COVID's Impact on Radiation Oncology: A Latin American Survey Study
COVID's Impact on Radiation Oncology: A Latin American Survey Study
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DOI：
10.1016/j.ijrobp.2020.06.058
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发表时间：
2020-10-01
影响因子：
7
通讯作者：
Sarria, Gustavo R.
中科院分区：
文献类型：
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作者：
Martinez, David;Sarria, Gustavo J.;Sarria, Gustavo R.
目的：COVID-19 大流行对拉丁美洲放射治疗服务的影响尚未得到广泛评估。与欧洲或美国的中心相比，这些方面的数据缺乏可能会影响减轻大流行潜在损害的适当措施的设计。本文提出了第一个基于调查的分析，揭示了区域信息。方法和材料：2020 年 5 月 6 日至 30 日，美国放射肿瘤学会的 COVID-19 调查在当地国家放射治疗协会的支持下在整个拉丁美洲进行了分发。调查问卷包含 26 个项目，包括设施人口和财务特征、人员和患者特征、大流行的当前和预期影响以及研究观点。 结果：从 15 个国家的 229 家诊所中的 115 家（50%）获得了完整答复。在大流行期间，只有 2.6% 的中心关闭。据报道，每个中心平均有 4 名放射肿瘤科医生 (1-27) 和 9 名放射治疗师 (1-100)。 2019 年接受治疗的新患者中位数为 600 例 (24-6200)。据报道，患者数量中位数减少了 8% (1%-90%)，其中中位数为 53 名患者 (1-490) 仍在接受治疗。在 53% 的案例中，预计收入减少 20% 或更多。 51.3% 的中心报告称个人防护装备短缺，27% 的中心报告称由于 COVID-19 导致人员短缺。报告的低风险实体治疗延迟包括早期乳腺癌（42.6%）、低风险状态前列腺癌（67%）和非恶性疾病（42.6%）。据报告，22.6% 的中心和 10.4% 的中心分别在指定治疗时间和差异化掩体中对 COVID-19 患者进行了治疗。迄今为止，64.3% 的机构已针对治疗中 (29.6%) 和治疗后 (34.8%) 患者启动了远程医疗举措。 结论：有关拉丁美洲 COVID-19 大流行的区域信息可能有助于为人员和患者阐明合适的干预策略。将进行后续调查，动态监测疫情对放射治疗服务的影响并采取改善措施。 (C) 2020 Elsevier Inc. 保留所有权利。
Purpose: The impact of the COVID-19 pandemic on Latin American radiation therapy services has not yet been widely assessed. In comparison to centers in Europe or the United States, the scarcity of data on these terms might impair design of adequate measures to ameliorate the pandemic's potential damage. The first survey-based analysis revealing regional information is herein presented.Methods and Materials: From May 6 to May 30, 2020, the American Society for Radiation Oncology's COVID-19 Survey was distributed across Latin America with support of the local national radiation therapy societies. Twenty-six items, including facility demographic and financial characteristics, personnel and patient features, current and expected impact of the pandemic, and research perspectives, were included in the questionnaire.Results: Complete responses were obtained from 115 (50%) of 229 practices across 15 countries. Only 2.6% of centers closed during the pandemic. A median of 4 radiation oncologists (1-27) and 9 (1-100) radiation therapists were reported per center. The median number of new patients treated in 2019 was 600 (24-6200). A median 8% (1%-90%) decrease in patient volume was reported, with a median of 53 patients (1-490) remaining under treatment. Estimated revenue reduction was 20% or more in 53% of cases. Shortage of personal protective equipment was reported in 51.3% of centers, and 27% reported personnel shortage due to COVID-19. Reported delays in treatment for low-risk entities included early stage breast cancer (42.6%), low-risk status prostate cancer (67%), and nonmalignant conditions (42.6%). Treatment of COVID-19 patients at designated treatment times and differentiated bunkers were reported in 22.6% and 10.4% of centers, respectively. Telehealth initiatives have been started in 64.3% of facilities to date for on-treatment (29.6%) and posttreatment (34.8%) patients.Conclusions: Regional information regarding COVID-19 pandemic in Latin America may help elucidate suitable intervention strategies for personnel and patients. Follow-up surveys will be performed to provide dynamic monitoring the pandemic's impact on radiation therapy services and adoption of ameliorating measures. (C) 2020 Elsevier Inc. All rights reserved.