PMC:7274968 / 5862-7381 JSONTXT

{"target":"http://pubannotation.org/docs/sourcedb/PMC/sourceid/7274968","sourcedb":"PMC","sourceid":"7274968","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7274968","text":"Discussion\nThis survey provides a snapshot of the April 2020 status of the Swiss radiation oncology departments following the COVID-19 outbreak and highlights three major aspects.\nFirst, confronted with the current pandemic, all radiation oncology departments were able to rapidly implement telemedicine. Second, all centers were able to reorganize institutional practices, with creation of zoning and use of dedicated protective equipment for patients and medical staff. Third, delay of radiotherapy treatments with hormonal manipulations when possible, associated with an increased use of hypofractionation for breast, rectal cancer and palliation were the pragmatic responses of the majority of the centers to the pandemic.\nOur work faces the limitation associated with reporting the evolution of radiation oncology practices in the earliest stages of the pandemic, when ASTRO/ESTRO recommendations for lung and head and neck cancer [11], [12] were not yet published, with an unequal number of online resources available for participants depending on when they answered the survey (Suppl. Fig. 3). Moreover, a single country survey risks to be influenced by several aspects, including national-specific clinical practices, the healthcare reimbursement system, and the influence of governmental legislations undertaken during the pandemic. Nevertheless, valuable information is emerging from this report which may provide basis to better understand the actual and future impact of COVID-19 pandemic on our 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