COVID-19 and radiation oncology: the experience of a two-phase plan within a single institution in central Italy
Abstract Background COVID-19 in Italy has led to the need to reorganize hospital protocols with a significant risk of interruption to cancer treatment programs. In this report, we will focus on a management model covering the two phases of the COVID-19 emergency, namely lockdown-phase I and post-loc...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-09-01
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| Series: | Radiation Oncology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13014-020-01670-9 |
| _version_ | 1818878616305401856 |
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| author | Luciana Caravatta Consuelo Rosa Maria Bernadette Di Sciascio Andrea Tavella Scaringi Angelo Di Pilla Lucia Anna Ursini Maria Taraborrelli Annamaria Vinciguerra Antonietta Augurio Monica Di Tommaso Marianna Trignani Marianna Nuzzo Maria Daniela Falco Andrea De Nicola Nico Adorante Fabiola Patani Giuseppe Centofanti Lucrezia Gasparini David Fasciolo Fiorella Cristina Di Guglielmo Cecilia Bonfiglio Marzia Borgia Gabriella Caravaggio Stefano Marcucci Consalvo Turchi Domenico Mancinelli Stephanie Sartori Thomas Schael Angelo Muraglia Sergio Caputi Claudio D’Amario Nicoletta Verì Domenico Genovesi |
| author_facet | Luciana Caravatta Consuelo Rosa Maria Bernadette Di Sciascio Andrea Tavella Scaringi Angelo Di Pilla Lucia Anna Ursini Maria Taraborrelli Annamaria Vinciguerra Antonietta Augurio Monica Di Tommaso Marianna Trignani Marianna Nuzzo Maria Daniela Falco Andrea De Nicola Nico Adorante Fabiola Patani Giuseppe Centofanti Lucrezia Gasparini David Fasciolo Fiorella Cristina Di Guglielmo Cecilia Bonfiglio Marzia Borgia Gabriella Caravaggio Stefano Marcucci Consalvo Turchi Domenico Mancinelli Stephanie Sartori Thomas Schael Angelo Muraglia Sergio Caputi Claudio D’Amario Nicoletta Verì Domenico Genovesi |
| author_sort | Luciana Caravatta |
| collection | DOAJ |
| description | Abstract Background COVID-19 in Italy has led to the need to reorganize hospital protocols with a significant risk of interruption to cancer treatment programs. In this report, we will focus on a management model covering the two phases of the COVID-19 emergency, namely lockdown-phase I and post-lockdown-phase II. Methods The following steps were taken in the two phases: workload during visits and radiotherapy planning, use of dedicated routes, measures for triage areas, management of suspected and positive COVID-19 cases, personal protective equipment, hospital environments and intra-institutional meetings and tumor board management. Due to the guidelines set out by the Ministry of Health, oncological follow-up visits were interrupted during the lockdown-phase I; consequently, we set about contacting patients by telephone, with laboratory and instrumental exams being viewed via telematics. During the post-lockdown-phase II, the oncological follow-up clinic reopened, with two shifts operating daily. Results By comparing our radiotherapy activity from March 9 to May 4 2019 with the same period in 2020 during full phase I of the COVID-19 emergency, similar results were achieved. First radiotherapy visits, Simulation Computed Tomography and Linear Accelerator treatments amounted to 123, 137 and 151 in 2019 compared with 121, 135 and 170 in 2020 respectively. There were no cases of COVID-19 positivity recorded either in patients or in healthcare professionals, who were all negative to the swab tests performed. Conclusion During both phases of the COVID-19 emergency, the planned model used in our own experience guaranteed both continuity in radiotherapy treatments whilst neither reducing workload nor interrupting treatment and, as such, it ensured the safety of cancer patients, hospital environments and staff. |
| first_indexed | 2024-12-19T14:17:01Z |
| format | Article |
| id | doaj.art-d97e17b4f5874254947f95251f941476 |
| institution | Directory Open Access Journal |
| issn | 1748-717X |
| language | English |
| last_indexed | 2024-12-19T14:17:01Z |
| publishDate | 2020-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Radiation Oncology |
