Division of Radiation Oncology, IEO, European Institute of Oncology, IRCCS, Via Ripamonti, 435-20141, Milan, Italy.
Department of Oncology and Hemato-Oncology, University of Milan, Milano, Italy.
Med Oncol. 2020 Nov 4;37(11):108. doi: 10.1007/s12032-020-01434-1.
Italy experienced one of the world's severest COVID-19 outbreak, with Lombardy being the most afflicted region. However, the imposed safety measures allowed to flatten the epidemic curve and hence to ease the restrictions and inaugurate, on the 4th of May 2020, the Italian phase (P) 2 of the pandemic. The present survey study, endorsed by CODRAL and AIRO-L, aimed to assess how radiotherapy (RT) departments in Lombardy have dealt with the recovery.
A questionnaire dealing with the management of pandemic was developed online and sent to all CODRAL Directors on the 10th of June 2020. Answers were collected in full anonymity one week after.
All the 33 contacted RT facilities (100%) responded to the survey. Despite the scale of the pandemic, during P1 14 (42.4%) centres managed to safely continue the activity (≤ 10% reduction). During P2, 10 (30.3%) centres fully recovered and 14 (42.4%) reported an increase. Nonetheless, 6 (18.2%) declared no changes and, interestingly, 3 (9.1%) reduced activities. Overall, 21 centres (63.6%) reported suspected or positive cases within healthcare workforce since the beginning of the pandemic. Staff units were quarantined in 19 (57.6%) and 6 (18.2%) centres throughout P1 and P2, respectively. In the two phases, about two thirds centres registered positive or suspected cases amongst patients.
The study revealed a particular attention to anti-contagion measures and a return to normal or even higher clinical workload in most RT centres in Lombardy, necessary to carry out current and previously deferred treatments.
意大利经历了全球最严重的 COVID-19 疫情之一，伦巴第大区是受灾最严重的地区。然而，实施的安全措施使疫情曲线得以平缓，从而缓解了限制，并于 2020 年 5 月 4 日开启了意大利大流行阶段 2（P2）。本调查研究由 CODRAL 和 AIRO-L 支持，旨在评估伦巴第大区的放射治疗（RT）部门如何应对疫情的恢复。
针对疫情管理问题，我们在线开发了一份问卷，并于 2020 年 6 月 10 日发送给所有 CODRAL 主任。一周后，匿名收集了回复。
所有 33 个被联系的 RT 设施（100%）都对调查做出了回应。尽管疫情规模庞大，但在 P1 期间，有 14 个（42.4%）中心仍能安全地继续开展活动（减少≤10%）。在 P2 期间，有 10 个（30.3%）中心完全恢复，14 个（42.4%）报告活动增加。然而，有 6 个（18.2%）中心报告没有变化，有趣的是，有 3 个（9.1%）中心减少了活动。总体而言，自疫情开始以来，有 21 个中心（63.6%）报告了医疗保健工作者中疑似或阳性病例。在 P1 和 P2 期间，分别有 19 个（57.6%）和 6 个（18.2%）中心的工作人员被隔离。在两个阶段中，大约三分之二的中心报告了患者中阳性或疑似病例。
本研究表明，伦巴第大区的大多数 RT 中心特别关注防疫措施，并恢复到正常或甚至更高的临床工作量，这是完成当前和之前推迟的治疗所必需的。
