Adapting Radiation Therapy Treatments for Patients with Breast Cancer During the COVID-19 Pandemic: Hypo-Fractionation and Accelerated Partial Breast Irradiation to Address World Health Organization Recommendations

Al-Rashdan, Abdulla; Roumeliotis, Michael; Quirk, Sarah; Grendarova, Petra; Phan, Tien; Cao, Jeffery; Logie, Natalie; Smith, Wendy; Barbera, Lisa

doi:10.1016/j.adro.2020.03.011

Cited by 43 publications

(45 citation statements)

References 9 publications

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“…Similar to the UW, we instituted policies to minimize risks to patients, including providing patient education materials; completing daily symptom screenings of patients and close contacts; implementing rigorous sanitization measures; deferring treatment of indolent diseases; instituting telemedicine appointments, virtual meetings, restricting visitors, spacingout treatment times, and closing patient waiting rooms. Patients in subacute care or nursing facilities were no longer eligible for treatment until discharged and we utilized hypofractionation to shorten treatment schedules per expert-consensus, when feasible [2][3][4][5]. Lastly, we began prospectively monitoring each patient on treatment and those expected to initiate treatment for new symptoms, date of onset, possible sick contacts, and COVID-19 test results.…”

Section: Technical Reportmentioning

confidence: 99%

Quantifying the Impact of COVID-19 on Cancer Patients: A Technical Report of Patient Experience During the COVID-19 Pandemic at a High-volume Radiation Oncology Proton Center in New York City

Press¹,

Hasan²,

Chhabra³

et al. 2020

Cureus

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Section: Technical Reportmentioning

confidence: 99%

Quantifying the Impact of COVID-19 on Cancer Patients: A Technical Report of Patient Experience During the COVID-19 Pandemic at a High-volume Radiation Oncology Proton Center in New York City

Press¹,

Hasan²,

Chhabra³

et al. 2020

Cureus

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“…Regimens include 30 Gy in 5 fractions every other day (Florence regimen), 38.5 Gy in 10 fractions, twice daily and 40 Gy in 10 daily fractions, amongst some others. In the present COVID-19 pandemic, a shift to APBI for eligible patients will drastically relieve the radiation service resources and there are institutions and countries releasing documents in its favor amidst the pandemic [26] .…”

Section: Methodsologymentioning

confidence: 99%

Radiation oncology in times of COVID-2019: A review article for those in the eye of the storm – An Indian perspective

Hinduja

George²,

Barthwal

et al. 2020

Seminars in Oncology

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The global COVID-2019 pandemic has presented to the field of radiation oncology a management dilemma in providing evidence-based treatments to all cancer patients. There is a need for appropriate measures to be taken to reduce infectious spread between the medical healthcare providers and the patient population. Such times warrant resource prioritization and to continue treatment with best available evidence, thereby reducing the risk of COVID-2019 transmission in times where the workforce is reduced. There has been literature presented in different aspects related to providing safety measures, running of a radiation department and for the management of various cancer subsites. In this article, we present a comprehensive review for sustaining a radiation oncology department in times of the COVID-2019 pandemic.

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“…In the present COVID-19 pandemic, shifting to APBI for eligible patients will drastically relieve the radiation service resources. There are institutions in various countries releasing documents regarding these procedures during the pandemic [ 15 ].…”

Section: Locations and Role Of Brachytherapymentioning

confidence: 99%

Brachytherapy practice during the COVID-19 pandemic: a review on the practice changes

Barthwal¹,

Pareek²,

Mallick³

et al. 2020

jcb

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The COVID-19 pandemic has caused a havoc across the globe, and has significantly affected oncology services, especially radiation therapy due to the need of social distancing as a measure for the pandemic mitigation. Brachytherapy, being an integral part of radiation therapy, posts a dilemma related to the practice of evidence-based oncology. It requires a significant amount of resources and personnel, thereby increasing the risk of exposure to the virus. There has been a significant amount of papers published providing the best available alternatives to external radiation; however, there is a lack of literature on the practice of brachytherapy. In times of the pandemic, deploying brachytherapy as a treatment modality can act as a double-edged sword and therefore, judicious use is warranted in such times of crisis. In this article, we provide a comprehensive review of the role of brachytherapy in various forms and different malignancy sites.

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Adapting Radiation Therapy Treatments for Patients with Breast Cancer During the COVID-19 Pandemic: Hypo-Fractionation and Accelerated Partial Breast Irradiation to Address World Health Organization Recommendations

Cited by 43 publications

References 9 publications

Quantifying the Impact of COVID-19 on Cancer Patients: A Technical Report of Patient Experience During the COVID-19 Pandemic at a High-volume Radiation Oncology Proton Center in New York City

Quantifying the Impact of COVID-19 on Cancer Patients: A Technical Report of Patient Experience During the COVID-19 Pandemic at a High-volume Radiation Oncology Proton Center in New York City

Radiation oncology in times of COVID-2019: A review article for those in the eye of the storm – An Indian perspective

Brachytherapy practice during the COVID-19 pandemic: a review on the practice changes

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