Tumori Journal Abstract Book - October 2020 - 80

80	
subjects. Although the limited sample, our data reveal,
meanwhile, high mortality for SARS CoV-2 in cancer
patients. This data suggests the need for new strategies for
an earlier detection of positive subjects from SARS Cov-2
within the cancer population.

Tumori Journal 106(2S)
to May 4th explanatory brochure was given to 203/258
(78%) pts; all pts (100%) had pretriage . No pts was
affected by COVID-19 and all therapies were administered
and were given without delay.
Conclusions: Our experience shows that a structured program of pts information and effective interventions can offer
opportunity of safe care in COVID19 referral hospital

D29
Developing a structured guidance
and education program for
patients (pts) with cancer during
SARS CoVID-2 Pandemia in a North
East Piedmont Hospital
Torazzo R.1, Fora G.2, Lattuada S.2, Manachino D.2, Posca T.2,
Gasparre T.2, Virone D.2, De Marino E.2
ASL VC - PO S. Andrea, Vercelli; 2ASLVC PO S. Andrea, Vercelli

D30
Phone follow-up (PFU) for breast
cancer survivors (CS) during
COVID-19 pandemic: a single breast
unit experience
Messina C.1, Ferro A.1, Piras E.2, Zanutto A.2, Caffo O.1, Valeria M.1

1

1

Background: Rapid outbreak of SARS Covid-2 Pandemia
required emergency action by health services. Since March
1st 2020 Vercelli Sant'Andrea Hospital was appointed
COVID19 referral center. Infection is associated with
worse survival in pts with cancer so we developed a structured guidance and education program for disease prevention and containment. Implemented procedure concerns
pts, health care professionals and all those involved in care
and management of diagnostic therapeutic pathway.
Methods: Since March 1st pts were divided in 2 groups: 1st
off therapy for which access to clinics was postponed; 2nd
receiving treatment (chemotherapy, immunotherapy or radiotherapy). To everyone COVID19 WHO hygien standards
were recommended. Other directions were: to use leukocyte
growth factors also in subjects with risk <10%; to assess
opportunity to undertake neo-adjuvant treatment in case of
excessive delay of surgery; to transfer as many activities as
possible in smart mode (eg.email, phone contacts);to informs
pts that the use of internet means does not guarantee privacy;
to identify and share path, lifts and spaces (eg. waiting
rooms)creating an explanatory and educational brochure
with a map of covid free path;to reshape waiting lists for outpatient and day hospital activities both in terms of timing and
booking;to recommend attention to subjects undergoing surgical treatment for lung localized tumors, with treatment that
has involved a partial or total sacrifice of the pulmonary
parenchyma, and in all patients undergoing immunotherapy;to
perform pretriage before going into oncology unit;to suspend
all activities not strictly necessary for therapeutic purposes
such as those managed by Voluntary Associations; to examine information from the General Management (GM), providing for implement them promptly.
Results: Guideline has been laid and immediately applied,
then it was formally notified with a flow chart of activity
and an explanatory brochure for pts to GM and it was
approved on 31th march. Since March 1st to May 4th we
performed 520 visits and 760 therapies, and since April 1st

Background: The COVID-19 outbreak became a public
health emergency, leading to radical changes in care management. Hospitals are considered at risk for viral contamination and telemedicine allows CS to remain out of the
hospitals. In our Institution all data concerning cancer
patients are available through an Oncologic Web-based
Electronic Medical Record (EMR): thus, the clinicians are
able to access at any time CS medical history. From the
start of COVID-19 pandemic we adopted EMR-assisted
PFU instead of usual follow-up visit and this study aims to
prospectively assess how breast CS perceived PFU.
Method: We emailed to all breast CS managed by PFU a
15-item survey. Answers were measured with Likert
scales. The correlation between CS characteristics and
answers were analysed with Pearson test.
Results: From February 2nd to May 20th, 107 out of 261
(41%) women fulfilled the survey. The median age was 61
(range 41-86), median follow up was 43 months (range
1-115). Most of the CS (67.3%) had high school diploma
or higher degrees. About half of the CS were previously
treated with adjuvant chemotherapy and 80% adjuvant
endocrine therapy. 78.5% were able to reach the hospital
autonomously. 66.4% suffered from COVID-19 related
anxiety for their health and the majority (85%) were waiting for follow up visit to feel relief. 96.3% pts believed to
have understood medical advice during PFU and were satisfied for the time and the opportunity to ask clarifications.
92% agreed with the decision to switch the usual followup visit in PFU. However, only 41.1% CS would like to
have PFU in the future. We found a significant correlation
between educational degree and comprehension during the
visit (p=0.04) and with expectation for PFU feasibility
(p=0.046). Age and educational level were significantly
correlated with the ability to reach the hospital (p=0.046).
CS treated with endocrine therapy were meaningfully correlated with the PFU satisfaction (p=0.048)

Ospedale S. Chiara, Trento; 2Centre for information and communication,
Bruno Kessler Foundation, Trento



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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Tumori Journal Abstract Book - October 2020 - Cover3
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