) head and neck working group |
topic | Radiotherapy |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7538045/ https://www.ncbi.nlm.nih.gov/pubmed/33025304 http://dx.doi.org/10.1007/s11547-020-01296-7 |
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