LIBRO DEGLI ABSTRACTS Congress Proceedings SEGRETERIA AIRO SEGRETERIA ORGANIZZATIVA Piazza della Repubblica 32 - 20124 Milano Studio ER Congressi Tel. 391 7930997 Via De' Poeti 1/7 - 40124 Bologna [email protected] Tel. 051 4210559 - Fax 051 4210174 www.radioterapiaitalia.it [email protected] www.ercongressi.it COMITATI Vittorio Donato Monica Mangoni Presidente AIRO Presidente AIRB COMMISSIONE SCIENTIFICA AIRO Barbara A. Jereczek-Fossa Renzo Corvò Stefano Pergolizzi Coordinatore Presidente Eletto AIRO Presidente Eletto AIRB Alessio Bruni Michela Buglione di Monale e Bastia CONSIGLIO DIRETTIVO AIRO CONSIGLIO DIRETTIVO AIRB Andrea R. Filippi Pierluigi Bonomo Pierfrancesco Franco Maria Antonietta Gambacorta Liliana Belgioia Domenico Genovesi Giuseppe Iatì Michele Fiore Icro Meattini Alessandro Magli Francesco Marampon Anna Merlotti Marcello Mignogna Isabella Palumbo Stefano Pergolizzi Luigi Marafioti Marco Trovò Roberto Pacelli AIRO GIOVANI Isacco Desideri SEGRETARIO ALLA PRESIDENZA Coordinatore Daniela Musio CONSIGLIO DIRETTIVO AIRO GIOVANI Paolo Borghetti SEGRETARIO AMMINISTRATIVO Francesca De Felice Gianpiero Catalano Carlo Greco Valerio Nardone COORDINATORI GRUPPI REGIONALI AIRO COORDINATORI GRUPPI DI STUDIO AIRO ESTRO Salvatrice Campoccia Filippo Alongi Umberto Ricardi Elisa D’Angelo Stefano Arcangeli Vincenzo Valentini Luigi Marafioti Fabio Arcidiacono Francesco Marletta Annamaria Cerrotta COMMISSIONE LEA MINISTERO DELLA SALUTE Renzo Mazzarotto Pierfrancesco Franco Lorenzo Livi Paolo Muto Icro Meattini Marco Orsatti Daniela Musio PRESIDENTE FONDAZIONE S.N.R Mattia F. Osti Valentina Pinzi Francesco Lucà Giovanni Silvano Antonio Pontoriero Sandro Tonoli Stefano Vagge RAPPRESENTANTE PROFESSORI ORDINARI MED/36 Fabio Trippa Andrea Vavassori Vincenzo Tombolini Federica Vianello SEGRETERIA AIRO SEGRETERIA EDITORIALE SEGRETERIA ORGANIZZATIVA Piazza della Repubblica 32 - 20124 Milano PAGEPress Publications Studio ER Congressi Tel. 391.7930997 Via A. Cavagna Sangiuliani 5 Via De' Poeti 1/7 - 40124 Bologna [email protected] 27100 Pavia Tel. 051.4210559 - Fax 051.4210174 www.radioterapiaitalia.it Tel. 0382.1549020 [email protected] [email protected] www.ercongressi.it www.pagepress.org INDEX Selected Oral Communications..................................................................................1 Oral Communications...............................................................................................19 Poster ........................................................................................................................86 Selected Oral Communications B01 Materials and methods: From April 24th through THE PSYCHOLOGICAL IMPACT OF COVID 19 May 21st, 2020, a multiple choices questionnaire was distributed to all the health care employees (emp) ser- EMERGENCY ON HEALTH PERSONNEL INVOL- ving in the SC oncological departments (Haematology, VED IN THE CARE OF ONCOLOGIC PATIENTS Medical and Radiation Oncology, Radiology, Nuclear (PTS) IN A SINGLE NORTHERN ITALY - ASST: Medicine, Medical Physics). The questionnaire was PRELIMINARY RESULTS OF AN ANONYMOUS ideated in collaboration with Psychologists of SC and QUESTIONNAIRE of the Brescia University. Answers were scored (p) M. Buglione di Monale e Bastia1*, C. Cristini2*, between 1 (rarely; not at all) and 7 (frequently; surely); U. Gelatti3, L. Pegurri1, L. Triggiani1, F. Barbera4, a scale measuring “anxiety” (SAS) was also submitted P. Vitali1, F. Terraneo1, B. Caraffini1, G. Facheris1, (p between 20 and 80). S. Lamattina1, N. Singh1, A. Donofrio1, A. Taddeo1, Results: 370/493 (75%) emp answered (tab). 43.5% E. Ranghetti1, A. Guerini1, L. Maruca1, V. Santoro5, had >20y work experience; 33.3% lived with old peo- M.A. Abrami6^, S.M.M. Magrini1^ ple; 8.1% had covid19 disease with symptoms (sym), *co-first author ^co-last author 3.5% were positive but without sym. Median points (mp) of answers regarding the COVID19 disease “fear” 1Radiation Oncology Department, University and ASST- 2 gradually increased from the arrival of first two cases in Spedali Civili, Brescia; Clinical Psychology, Italy to arrival in the hospital (mp 3.37 vs 6.26, Department of clinical and experimental sciences, p=0.000). The fear (6/7 p) of transmitting the infection Brescia University; 3Department of Medical and to pts vs family was 49.4% vs 73.5%. 43% of respon- Surgical Specialties, Radiological Sciences and Public ders think this experience can be a personal growth Health Section of Public Health and Human Sciences, occasion (6/7p). 