Tumori Journal Abstract Book - October 2020 - 72

72	
with doctors and nurses. Due to the epidemic's course, the
second survey could not yet be performed and data will be
available by June.

D14
Technology-mediated
communication with patients is a
challenge for oncologists in the
digital and pandemic era. . . and
the winner is WhatsApp!
Torniai M.1, Marcantognini G.1, Fiordoliva I.1, Mentrasti G.1, Agostinelli
V.1, Pagliacci A.1, Corsi R.2, Luzi P.2, Berardi R.1, Caporossi M.3
1
Oncology Clinic, Università Politecnica delle Marche, AOU Ospedali Riuniti di
Ancona, Ancona; 2TOPS srl a Socio Unico, Roma; 3General Director - AOU
Ospedali Riuniti di Ancona, Ancona

Background: Since December 2019, coronavirus disease
2019 (COVID-19) has spread to every Country taking on
pandemic proportions in few months. Physicians were
asked to redefine ordinary Hospital organization reprogramming clinically differentiable activities.
Materials and Methods: During COVID pandemia our
Institution was supported by a call-center (CC, named
TOPS s.r.l.) to make a triage for cancer patients (pts)
scheduled for follow up in our outpatient clinics: C1 (dedicated to female tumors), C2 (for gastrointestinal, urogenital and thoracic tumors) and D1 (for tumors in over 5 years
follow up). We report preliminary data referred to the
period 7th April - 24th May 2020. The activity was divided
into two phases (F): April (F1) and May (F2). In F2 pts
were interviewed about their preferred visit modality.
Physical examination was not postpone in case of clinical
needs and first visits. Moreover, CC asked about programmed radiological examinations and collected patient's
feedbacks about the service.
Results: A total of 587 pts have been contacted: 341 during
F1, and 246 in F2. 317/341 (93%) of the contacts in F1 were
successful. A gender-stratified analysis showed a majority
of female (72.4%). The CC was able to get in touch with
42.8% C1 pts, 34.6% C2 pts and 22.6% D1 pts. During F2
246 pts (96.5%) of 255 planned were efficiently contacted;
female maintained the predominance (74.5%). 170 pts
(69.1%) were scheduled in C1, 53 pts (21.5%) in C2 and 23
pts (9.4%) in D1. During F2, among the options provided 97
pts (39.4%) selected the phone call, 142 pts (57.7%) decided
for video chat (whatsapp) and 2 (0.8%) for video conference
with a dedicated platform (google.meet). Only 5 pts (2.1%)
expressed their intention to come to the Hospital for examination. In 69.1% of cases (170 pts) the programmed radiological examinations were confirmed during the pandemic.
According to some favorable reports, the service was helpful in preserving continuum of care and preventing cancer
pts of being left aside in the emergence.

Tumori Journal 106(2S)
Conclusions: This study show that cancer patients do
appreciate technology-mediated follow up visits mainly
including video chat (whatsapp) and therefore we should
take this into consideration. Furthermore, a dedicated CC
may be helpful to organize follow-up activities during
COVID-19 and to strengthen doctor-patient relationship in
such a critical moment.

D15
Development and validation of
telematic follow-up for cancer
patients during the COVID-19
outbreak at the Medical Oncology
Unit of Sant'Andrea and San
Bartolomeo Hospitals, La Spezia
Pastorino A.1, Negru M.E.1, Vigani A.1, Vaira F.1, Tognoni A.1, Ferrari A.1,
Ricci I.1, Rondini M.1, Olcese F.1, Milano A.1, Latocca M. M.1,
Cozzani F.1, Aschele C.1
1
Medical Oncology Unit - Department of Oncology, Ospedale Sant'Andrea,
La Spezia, Italy

Background: The reorganization of patient management was
essential to maintain an adequate oncologic care and contain
patient exposure during SARS-CoV-2 pandemic. Follow-up
in particular was a major area for remodulation with large
volume of patients involved, generally at low oncologic risk.
Materials and methods: Pts scheduled for follow-up
oncologic visits during the lockdown period (March 9th May 4th 2020) were included in a program of telematic
follow-up (TFU) developed at the Medical Oncology Unit
of Sant'Andrea and San Bartolomeo Hospital in La Spezia,
Italy. Eligibility for TFU was determined through a prescreening of medical charts based on tumor type, risk of
relapse, geographic accessibility and DFS. Pre-calls were
made by skilled nurses to assess pts' availability for nextday phone call and to assess availability of laboratory test
and imaging results. A TFU form was conceived to collect
pts' clinical history, symptoms, body weight, ongoing medical therapies, DFS, blood tests and imaging results (from
Hospital imaging repository or acquired in the pre-call). Pts
without signs/symptoms of relapse were scheduled for the
next follow-up visit and the filled-in TFU form was attached
to the clinical chart. When a suspected disease relapse was
found, an ambulatory visit was performed.
Results: There were 547 pts previously scheduled for inhospital follow-up visit between March 9th and May 4th,
2020. 82 of 547 pts (15%) were considered not eligible for
TFU according to the pre-screening assessment. 465 pts
out of 547 (85%) were included in the TFU program. All
these pts accepted calls with a compliance rate of 100%.
The median age was 73 years (34-95); 152 male (33%) and
313 female (67%). The distribution by tumor type was:
179 breast cancer (38%), 86 colorectal (18%), 55 urinary



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
Tumori Journal Abstract Book - October 2020 - 1
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