Journal article
Radiation therapy for gynecologic malignancies during the COVID-19 pandemic: International expert consensus recommendations
Gynecologic oncology, v 158(2), pp 244-253
01 Aug 2020
PMID: 32563593
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To develop expert consensus recommendations regarding radiation therapy for gynecologic malignancies during the COVID-19 pandemic.
An international committee of ten experts in gynecologic radiation oncology convened to provide consensus recommendations for patients with gynecologic malignancies referred for radiation therapy. Treatment priority groups were established. A review of the relevant literature was performed and different clinical scenarios were categorized into three priority groups. For each stage and clinical scenario in cervical, endometrial, vulvar, vaginal and ovarian cancer, specific recommendations regarding dose, technique, and timing were provided by the panel.
Expert review and discussion generated consensus recommendations to guide radiation oncologists treating gynecologic malignancies during the COVID-19 pandemic. Priority scales for cervical, endometrial, vulvar, vaginal, and ovarian cancers are presented. Both radical and palliative treatments are discussed. Management of COVID-19 positive patients is considered. Hypofractionated radiation therapy should be used when feasible and recommendations regarding radiation dose, timing, and technique have been provided for external beam and brachytherapy treatments. Concurrent chemotherapy may be limited in some countries, and consideration of radiation alone is recommended.
The expert consensus recommendations provide guidance for delivering radiation therapy during the COVID-19 pandemic. Specific recommendations have been provided for common clinical scenarios encountered in gynecologic radiation oncology with a focus on strategies to reduce patient and staff exposure to COVID-19.
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Details
- Title
- Radiation therapy for gynecologic malignancies during the COVID-19 pandemic: International expert consensus recommendations
- Creators
- Christen R Elledge - Johns Hopkins MedicineSushil Beriwal - University of Pittsburgh Medical CenterCyrus Chargari - Institut Gustave RoussySupriya Chopra - Advanced Centre for Treatment, Research and Education in CancerBeth A Erickson - Medical College of WisconsinDavid K Gaffney - Huntsman Cancer InstituteAnuja Jhingran - The University of Texas MD Anderson Cancer CenterAnn H Klopp - The University of Texas MD Anderson Cancer CenterWilliam Small, Jr - Loyola University ChicagoCatheryn M Yashar - University of California San DiegoAkila N Viswanathan - Johns Hopkins Medicine
- Publication Details
- Gynecologic oncology, v 158(2), pp 244-253
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Radiation Oncology (and Nuclear Medicine)
- Web of Science ID
- WOS:000558793000004
- Scopus ID
- 2-s2.0-85086516816
- Other Identifier
- 991021897262204721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Obstetrics & Gynecology
- Oncology