53.3% of the series did not consider Brescia University; 4Brachiterapy ASST-Spedali Civili, heavy continuing care in oncologic pts (1/2p) and agree Brescia; 5Radiation Oncology ASST-Spedali Civili and with the observation that these pts have to be conside- Padova University; 6Psycology Service – ASST Spedali red different (6/7p in 57%). The empathy with human Civili, Brescia, Italy necessities of “Covidpts” was higher than Aims: The COVID19 emergency involved all the “noCOVIDpts” (mp 5.64 vs 5.45, p=0.000). The colla- person employed in oncologic departments both from boration with the colleagues(clg) increased more than personal and professional point of view. At ASST- that with superiors (mp 4.78 vs 4.06, p=0.000). 13.8% Spedali Civili (SC), a questionnaire was submitted to of emp had the sensation to be strongly supported in all the persons involved in oncologic care to understand his/her work (6/7p). The future positive effect of emer- the psychological effect of this emergency. gency on relationships between clg mp’s was higher | 1 | Selected Oral Communications than with the superiors (mp 4.11 vs 3.62, p=0.000). cancers were prostate cancer (8 Pt) and head/neck can- Positive relations are considered more durable after the cer (6 Pt). Table 2. emergency than negative ones (mp 4.3 vs 3.95, Conclusions: The data presented are preliminary p=0.002). SAS’mp was 35 (range 20-74 p, standard and collected on a small sample extremely heteroge- deviation 9.18) neous, therefore so far insufficient to highlight an asso- Conclusion: The questionnaire has been a simple, ciation between cancer and COVID-19. Probably in cheap and easily administrable method of analysis to addition to cancer, advanced age and associated co- understand opinion and feelings of emp. These very morbidities played an important role in the develop- preliminary results show that fear is present, but it did ment of often lethal complications related to COVID- not influence the duty sense of most of the emp. The 19. Several clinical studies will be needed in the future relationships between clg were stronger than those with to understand the real impact of COVID-19 on cancer superiors. patients. Table 1. Table 1. Characteristics of patients who died from covid-19. n° ans/n°tot % of the series (n°359) N PZ DIED OF COVID-19 Reporting period 37 medical doctors 105/128 28.4 15-02-20/ 31-05-20 nurses 106/139 28.6 AGE (MEAN, years) 79 (41-96) radiation technologists 92/108 24.9 MALE 26 Auxiliary personel 36/82 9.7 Administrative secretary 11/16 3 FEMALE 11 Medical physicists 9/9 2.4 PREVIOUS RT 32 (since 2003-2019) other 11/11 3 ONGOING RT 5 B02 Table 2. Patients divided by pathology treated CANCER AND COVID-19: THE IMPACT ON RADIOTHERAPY AT PIACENZA STATE HOSPITAL PREVIOUS ONGOING SUSPENDED RT, 32 Pt RT, 5 Pt RT, 11 Pt I. Moschini, M. Conti, D. Piva (died) (died) (alive) U.O.C. Radioterapia, Dipartimento Onco-Ematologia Ospedale G.da Saliceto, Italy BREAST 4 1 LUNG 3 Aims: Since the end of February 2020, Italy has PROSTATE 7 1 experienced the rapid spread of the new coronavirus H&N 5 2 (COVID-19), responsible for SARS-Cov-2, with a NERVOUS SYSTEM 2 daily increase in the number of cases and consequent GASTROENTERIC 1 1 deaths. Our aim is to investigate the impact of Covid-19 GYNECOLOGICAL 3 3 on radio-treated patients in our operations unit. HAEMATOLOGICAL 1 1 Methods: We identified 119 patients who died in the SKIN (NO MELANOMA) 4 1 period from 20 February to 31 May 2020 with active METASTASIS (BONE) 4 3 1 disease or previously malignancy treated with radiothe- rapy. Through ISTAT data we detected the number of patients who died in hospital with diagnosis of SARS- Cov-2. We also evaluated, in the same period, patients in treatment or who had made the first consultation, not B03 deceased, suspended due to eventual infection with COVID-19. ABSTRACT WITHDRAWN Results: Out of 119 patients, 37 (31%) died from SARS-Cov-2. The average age was 79 years, 27 (72%) patients were 75 years old, 26 (70%) were male. 13% of patients were receiving treatment at the time of death. Most of the deceased patients (75%) were free from cancer at the time of death. The deceased patient cha- racteristics are shown in Table 1. At the time of the analysis (31 May 2020) 11 patients postponed or suspended treatment and are still alive; only for one patient hospitalization has been necessary, the others have been assisted from home. The average age is 69 years, 7 pt out of 11 are male. The most represented | 2 | RADIOTERAPIA PERSONALIZZATA: UN NUOVO PARADIGMA IN ONCOLOGIA - Virtual - 9-12 Dicembre 2020 B04 B05 MOOD DISORDER IN CANCER PATIENTS UNDER- EXTREME HYPOFRACTIONATED ADJUVANT GOING RADIOTHERAPY DURING THE COVID-19 WHOLE BREAST RADIOTHERAPY DURING THE OUTBREAK COVID-19 EMERGENCY A. Angrisani1, V. Nardone2, A. Sallustio1, A. Reginelli1, A. Bruno1, S. Saldi2, E. Perrucci2, I. Palumbo1, M. Gaetano2, F.M. Giugliano2, L. Di Rienzo2, C. Fulcheri3, C. Zucchetti3, M.V. Tenti1, L. Di Lena1,