In conclusion

AN ADVISORY BY ASSOCIATION OF RADIATION ONCOLOGISTS OF INDIA (AROI) FOR RADIATION THERAPY PATIENTS AND STAFF AMIDST COVID 19 PANDEMIC

 

Cancer patients are more susceptible to infection because of the following reasons

 

In order to contain the spread of novel  COVID 19 some precautionary measures are required to be taken

 

How Do You Suspect A COVID 19 Case

 

A patient with fever & cough and breathing difficulty with

 

Directive To Patients

 

Directives To Healthcare Professionals

 

General Measures

 

Minimize Personal contact Via

 

 

 

At OPD Consultation

 

For Department Staff

 

Decision about cancer treatment

 

 

 

ADVISORY FOR RADIATION TREATMENTS

 

Categorization of patients

 

 

 
   

 

  1. Priority High :patients. undergoing radiation with radical intent for cure in which delay in treatment onset may jeopardize outcome

 

  1. Priority Moderate : radical radiotherapy for less aggressive tumors or urgent palliative RT like in patients with malignant spinal cord compression to avoid neurological damage

 

  1. Priority Low : Radiation in an adjuvant setting where a complete resection of disease with good margins and less than 15 -20 percent risk of recurrence over 10 years and pts with less aggressive tumors where radiation is a part of treatment protocol but can be postponed owing to low risk category & slow growth of tumor.

 

 

  Treatment Related Measures

 

 

 

Conclusion

At some point a consideration to be made to the point that in future it may be possible that the availability of services/treating personnel may be compromised.

In such cases patients would like to discuss such situations with the caregivers & the caregivers should have clear plan of prioritizing treatment

 

                                        Complied by –

                                                  Dr. Kaustav Talpatra
Head Department of Radiation Oncology

                                                              Kokila ben Hospital.Mumbai