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

B.A. Jereczek-Fossa, M. Pepa, G. Marvaso, J.L. Isaksson, C.P. Soatti, L.F. Cazzaniga, G.B. Ivaldi, M. Amadori, P. Antognoni, S. Arcangeli, A. Buffoli, G. Beltramo, M. Bignardi, S. Bracelli, L. Bruschieri, S. Castiglioni, G. Catalano, N. Di Muzio, C. Fallai, L. FariselliA.R. Filippi, A. Gramaglia, C. Italia, F. Lombardi, S.M. Magrini, S. Nava, E. Orlandi, N. Pasinetti, E.L. Sbicego, L. Scandolaro, M. Scorsetti, F. Stiglich, R. Tortini, R. Valdagni, V. Vavassori, S. Tonoli, M.F. Palazzi, on behalf of the CODRAL (Board of Directors of Radiation Oncology Departments in Lombardy) network and of AIRO-L (Italian Association of Radiotherapy and Clinical Oncology - Lombardy)

Research output: Contribution to journalArticlepeer-review


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% reduction). 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. © 2020, Springer Science+Business Media, LLC, part of Springer Nature.
Original languageEnglish
JournalMed. Oncol.
Issue number11
Publication statusPublished - 2020


  • Cancer radiotherapy
  • COVID-19
  • Lombardy
  • Northern Italy
  • Survey
  • Article
  • cancer radiotherapy
  • control strategy
  • coronavirus disease 2019
  • emergency health service
  • follow up
  • health care facility
  • health care survey
  • health workforce
  • human
  • hypofractionated radiotherapy
  • infection prevention
  • Italy
  • nurse
  • occupational exposure
  • outpatient care
  • palliative therapy
  • pandemic
  • patient safety
  • priority journal
  • quarantine
  • radiation oncologist
  • radiation oncology
  • radiological technologist
  • radiology department
  • social distancing
  • teleconsultation
  • therapy delay
  • treatment duration
  • treatment interruption
  • virus transmission
  • Betacoronavirus
  • cancer center
  • clinical trial
  • Coronavirus infection
  • health care personnel
  • multicenter study
  • neoplasm
  • protective equipment
  • questionnaire
  • virus pneumonia
  • Coronavirus Infections
  • Health Personnel
  • Humans
  • Neoplasms
  • Oncology Service, Hospital
  • Pandemics
  • Personal Protective Equipment
  • Pneumonia, Viral
  • Surveys and Questionnaires


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