Article ; Online: Impact of COVID-19 pandemic on a daily-based outpatient treatment routine: experience of a radiotherapy department of a tertiary public/university hospital in Brazil.
2020 Volume 75, Page(s) e2298
Abstract: Objectives: To report the impact of the COVID-19 pandemic on patient attendance at a radiotherapy ... cancer treatments. Eighteen (1.7%) patients were confirmed as having COVID-19 during radiotherapy ... infected with COVID-19 and one related death during treatment in the first few months of the pandemic ...
| Abstract | Objectives: To report the impact of the COVID-19 pandemic on patient attendance at a radiotherapy department two months after the implementation of specific policies regarding the pandemic. Methods: The proposed treatment schemes, favoring hypofractionated schedules, and COVID-19 management strategies regarding irradiation are presented. Attendance after two months of implementation of these policies was measured and compared with that during the same period in 2019. Results: A 10% reduction in the number of treated patients and a 26% reduction in the number of sessions was observed. The main impact was a decrease in the treatment of benign diseases and gastrointestinal tumors, with a general increase in breast cancer treatments. Eighteen (1.7%) patients were confirmed as having COVID-19 during radiotherapy in April and May 2020, three of whom were hospitalized, and one patient died because of COVID-19. Among the 18 patients, 12 had their treatments interrupted for at least 15 days from symptom appearance. Conclusion: There was a decrease in the number of treated patients in our radiotherapy department, with a greater decrease in the total number of sessions. This indicated, overall, a smaller number of fractions/patients treated, despite our efforts to maintain the treatment routine. We had several patients who were infected with COVID-19 and one related death during treatment in the first few months of the pandemic in São Paulo Brazil. |
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| MeSH term(s) | Ambulatory Care ; Betacoronavirus ; Brazil/epidemiology ; COVID-19 ; Coronavirus Infections ; Humans ; Outpatients ; Pandemics ; Pneumonia, Viral/epidemiology ; Radiotherapy ; SARS-CoV-2 |
| Keywords | covid19 |
| Language | English |
| Publishing date | 2020-11-06 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 2182801-5 |
| ISSN | 1980-5322 ; 1807-5932 |
| ISSN (online) | 1980-5322 |
| ISSN | 1807-5932 |
| DOI | 10.6061/clinics/2020/e2298 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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