Back to (new) normality-A CODRAL/AIRO-L survey on cancer radiotherapy in Lombardy during Italian COVID-19 phase 2

Barbara Alicja Jereczek-Fossa, Matteo Pepa, Giulia Marvaso, Johannes Lars Isaksson, Carlo Pietro Soatti, Luigi Franco Cazzaniga, Giovanni Battista Ivaldi, Marcello Amadori, Paolo Antognoni, Stefano Arcangeli, Alberto Buffoli, Giancarlo Beltramo, Mario Bignardi, Stefano Bracelli, Lorenza Bruschieri, Simona Castiglioni, Gianpiero Catalano, Nadia Di Muzio, Carlo Fallai, Laura FariselliAndrea Riccardo Filippi, Alberto Gramaglia, Corrado Italia, Fabrizio Lombardi, Stefano Maria Magrini, Simonetta Nava, Ester Orlandi, Nadia Pasinetti, Elena Lara Sbicego, Luciano Scandolaro, Marta Scorsetti, Francesco Stiglich, Roberto Tortini, Riccardo Valdagni, Vittorio Vavassori, Sandro Tonoli, Mauro Filippo Palazzi

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: Italy experienced one of the world's severest COVID-19 outbreak, with Lombardy being the most afflicted region. However, the imposed safety measures allowed to flatten the epidemic curve and hence to ease the restrictions and inaugurate, on the 4th of May 2020, the Italian phase (P) 2 of the pandemic. The present survey study, endorsed by CODRAL and AIRO-L, aimed to assess how radiotherapy (RT) departments in Lombardy have dealt with the recovery. MATERIALS AND METHODS: A questionnaire dealing with the management of pandemic was developed online and sent to all CODRAL Directors on the 10th of June 2020. Answers were collected in full anonymity one week after. RESULTS: All the 33 contacted RT facilities (100 responded to the survey. Despite the scale of the pandemic, during P1 14 (42.4 centres managed to safely continue the activity (≤ 10. During P2, 10 (30.3 centres fully recovered and 14 (42.4 reported an increase. Nonetheless, 6 (18.2 declared no changes and, interestingly, 3 (9.1 reduced activities. Overall, 21 centres (63.6 reported suspected or positive cases within healthcare workforce since the beginning of the pandemic. Staff units were quarantined in 19 (57.6 and 6 (18.2 centres throughout P1 and P2, respectively. In the two phases, about two thirds centres registered positive or suspected cases amongst patients. CONCLUSION: The study revealed a particular attention to anti-contagion measures and a return to normal or even higher clinical workload in most RT centres in Lombardy, necessary to carry out current and previously deferred treatments.
Original languageEnglish
JournalMedical Oncology
Issue number11
Publication statusPublished - Nov 1 2020

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