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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Adv+Radiat+Oncol
2020 ; 5
(4
): 644-650
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Radiation Therapy Department Reorganization during the Coronavirus Disease 2019
(COVID-19) Outbreak: Keys to Securing Staff and Patients During the First Weeks
of the Crisis and Impact on Radiation Therapy Practice from a Single Institution
Experience
#MMPMID32775775
Belkacemi Y
; Loaganadane G
; Grellier N
; Fonteneau G
; Zaoui G
; Coraggio G
; Hadhri A
; Adou M
; Bendavid J
; Boros A
; Ghith S
; Debbi K
; Cadot P
; Bak A
; Le Bret C
; Hassani W
; Mahé M
; Hervé ML
; Colson-Durand L
; Hanh To N
; Luo DF
; Cherif A
Adv Radiat Oncol
2020[Jul]; 5
(4
): 644-650
PMID32775775
show ga
PURPOSE: During the first weeks of the coronavirus disease 2019 (COVID-19)
outbreak in France, it was necessary to clearly define organizational priorities
in the radiation therapy (RT) departments. In this report, we focus on the urgent
measures taken to reduce risk for both our staff and patients by reducing the
number of patients receiving treatment. METHODS AND MATERIALS: We reviewed the
fractionation schemes for all patients in our department, including those
receiving treatment and those soon to start treatment. Our goals were to (1)
decrease the number of patients coming daily to the hospital for RT, (2) adapt
our human resources to continue patients' care in the department, and (3) help to
cover understaffed COVID-19 sectors of the hospital. RESULTS: We identified 50
patients who were receiving treatment (n = 6), were going to start radiation
after CT scan simulation (n = 41), or for whom the CT scan was pending (n = 3).
The majority were women (64%) treated for breast cancer (54%). RT was delayed for
22 (44%) patients. The majority were offered hormone therapy as "waiting
therapy." Hypofractionation was considered in 21 (42%) patients mainly with
breast cancer (18 of 21, 86%). The number of courses initially planned and
replanned as a result of the COVID-19 outbreak during the period of March 15 to
May 31, 2020, were 1383 and 683, respectively, which represented a reduction of
50% (including delayed sessions) that allowed our reorganization process.
CONCLUSIONS: To conserve resources during the pandemic, we successfully reduced
the number of patients receiving treatment in a proactive fashion and adapted our
organization to minimize the risk of COVID-19 contamination. Departments across
the world may benefit from this same approach.