Tumori Journal Abstract Book - October 2020 - 79

D - COVID-19	

79

Conclusions: National guidelines should be implemented
to further promote the safety of patients and health care
providers. International cooperation is of paramount
importance, as heavily affected nations can serve as an
example to find out ways to safely preserve clinical activity during the COVID-19 outbreak.

D27
SUPPORT ONCOLOGIC PATIENT CARE
DURING COVID 19: EXPERIENCE WITH
TELEMEDICINE
Moraca L.1, Lombardi M.1, Ferrara F.M.2, Cristofaro R.1,
Macchiarola G.1
1

2

UO Oncologia P.O. San Severo Asl Foggia, San Severo; Altems Alta Scuola
di Economia e Management dei Sistemi Sanitari, Università Cattolica Del
Sacro Cuore, Roma

Background: After the first weeks in which all efforts were
concentrated to prevent contagion and treat Covid-19
patients, it is now increasingly important to secure assistance to ordinary patients suspended from outpatient activity until today and still struggling with the quota policy and
precautions required by "phase 2". As established by recent
regional resolutions (cf. Tuscany, Veneto, Lombardy), telemedicine is "the strategy" to meet and fulfill the needs. It
permits remote assistance to particularly fragile, chronic
patients with long term pathologies giving a rapid, practical
and economical response through the use of common, free
instruments, readily available and already known to patients.
These instruments must be structured within a legislative
and regulatory organic framework that permits:
a)	 the integration in existing clinical welfare processes
without requesting organizational variations;
b)	 the use of existing IT systems already in use, without determining additional fragmentation of necessary data for the treatment of the patient, between
archives and distinct clouds, owners and those not
connected;
c)	 personal data protection according to that required
by GDPR both under a technological profile and an
organizational one;
d)	 the registration and the traceability of carried-out
activity, both in the perspective of safety of the
patient and in the administrative reports.
Material and methods: From April 2020, our center started
a telemedicine project in partnership with ALTEMS. The
manual is available for downloading at www.dati-sanita.it .
Through this project we were able to continue to assist oncologic patients in follow-up or in therapy with oral drugs.
Results: Between 28th April 2020 and 5th June 2020 thirty
patients were enrolled with the median age 59.6 years (range

42-85), 20 women and 10 men with residence throughout
the whole province of Foggia. Fifteen of 30 patients used a
mobile phone, fifteen pc. The average length of the visit was
17.5 minutes (range 10-30 minutes). A customer satisfaction
survey was collected at the end of each visit: 100% of
patients expressed maximum value of approval.
Conclusions: A virtual surgery will never be able to substitute a clinical exam of the patient, although in certain
circumstances like Covid-19 emergency, difficulty in
reaching hospital or in situations that require frequent
patient monitoring, technology certainly represents a valid
arm in the healthcare setting.

D28
SARS CoV2 Pandemic: is cancer a
real risk factor?
Maiolani M.1, Cubeddu A.1, Pastorini A.1, Fusco O.1, Menatti E.1,
Cantini S.1, Caponigro G.1, Deligiannis P.1, Fregoni V.2, Crosetto L.3,
Bertolini A.1
1
ASST della Valtellina e Alto Lario-Oncologia Medica, Sondrio; 2ASST della
Valtellina e Alto Lario-Breast Unit, Sondrio; 3ARPA Piemonte Epidemiologia
Ambientale, Sondrio

Background: Recent literature suggests that cancer patients
are more susceptible to SARS CoV-2 infection and have
higher infection-related mortality. These data are certainly
influenced by age, stage of the disease, type of antitumour
treatment and presence of cardiovascular comorbidity.
Methods: We conducted a retrospective observational study
to evaluate the characteristics of patients with a history of
oncological/haematological disease who acquired SARS
CoV-2 infection during oncologic follow-up or active antineoplastic therapy in our Institution (ASST Valtellina e Alto
Lario, Province of Sondrio) from March 1 to April 30, 2020.
Eligibility required positive molecular testing on nasopharyngeal swab or bronchoalveolar lavage.
Results: At the present analysis, a total of 1471 subjects
resulted positive for SARS COV-2 infection in our Province;
among them 43 subjects (2.94%) had a history of oncological or haematological disease. 24/43 (55.8%) were males
and 19/43 (44.2%) females; median age was 71.5 (range
53-91). 42/43 patients (97.6%) were hospitalized on a total
of 613/1459 positive people who required hospitalization
(42/613, 6.8%). 48.8% (21/43) patients died due to viral
infection on a total number of deaths of 150 (21/150, 14%);
55% were males and 45% females; 40% had an age range
between 70 and 79, 25% between 50 and 59, 20% between
60 and 69 and 15% over 80. 25% of patients had stage IV
disease; 80% of patients had cardiovascular comorbidities
and preexistent pulmonary diseases. Breast, lung and colon
were the tumor types most represented.
Conclusions: In our case study, oncologic/haematologic
patients are not significantly represented, constituting only
less than 3% of total infected and about 7% of hospitalized


http://www.dati-sanita.it

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
Tumori Journal Abstract Book - October 2020 - 2
Tumori Journal Abstract Book - October 2020 - 3
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