Abstract
Original language | English |
---|---|
Journal | Med. Oncol. |
Volume | 37 |
Issue number | 10 |
DOIs | |
Publication status | Published - 2020 |
Keywords
- Clinical practice recommendations
- COVID-19 pandemic
- Head and neck cancers
- Radiation oncology
- adult
- Article
- cancer radiotherapy
- clinical practice
- coronavirus disease 2019
- Delphi study
- female
- follow up
- head and neck cancer
- human
- Likert scale
- male
- middle aged
- normal human
- pandemic
- priority journal
- radiation oncologist
- workflow
- Betacoronavirus
- Coronavirus infection
- head and neck tumor
- Italy
- medical society
- oncology
- practice guideline
- procedures
- virus pneumonia
- Coronavirus Infections
- Head and Neck Neoplasms
- Humans
- Medical Oncology
- Pandemics
- Pneumonia, Viral
- Practice Guidelines as Topic
- Radiotherapy
- Societies, Medical
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Head and neck radiotherapy amid the COVID-19 pandemic: practice recommendations of the Italian Association of Radiotherapy and Clinical Oncology (AIRO) : Medical Oncology. / Alterio, D.; Volpe, S.; Bacigalupo, A.; Bonomo, P.; De Felice, F.; Dionisi, F.; D’Onofrio, I.; D’Angelo, E.; Di Rito, A.; Fanetti, G.; Franco, P.; Maddalo, M.; Merlotti, A.; Micciché, F.; Orlandi, E.; Paiar, F.; Ursino, S.; Pepa, M.; Corvò, R.; Di Muzio, N.G.; Magrini, S.M.; Russi, E.; Sanguineti, G.; Jereczek-Fossa, B.A.; Donato, V.; Musio, D.
In: Med. Oncol., Vol. 37, No. 10, 2020.Research output: Contribution to journal › Article › peer-review
}
TY - JOUR
T1 - Head and neck radiotherapy amid the COVID-19 pandemic: practice recommendations of the Italian Association of Radiotherapy and Clinical Oncology (AIRO)
T2 - Medical Oncology
AU - Alterio, D.
AU - Volpe, S.
AU - Bacigalupo, A.
AU - Bonomo, P.
AU - De Felice, F.
AU - Dionisi, F.
AU - D’Onofrio, I.
AU - D’Angelo, E.
AU - Di Rito, A.
AU - Fanetti, G.
AU - Franco, P.
AU - Maddalo, M.
AU - Merlotti, A.
AU - Micciché, F.
AU - Orlandi, E.
AU - Paiar, F.
AU - Ursino, S.
AU - Pepa, M.
AU - Corvò, R.
AU - Di Muzio, N.G.
AU - Magrini, S.M.
AU - Russi, E.
AU - Sanguineti, G.
AU - Jereczek-Fossa, B.A.
AU - Donato, V.
AU - Musio, D.
N1 - Cited By :1 Export Date: 25 February 2021 CODEN: MONCE Correspondence Address: Volpe, S.; Division of Radiation Oncology, Italy; email: stefania.volpe@ieo.it Funding text 1: This study was partially supported by the Italian Ministry of Health with “Progetto di Eccellenza”. Stefania Volpe MD is a PhD student within the European School of Molecular Medicine (SEMM). The Authors thank the Scientific Committee and Board of the AIRO for the critical revision and final approval of the paper. References: De Felice, F., Polimeni, A., Tombolini, V., The impact of Coronavirus (COVID-19) on head and neck cancer patients’ care (2020) Radiother Oncol, 147, pp. 84-85; Yan, F., Nguyen, S.A., Head and neck cancer: a high-risk population for COVID-19 (2020) Head Neck; Stordeur, S., Schillemans, V., Savoye, I., Comorbidity in head and neck cancer: is it associated with therapeutic delay, post-treatment mortality and survival in a population-based study? (2020) Oral Oncol, 102, p. 104561; Sharma, A., Crosby, D.L., Special considerations for elderly patients with head and neck cancer during the COVID-19 pandemic (2020) Head Neck; Chow, V.L.Y., Chan, J.Y.W., Ho, V.W.Y., Tracheostomy during COVID-19 pandemic—novel approach (2020) Head Neck; Winquist, E., Agbassi, C., Meyers, B.M., Yoo, J., Chan, K.K.W., Systemic therapy in the curative treatment of head and neck squamous cell cancer: a systematic review (2017) J Otolaryngol Head Neck Surg, 46 (1), p. 29; NCCN Clinical Practice Guidelines in oncology—head and Neck Cancers, , https://www.nccn.org/professionals/physician_gls/pdf/head-and-neck.pdf, Version 1.2020, Accessed 22 June 2020; Thomson, D.J., Palma, D., Guckenberger, M., Practice recommendations for risk-adapted head and neck cancer radiotherapy during the COVID-19 pandemic: an ASTRO-ESTRO consensus statement (2020) Int J Radiat Oncol; Levy, D.A., Li, H., Sterba, K.R., Development and validation of nomograms for predicting delayed postoperative radiotherapy initiation in head and neck squamous cell carcinoma (2020) JAMA Otolaryngol Neck Surg; González Ferreira, J.A., Jaén Olasolo, J., Azinovic, I., Jeremic, B., Effect of radiotherapy delay in overall treatment time on local control