| spelling | doaj.art-d97e17b4f5874254947f95251f9414762022-12-21T20:17:57ZengBMCRadiation Oncology1748-717X2020-09-011511610.1186/s13014-020-01670-9COVID-19 and radiation oncology: the experience of a two-phase plan within a single institution in central ItalyLuciana Caravatta0Consuelo Rosa1Maria Bernadette Di Sciascio2Andrea Tavella Scaringi3Angelo Di Pilla4Lucia Anna Ursini5Maria Taraborrelli6Annamaria Vinciguerra7Antonietta Augurio8Monica Di Tommaso9Marianna Trignani10Marianna Nuzzo11Maria Daniela Falco12Andrea De Nicola13Nico Adorante14Fabiola Patani15Giuseppe Centofanti16Lucrezia Gasparini17David Fasciolo18Fiorella Cristina Di Guglielmo19Cecilia Bonfiglio20Marzia Borgia21Gabriella Caravaggio22Stefano Marcucci23Consalvo Turchi24Domenico Mancinelli25Stephanie Sartori26Thomas Schael27Angelo Muraglia28Sergio Caputi29Claudio D’Amario30Nicoletta Verì31Domenico Genovesi32Department of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityQuality and Clinical Governance “SS Annunziata” HospitalQuality and Clinical Governance “SS Annunziata” HospitalDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityManagement “SS Annunziata” HospitalManagement “SS Annunziata” HospitalRector “G. D’Annunzio” UniversityAbruzzo Region Health Policy DepartmentAbruzzo Region Health Policy DepartmentDepartment of Radiation Oncology, “SS Annunziata” Hospital, “G. D’Annunzio” UniversityAbstract Background COVID-19 in Italy has led to the need to reorganize hospital protocols with a significant risk of interruption to cancer treatment programs. In this report, we will focus on a management model covering the two phases of the COVID-19 emergency, namely lockdown-phase I and post-lockdown-phase II. Methods The following steps were taken in the two phases: workload during visits and radiotherapy planning, use of dedicated routes, measures for triage areas, management of suspected and positive COVID-19 cases, personal protective equipment, hospital environments and intra-institutional meetings and tumor board management. Due to the guidelines set out by the Ministry of Health, oncological follow-up visits were interrupted during the lockdown-phase I; consequently, we set about contacting patients by telephone, with laboratory and instrumental exams being viewed via telematics. During the post-lockdown-phase II, the oncological follow-up clinic reopened, with two shifts operating daily. Results By comparing our radiotherapy activity from March 9 to May 4 2019 with the same period in 2020 during full phase I of the COVID-19 emergency, similar results were achieved. First radiotherapy visits, Simulation Computed Tomography and Linear Accelerator treatments amounted to 123, 137 and 151 in 2019 compared with 121, 135 and 170 in 2020 respectively. There were no cases of COVID-19 positivity recorded either in patients or in healthcare professionals, who were all negative to the swab tests performed. Conclusion During both phases of the COVID-19 emergency, the planned model used in our own experience guaranteed both continuity in radiotherapy treatments whilst neither reducing workload nor interrupting treatment and, as such, it ensured the safety of cancer patients, hospital environments and staff.http://link.springer.com/article/10.1186/s13014-020-01670-9CoronavirusCOVID-19PandemicRadiation oncologyRadiotherapySARS-CoV-2 |
| spellingShingle | Luciana Caravatta Consuelo Rosa Maria Bernadette Di Sciascio Andrea Tavella Scaringi Angelo Di Pilla Lucia Anna Ursini Maria Taraborrelli Annamaria Vinciguerra Antonietta Augurio Monica Di Tommaso Marianna Trignani Marianna Nuzzo Maria Daniela Falco Andrea De Nicola Nico Adorante Fabiola Patani Giuseppe Centofanti Lucrezia Gasparini David Fasciolo Fiorella Cristina Di Guglielmo Cecilia Bonfiglio Marzia Borgia Gabriella Caravaggio Stefano Marcucci Consalvo Turchi Domenico Mancinelli Stephanie Sartori Thomas Schael Angelo Muraglia Sergio Caputi Claudio D’Amario Nicoletta Verì Domenico Genovesi COVID-19 and radiation oncology: the experience of a two-phase plan within a single institution in central Italy Radiation Oncology Coronavirus COVID-19 Pandemic Radiation oncology Radiotherapy SARS-CoV-2 |
| title | COVID-19 and radiation oncology: the experience of a two-phase plan within a single institution in central Italy |
| title_full | COVID-19 and radiation oncology: the experience of a two-phase plan within a single institution in central Italy |
| title_fullStr | COVID-19 and radiation oncology: the experience of a two-phase plan within a single institution in central Italy |
| title_full_unstemmed | COVID-19 and radiation oncology: the experience of a two-phase plan within a single institution in central Italy |
| title_short | COVID-19 and radiation oncology: the experience of a two-phase plan within a single institution in central Italy |
| title_sort | covid 19 and radiation oncology the experience of a two phase plan within a single institution in central italy |
| topic | Coronavirus COVID-19 Pandemic Radiation oncology Radiotherapy SARS-CoV-2 |
| url | http://link.springer.com/article/10.1186/s13014-020-01670-9 |
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