Tumori Journal Abstract Book - October 2020 - 81

D - COVID-19	

81

Conclusions: PFU is an important tool to avoid hospital
contacts during COVID-19 pandemic and the majority of
CS who agree to participate in the survey agreed and felt
satisfied from this procedure. The number of CS willing to
have PFU in non-emergency situations invites to investigate
the possibility to have routine PFU at least for a subset of the
CS. Prospective randomized trials are warranted to assess
the reliability of PFU compared to standard follow-up visit
to implement telemedicine in daily clinical practice.

D31
ON-LINE PSYCHOLOGICAL TREATMENT
WITH ONCOLOGY PATIENTS DURING
COVID-19 EMERGENCY
Prior M.1, Bellè M.1, Burelli M.1, Favaretto A.2
1

Conclusions: A fundamental achievement in this situation
was the ability of the professionals of mental health to find
out a strategy to adapt the Hospital Psychology Service to
the outside situation, in order to respond to the constant
requests made by patients to continue their treatment or to
begin a new one.

D32
Incidence of influenza-like illness
(ILI) in cancer patients during
COVID-19: the ONCOVID prospective
observational study
Cattaneo M.1, Indini A.1, Ghidini M.1, Rijavec E.1, Bareggi C.1, Galassi
B.1, Gambini D.1, Berti E.F.1, Grossi F.1
1

Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano

2

Ulss 2 Marca Trevigiana Servizio di Psicologia Ospedaliera, Treviso; Ulss 2
Marca Trevigiana U.O.C. Oncologia, Treviso

Background: At the start of January 2020, the Coronavirus
disease-2019 (COVID-19) originating from China, started
to spread throughout Italy. One of the most affected area
was the Veneto region which, due to the rapidly increasing
numbers of confirmed cases, took necessary restraint measures as social distancing and isolation, in order to avoid the
spread of the virus. These limitations led to major consequences in all activities and disciplines that are based on a
strict doctor-patient relationship. How can we maintain the
therapeutic relationship with oncology patients and their
families when both the psychologist and the patient can be a
possible source of infection? This is what we tried to understand as psychologists of the Hospital Psychology Service
in collaboration with the Medical Oncology Unit of Ca'
Foncello Treviso Hospital to continue our clinical activity.
Material (Patients) and Methods: As we has learned from
other Chinese realities (Shuai L et al. 2020), our proposal
with these patients was to continue our clinical activity
using on line services like the internet platform Google
Hangouts or mobile phones, according to patient preferences. During 9 weeks, which correspond to 39 working
day, we were able to perform 123 on-line clinical conversations, in particular 118 with patients and 5 with a family
member; 12% of the psychological interventions took place
on Google Hangouts and the 88% were performed by phone.
Results: What we observed is that by this remote modality
it was possible to continue the psychological care of oncology patients and their families. This treatment was now
more important then ever for the safeguard of patients
mental health, patients who already affected by an organic
pathology are now forced to deal with a pandemic. As indicated by a Chinese study (Yanping B et al. 2020) the most
commonly reported psychological problems were anxiety,
depression and fear to go to the hospital, vehicle of a possible infection.

Background: There are limited data on cancer patients
(pts) and the novel coronavirus (SARS-CoV2) respiratory
disease (COVID19). Fever and/or respiratory symptoms
(influenza-like illness, ILI) is a common finding in cancer
pts. We aim to evaluate the frequency of ILI in cancer pts
during the pandemic and to identify high-risk subjects to
test for COVID19.
Materials and methods: From March 20th to April 17th
2020 we collected data of cancer pts in a prospective clinical trial approved by the local ethics committee. The primary endpoint was to estimate the cumulative incidence of
ILI in the study population. The secondary endpoint was to
estimate which proportion of pts with ILI had COVID19
diagnosis. A triage procedure with questionnaires was performed in pts accessing the hospital, with laboratory tests
(complete blood count, C-reactive protein) in pts on active
treatment. Non-urgent visits were converted into telehealth
visits and triage: pts with symptoms were addressed to
general practitioners. Based on a diagnostic algorithm, pts
with ILI symptoms underwent an infectious disease specialist's evaluation and SARS-CoV2 swab. The
LepuMedical SARS-CoV2 immunoassay technique was
used in pts with suspect symptoms or altered laboratory
tests, not falling into the diagnostic algorithm.
Results: Overall, 562 pts were enrolled: 13 (2%) pts had a
positive SARS-CoV2 swab, none of which performed on
the basis of triage procedures or questionnaires, rather
detected through telephone communications and triage; 52
(9%) pts reported suspect symptoms and/or laboratory
tests. Forty-five (8%) SARS-CoV2 swab positive, or with
suspect symptoms and/or laboratory tests pts underwent
SARS-CoV2 antibody tests; 20 (3%) pts were excluded for
poor clinical conditions (n=10), death (n=4), or pts' refusal
(n=6). Four out of 41 (10%) suspect pts had IgG+ (n=3),
or IgM+/IgG+ (n=1); 4 out of 4 COVID-19 positive pts
had IgG+ (100%). Antibody tests were negative in the
remaining 37 pts.



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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Tumori Journal Abstract Book - October 2020 - Cover3
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