Tumori Journal Abstract Book - October 2020 - 184

184	
Background: COVID-19 pandemic, caused by the new
SARS-COV-2 virus, has impacted all Italian healthcare
areas, including clinical research. This forced a profound
reorganization of experimental sites, including the activities
of Clinical Trials Units (CTU). Moreover, in March 2020 the
Italian Medicines Agency (AIFA) provided guidance on the
management of clinical trials in light of the restrictive measures adopted by the Government against the pandemic.
Methods: We decided to investigate how the Italian CTUs
have reorganized and how smart working is considered
truly effective during the emergency. In April 2020 all
members of Italian Group of Clinical Research
Coordinators were invited to complete a web survey, consisted of 21 questions about the reorganization of CTUs
and the managements of trials since the start of pandemic.
Results: 142 research professionals completed the survey:
120 Clinical research Coordinators, 21 data managers and
1 biostatistician. Women was 86% (n=122) and the age
group 26-35ys was the mainly represented (n=72, 50.7%).
A total of 15 on 21 Italian regions were represented with a
good national coverage. The majority of respondents
(n=121, 85.2%) said that, due to the emergency, their
activities were reorganized, mainly through the alternation
of smart working and shifts on site (n= 78, 64.5%) or the
activation of a totally smart working method (n=33;
27.3%). Within the cohort that had the opportunity to
work, partially or totally, from home (n=116, 81.7%), most
respondents (n=81, 69.8%) stated they benefited from a
high level of accessibility to hospital records, in many
cases (n= 41, 50.6%) both patient records and shared document areas. In very few cases, the employer has provided
additional tools for staff, such as PCs (n=18, 15.5%) or
phones (n=1, 0.9%) company while many respondents
(n=57, 49.1%) said they had not even received assistance
from their IT service. With regard to the opinion on the
effectiveness of the smart working activity, the average
score was 6.3 on a scale of about 1 - 10.
Conclusion: Most of the Clinical Trials Units have been
reorganized so that deferred activities can be carried out
away from the hospital, guaranteeing, on average, wide
remote access to the necessary documentation. Certainly,
it would be necessary to improve the IT and electronic
equipment that employees benefit from so as to optimize
all activities and ensure rapid and high quality (performances), even in non-emergency situations.

T17
Estimating a single-patient Real
World Oncology Workload for
future sustainability of cancer
care
Garattini S.K.1, Minisini A.M.1, Valent F.2, Riosa C.1, Andreotti V.J.3,
Bortot L.3, Targato G.3, Fioraso R.3, Ermacora P.1, Fasola G.1

Tumori Journal 106(2S)
1
Dipartimento di Oncologia Medica, Azienda Sanitaria Universitaria Integrata
di Udine - Ospedale Santa Maria della Misericordia, Udine; 2Istituto di Igiene
ed Epidemiologia Clinica, Azienda Sanitaria Universitaria Integrata di Udine
- Ospedale Santa Maria della Misericordia, Udine; 3DAME-Dipartimento di
Area Medica; Università degli Studi di Udine, Udine

Background: Over the last years, improved treatments led
to a growth in cancer prevalence thus requiring an increase
in activities related to Oncology. In this study, we estimated the 2-year oncology workload generated by each
new cancer patient referred to the Oncology Department of
the Academic Cancer Center of Udine, Italy.
Methods: We investigated the mean number (and standard
deviation) of Oncology activities, as defined by the 2017
AIOM-CIPOMO document on Oncology Unit organization,
generated in the following 2 years by each new patient
referred to our department between 01.01.2012 and
31.12.2017. Patients without a second clinical episode within
12 months from first consultation were censored. We analyzed through our electronic "Data Warehouse" accountability system all the treatment sessions, unplanned presentations,
hospitalizations, re-assessments, follow-up visits and inpatient oncology advices. Anonymous aggregate data were
retrieved with last follow up to 31.12.2019 (8 years of data).
Results: We analyzed a total number of 98,890 oncology
activities deriving from 8,748 new cancer patients referred
over a 6-year period. After the first consultation 24.0% of
people needed only follow-up, 41.5% were referred for adjuvant treatment and 34.5% started therapy for advanced disease. In the two years following the first consultation each
patient generated, on average : 5.99 pre-treatment evaluations
(SD 8.75), 1.93 follow-up visits (SD 1.86), 0.42 hospitalizations (SD 1.20), 0.36 inpatient oncology advices (SD 0.83),
1.60 re-assessments (SD 2.27) and 1.01 unplanned presentations (SD 2.15). Further subgroup analyses are ongoing.
Conclusions: Advances in cancer care provided longer
"on-treatment" and "on-follow up" overall survival translating into a growing oncology workload. Estimating the
amount of clinical activities generated by each new patient
will become crucial to plan the resources that will be
needed and promote sustainability of Oncology in the near
future.

T18
Workload impact of 12 months
of immunotherapy in metastatic
cancer patients
Cinausero M.1, Garattini S.K.1, Minisini A.1, Valent F.2, Riosa C.1,
Iacono D.1, Macerelli M.1, Rihawi K.1, Giavarra M.3, Andreotti V.J.3,
Bortot L.3, Corvaja C.3, Palmero L.3, Targato G.3, Zara D.3, Fioraso
R.3, Noto C.3, Fasola G.4
1
Dipartimento di Oncologia, Azienda Sanitaria Universitaria Friuli Centrale
(ASUFC), Udine; 2Istituto di Igiene ed Epidemiologia Clinica Udine, Azienda
Sanitaria Universitaria Friuli Centrale (ASUFC), Udine; 3Dipartimento di



Tumori Journal Abstract Book - October 2020

Table of Contents for the Digital Edition of Tumori Journal Abstract Book - October 2020

Contents
Tumori Journal Abstract Book - October 2020 - Cover1
Tumori Journal Abstract Book - October 2020 - Cover2
Tumori Journal Abstract Book - October 2020 - I
Tumori Journal Abstract Book - October 2020 - II
Tumori Journal Abstract Book - October 2020 - Contents
Tumori Journal Abstract Book - October 2020 - IV
Tumori Journal Abstract Book - October 2020 - V
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