and survival in head and neck cancer: review of the literature (2015) Rep Pract Oncol Radiother, 20 (5), pp. 328-339; Sungnak, W., Huang, N., SARS-CoV-2 entry factors are highly expressed in nasal epithelial cells together with innate immune genes (2020) Nat Med; Balakrishnan, K., Schechtman, S., Hogikyan, N.D., Teoh, A.Y.B., McGrath, B., Brenner, M.J., COVID-19 pandemic: what every otolaryngologist-head and neck surgeon needs to know for safe airway management (2020) Otolaryngol Neck Surg; Ran, L., Chen, X., Wang, Y., Wu, W., Zhang, L., Tan, X., Risk factors of healthcare workers with Corona virus disease 2019: a retrospective cohort study in a designated hospital of Wuhan in China (2020) Clin Infect Dis; Shuman, A.G., Campbell, B.H., Ethical framework for head and neck cancer care impacted by COVID-19 (2020) Head Neck; Rodriguez-Morales, A.J., Cardona-Ospina, J.A., Gutiérrez-Ocampo, E., Clinical, laboratory and imaging features of COVID-19: a systematic review and meta-analysis (2020) Travel Med Infect Dis, 34, p. 101623; Rosenbaum, L., Facing Covid-19 in Italy—ethics, logistics, and therapeutics on the epidemic’s front line (2020) N Engl J Med, 382 (20), pp. 1873-1875; Jereczek-Fossa, B.A., Palazzi, M.F., Soatti, C.P., COVID-19 outbreak and cancer radiotherapy disruption in Lombardy, Northern Italy (2020) Clin Oncol; Guidance Document for Risk Assessment and Management of Patients and Healthcare Professionals in Radiation Oncology Departments during Ongoing COVID-19 Spread, , https://www.radioterapiaitalia.it/wp-content/uploads/2020/04/LATEST_ENG_AIRO-COVID-19.pdf, Accessed 20 May 2020; Vavassori, A., Tagliaferri, L., Vicenzi, L., Practical indications for management of patients candidate to interventional and intraoperative radiotherapy (Brachytherapy, IORT) during COVID-19 pandemic—a document endorsed by AIRO (Italian Association of Radiotherapy and Clinical Oncology) Interventional Radiotherapy Working Group (2020) Radiother Oncol, 149, pp. 73-77; Filippi, A.R., Russi, E., Magrini, S.M., Corvò, R., Letter from Italy: first practical indications for radiation therapy departments during COVID-19 outbreak (2020) Int J Radiat Oncol; Fakhry, N., Schultz, P., Morinière, S., French consensus on management of head and neck cancer surgery during COVID-19 pandemic (2020) Eur Ann Otorhinolaryngol Head Neck Dis; Givi, B., Schiff, B.A., Chinn, S.B., Safety recommendations for evaluation and surgery of the head and neck during the COVID-19 pandemic (2020) JAMA Otolaryngol Head Neck Surg; Kowalski, L.P., Sanabria, A., Ridge, J.A., COVID-19 pandemic: effects and evidence-based recommendations for otolaryngology and head and neck surgery practice (2020) Head Neck; Hsu, C.C., Sandford, B.A., (2007) The Delphi Technique: Making Sense of Consensus, , https://scholarworks.umass.edu/pare/vol12/iss1/, Accessed 22 June 2020; Daniela, A., COVID-19 and Radiotherapy for Head and Neck cancer—an Airo-Endorsed Consensus Study, , https://docs.google.com/forms/d/1xx5dhu-aoEYhjvNJe76G55al80gizSRz-0yowI24J7c/edit, Accessed 22 June 2020; Li, R., Pei, S., Chen, B., Substantial undocumented infection facilitates the rapid dissemination of novel coronavirus (SARS-CoV-2) (2020) Science, 368 (6490), pp. 489-493; Yu, J., Ouyang, W., Chua, M.L.K., Xie, C., SARS-CoV-2 transmission in patients with cancer at a tertiary care hospital in Wuhan, China (2020) JAMA Oncol; Naghavi, A.O., Echevarria, M.I., Strom, T.J., Patient choice for high-volume center radiation impacts head and neck cancer outcome (2018) Cancer Med, 7 (10), pp. 4964-4979; Bhattacharjee, A., Patil, V.M., Dikshit, R., Prabhash, K., Singh, A., Chaturvedi, P., Should we wait or not? The preferable option for patients with stage IV oral cancer in COVID-19 pandemic (2020) Head Neck; Chen, A.M., Hsu, S., Felix, C., Garst, J., Yoshizaki, T., Effect of psychosocial distress on outcome for head and neck cancer patients undergoing radiation: psychosocial distress and radiation therapy (2018) The Laryngoscope, 128 (3), pp. 641-645; Coronavirus Disease (COVID-19) Technical Guidance: Infection Prevention and Control/Wash, , https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/infection-prevention-and-control, Accessed 22 June 2020; Yanagihara Ted, K., Holland Roger, E., Chera Bhisham, S., Practical challenges of mask-to-mask encounters with patients with head and neck cancers amid the COVID-19 pandemic (2020) Adv. Radiat. Oncol.; Wei, W., Zheng, D., Lei, Y., Radiotherapy workflow and protection procedures during the Coronavirus disease 2019 (COVID-19) outbreak: experience of the hubei cancer hospital in Wuhan, China (2020) Radiother Oncol, 148, pp. 203-210; Imbimbo, M., Alfieri, S., Botta, L., Surveillance of patients with head and neck cancer with an intensive clinical and radiologic follow-up (2019) Otolaryngol Neck Surg, 161 (4), pp. 635-642; GLOBOCAN Cancer Fact Sheet 2018, , https://gco.iarc.fr/today/data/factsheets/cancers/39-All-cancers-fact-sheet.pdf, Accessed 22 June 2020
