Head and neck radiotherapy amid the COVID-19 pandemic: practice recommendations of the Italian Association of Radiotherapy and Clinical Oncology (AIRO): Medical Oncology

D. Alterio, S. Volpe, A. Bacigalupo, P. Bonomo, F. De Felice, F. Dionisi, I. D’Onofrio, E. D’Angelo, A. Di Rito, G. Fanetti, P. Franco, M. Maddalo, A. Merlotti, F. Micciché, E. Orlandi, F. Paiar, S. Ursino, M. Pepa, R. Corvò, N.G. Di MuzioS.M. Magrini, E. Russi, G. Sanguineti, B.A. Jereczek-Fossa, V. Donato, D. Musio

Research output: Contribution to journalArticlepeer-review

Abstract

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.
Original languageEnglish
JournalMed. Oncol.
Volume37
Issue number10
DOIs
Publication statusPublished - 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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