Professional practice changes in radiotherapy physics during the COVID-19 pandemic

Published on Jun 22, 2021in Physics and Imaging in Radiation Oncology
路 DOI :10.1016/J.PHRO.2021.06.002
Jenny Bertholet11
Estimated H-index: 11
(University of Bern),
Marianne C. Aznar32
Estimated H-index: 32
(University of Oxford)
+ 14 AuthorsLudvig Paul Muren32
Estimated H-index: 32
(Aarhus University Hospital)
Background and purpose The COVID-19 pandemic has imposed changes in radiotherapy (RT) departments worldwide. Medical physicists (MPs) are key healthcare professionals in maintaining safe and effective RT. This study reports on MPs experience during the first pandemic peak and explores the consequences on their work. Methods A 39-question survey on changes in departmental and clinical practice and on the impact for the future was sent to the global MP community. A total of 433 responses were analysed by professional role and by country clustered on the daily infection numbers. Results The impact of COVID-19 was bigger in countries with high daily infection rate. The majority of MPs worked in alternation at home/on-site. Among practice changes, implementation and/or increased use of hypofractionation was the most common (47% of the respondents). Sixteen percent of respondents modified patient-specific quality assurance (QA), 21% reduced machine QA, and 25% moved machine QA to weekends/evenings. The perception of trust in leadership and team unity was reversed between management MPs (towards increased trust and unity) and clinical MPs (towards a decrease). Changes such as home-working and increased use of hypofractionation were welcomed. However, some MPs were concerned about pressure to keep negative changes (e.g. weekend work). Conclusion COVID-19 affected MPs through changes in practice and QA procedures but also in terms of trust in leadership and team unity. Some changes were welcomed but others caused worries for the future. This report forms the basis, from a medical physics perspective, to evaluate long-lasting changes within a multi-disciplinary setting.
馃摉 Papers frequently viewed together
#1Ben J. Slotman (UvA: University of Amsterdam)H-Index: 88
#2Valerie CremadesH-Index: 2
Last. Umberto Ricardi (UNITO: University of Turin)H-Index: 54
view all 4 authors...
#1K. Spencer (University of Leeds)H-Index: 8
#2Christopher Jones (Leeds Teaching Hospitals NHS Trust)H-Index: 27
Last. Eva Morris (University of Oxford)H-Index: 32
view all 13 authors...
Summary Background The indirect impact of the COVID-19 pandemic on cancer outcomes is of increasing concern. However, the extent to which key treatment modalities have been affected is unclear. We aimed to assess the impact of the pandemic on radiotherapy activity in England. Methods In this population-based study, data relating to all radiotherapy delivered for cancer in the English NHS, between Feb 4, 2019, and June 28, 2020, were extracted from the National Radiotherapy Dataset. Changes in me...
#1Maeve Kearney (Trinity College, Dublin)H-Index: 2
#2Mary Coffey (Trinity College, Dublin)H-Index: 17
Last. Y. Tsang (NU: Northwood University)H-Index: 11
view all 4 authors...
Abstract Background and Purpose The European SocieTy for Radiotherapy and Oncology Radiation Therapist Committee (ESTRO RTTC) published a guidance document and infographic providing recommendations to minimise risk of COVID-19 transmission in radiotherapy (RT) departments. The purpose of this study was to investigate the changes embedded in RT practice in the COVID-19 era and to recommend proactive measures to protect RT practice in future pandemics. Materials and Methods The study was initiated...
#1Nathan A. Pennell (Cleveland Clinic)H-Index: 35
#2Melissa S. Dillmon (Harbin Clinic)H-Index: 5
Last. Howard A. BurrisH-Index: 95
view all 48 authors...
This report presents the American Society of Clinical Oncology鈥檚 (ASCO鈥檚) evaluation of the adaptations in care delivery, research operations, and regulatory oversight made in response to the coron...
OBJECTIVE While the second wave of COVID-19 has started in Europe, data are still missing on the consequences of the first one for patients with cancer. The aim of our study was to learn more about the experiences of German patients and staff in the oncology services. MATERIALS AND METHODS An anonymous online survey was conducted among cancer patients and their therapists (physicians, medical staff, psychologists, spiritual care givers) in Germany between April and May 2020 asking about burden, ...
#1Rahul Banerjee (UCSF: University of California, San Francisco)H-Index: 6
#2Vinay Prasad (UCSF: University of California, San Francisco)H-Index: 39
Randomized controlled trials designed to test cancer therapies often fail to clarify effectiveness in real-world settings. Herein, we explore lessons for trial development in oncology that can be learnt from the large-cohort, pragmatic RECOVERY trial involving patients hospitalized with COVID-19.
#1Christopher J.D. Wallis (VUMC: Vanderbilt University Medical Center)H-Index: 24
#2James W.F. Catto (University of Sheffield)H-Index: 73
Last. Daniel E. Spratt (UM: University of Michigan)H-Index: 52
view all 18 authors...
Abstract Context The coronavirus disease 2019 (COVID-19) pandemic necessitated rapid changes in medical practice. Many of these changes may add value to care, creating opportunities going forward. Objective To provide an evidence-informed, expert-derived review of genitourinary cancer care moving forward following the initial COVID-19 pandemic. Evidence acquisition A collaborative narrative review was conducted using literature published through May 2020 (PubMed), which comprised three main topi...
#1Natalie Viscariello (UW: University of Washington)H-Index: 1
#2Suzanne B. Evans (Yale University)H-Index: 20
Last. Eric Ford (UW: University of Washington)H-Index: 57
view all 11 authors...
Abstract Purpose The COVID-19 pandemic has presented challenges to delivering safe and timely care for cancer patients. The oncology community has undertaken substantial workflow adaptations to reduce transmission risk for patients and providers. While various control measures聽have been proposed and聽implemented, little is known about their impact on safety of the radiation oncology workflow and potential for transmission. The objective of this study was to assess potential safety impacts of cont...
#1C. A. Azlan (UM: University of Malaya)H-Index: 7
#2Jeannie Hsiu Ding Wong (UM: University of Malaya)H-Index: 12
Last. Kwan Hoong Ng (College of Health Sciences, Bahrain)H-Index: 30
view all 9 authors...
Abstract Purpose We present the implementation of e-learning in the Master of Medical Physics programme at the University of Malaya during a partial lockdown from March to June 2020 due to the COVID-19 pandemic. Methods Teaching and Learning (T&L) activities were conducted virtually on e-learning platforms. The students' experience and feedback were evaluated after 15 weeks. Results We found that while students preferred face-to-face, physical teaching, they were able to adapt to the new norm of...
#1David J Thomson (University of Manchester)H-Index: 14
#2Sue S. Yom (UCSF: University of California, San Francisco)H-Index: 43
Last. Christopher Estes (Mercy Medical Center (Baltimore, Maryland))H-Index: 2
view all 23 authors...
Purpose Numerous publications during the COVID-19 pandemic recommended the use of hypofractionated radiation therapy. This project assessed aggregate changes in the quality of the evidence supporting these schedules to establish a comprehensive evidence base for future reference and highlight aspects for future study. Methods and Materials Based on a systematic review of published recommendations related to dose fractionation during the COVID-19 pandemic, 20 expert panelists assigned to 14 disea...
Cited By0
This website uses cookies.
We use cookies to improve your online experience. By continuing to use our website we assume you agree to the placement of these cookies.
To learn more, you can find in our Privacy Policy.