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- CarvalhoHeloisa de AndradeHA0000-0003-0979-7768Instituto do Cancer do Estado de Sao Paulo (ICESP), Instituto de Radiologia (InRad), Serviço de Radioterapia, Hospital das Clinicas (HCFMUSP), Faculdade de Me... more
- Instituto do Cancer do Estado de Sao Paulo (ICESP), Instituto de Radiologia (InRad), Serviço de Radioterapia, Hospital das Clinicas (HCFMUSP), Faculdade de Medicina, Universidade de Sao Paulo, SP, BR.
- Clinics (Sao Paulo). 2020 Jan 1; 75: e2298e2298.
ObjectivesTo 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.MethodsThe 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.ResultsA 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.ConclusionThere 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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