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Article

COVID-19 Pandemic-Adapted Radiotherapy Guidelines: Are They Really Followed?

1
Radiation Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy
2
Department of Experimental, Diagnostic, and Specialty Medicine—DIMES, Alma Mater Studiorum Bologna University, 40138 Bologna, Italy
3
Nuclear Medicine, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy
4
Medical Physics, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy
*
Author to whom correspondence should be addressed.
Contributed equally.
Curr. Oncol. 2021, 28(5), 3323-3330; https://doi.org/10.3390/curroncol28050288
Received: 31 May 2021 / Revised: 18 August 2021 / Accepted: 23 August 2021 / Published: 27 August 2021
Background: In our department, we provided guidelines to the radiation oncologists (ROs) regarding the omission, delay, or shortening of radiotherapy (RT). The purpose was to reduce the patients’ exposure to the hospital environment and to minimize the departmental overcrowding. The aim was to evaluate the ROs’ compliance to these guidelines. Methods: ROs were asked to fill out a data collection form during patients’ first visits in May and June 2020. The collected data included the ROs’ age and gender, patient age and residence, RT purpose, treated tumor, the dose and fractionation that would have been prescribed, and RT changes. The chi-square test and binomial logistic regression were used to analyze the correlation between the treatment prescription and the collected parameters. Results: One hundred and twenty-six out of 205 prescribed treatments were included in this analysis. Treatment was modified in 61.1% of cases. More specifically, the treatment was omitted, delayed, or shortened in 7.9, 15.9, and 37.3% of patients, respectively. The number of delivered fractions was reduced by 27.9%. A statistically significant correlation (p = 0.028) between younger patients’ age and lower treatment modifications rate was recorded. Conclusion: Our analysis showed a reasonably high compliance of ROs to the pandemic-adapted guidelines. The adopted strategy was effective in reducing the number of admissions to our department. View Full-Text
Keywords: radiotherapy; guidelines; compliance; COVID-19 radiotherapy; guidelines; compliance; COVID-19
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MDPI and ACS Style

Galofaro, E.; Malizia, C.; Ammendolia, I.; Galuppi, A.; Guido, A.; Ntreta, M.; Siepe, G.; Tolento, G.; Veraldi, A.; Scirocco, E.; Arcelli, A.; Buwenge, M.; Ferioli, M.; Zamagni, A.; Strigari, L.; Cammelli, S.; Morganti, A.G. COVID-19 Pandemic-Adapted Radiotherapy Guidelines: Are They Really Followed? Curr. Oncol. 2021, 28, 3323-3330. https://doi.org/10.3390/curroncol28050288

AMA Style

Galofaro E, Malizia C, Ammendolia I, Galuppi A, Guido A, Ntreta M, Siepe G, Tolento G, Veraldi A, Scirocco E, Arcelli A, Buwenge M, Ferioli M, Zamagni A, Strigari L, Cammelli S, Morganti AG. COVID-19 Pandemic-Adapted Radiotherapy Guidelines: Are They Really Followed? Current Oncology. 2021; 28(5):3323-3330. https://doi.org/10.3390/curroncol28050288

Chicago/Turabian Style

Galofaro, Elena, Claudio Malizia, Ilario Ammendolia, Andrea Galuppi, Alessandra Guido, Maria Ntreta, Giambattista Siepe, Giorgio Tolento, Antonio Veraldi, Erica Scirocco, Alessandra Arcelli, Milly Buwenge, Martina Ferioli, Alice Zamagni, Lidia Strigari, Silvia Cammelli, and Alessio G. Morganti 2021. "COVID-19 Pandemic-Adapted Radiotherapy Guidelines: Are They Really Followed?" Current Oncology 28, no. 5: 3323-3330. https://doi.org/10.3390/curroncol28050288

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