PY - 2020
Y1 - 2020
N2 - Management of patients with head and neck cancers (HNCs) is challenging for the Radiation Oncologist, especially in the COVID-19 era. The Italian Society of Radiotherapy and Clinical Oncology (AIRO) identified the need of practice recommendations on logistic issues, treatment delivery and healthcare personnel’s protection in a time of limited resources. A panel of 15 national experts on HNCs completed a modified Delphi process. A five-point Likert scale was used; the chosen cut-offs for strong agreement and agreement were 75% and 66%, respectively. Items were organized into two sections: (1) general recommendations (10 items) and (2) special recommendations (45 items), detailing a set of procedures to be applied to all specific phases of the Radiation Oncology workflow. The distribution of facilities across the country was as follows: 47% Northern, 33% Central and 20% Southern regions. There was agreement or strong agreement across the majority (93%) of proposed items including treatment strategies, use of personal protection devices, set-up modifications and follow-up re-scheduling. Guaranteeing treatment delivery for HNC patients is well-recognized in Radiation Oncology. Our recommendations provide a flexible tool for management both in the pandemic and post-pandemic phase of the COVID-19 outbreak. © 2020, Springer Science+Business Media, LLC, part of Springer Nature.
AB - Management of patients with head and neck cancers (HNCs) is challenging for the Radiation Oncologist, especially in the COVID-19 era. The Italian Society of Radiotherapy and Clinical Oncology (AIRO) identified the need of practice recommendations on logistic issues, treatment delivery and healthcare personnel’s protection in a time of limited resources. A panel of 15 national experts on HNCs completed a modified Delphi process. A five-point Likert scale was used; the chosen cut-offs for strong agreement and agreement were 75% and 66%, respectively. Items were organized into two sections: (1) general recommendations (10 items) and (2) special recommendations (45 items), detailing a set of procedures to be applied to all specific phases of the Radiation Oncology workflow. The distribution of facilities across the country was as follows: 47% Northern, 33% Central and 20% Southern regions. There was agreement or strong agreement across the majority (93%) of proposed items including treatment strategies, use of personal protection devices, set-up modifications and follow-up re-scheduling. Guaranteeing treatment delivery for HNC patients is well-recognized in Radiation Oncology. Our recommendations provide a flexible tool for management both in the pandemic and post-pandemic phase of the COVID-19 outbreak. © 2020, Springer Science+Business Media, LLC, part of Springer Nature.
KW - Clinical practice recommendations
KW - COVID-19 pandemic
KW - Head and neck cancers
KW - Radiation oncology
KW - adult
KW - Article
KW - cancer radiotherapy
KW - clinical practice
KW - coronavirus disease 2019
KW - Delphi study
KW - female
KW - follow up
KW - head and neck cancer
KW - human
KW - Likert scale
KW - male
KW - middle aged
KW - normal human
KW - pandemic
KW - priority journal
KW - radiation oncologist
KW - workflow
KW - Betacoronavirus
KW - Coronavirus infection
KW - head and neck tumor
KW - Italy
KW - medical society
KW - oncology
KW - practice guideline
KW - procedures
KW - virus pneumonia
KW - Coronavirus Infections
KW - Head and Neck Neoplasms
KW - Humans
KW - Medical Oncology
KW - Pandemics
KW - Pneumonia, Viral
KW - Practice Guidelines as Topic
KW - Radiotherapy
KW - Societies, Medical
U2 - 10.1007/s12032-020-01409-2
DO - 10.1007/s12032-020-01409-2
M3 - Article
VL - 37
JO - Med. Oncol.
JF - Med. Oncol.
SN - 1357-0560
IS - 10
ER -