FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3099688504> ?p ?o ?g. }

• W3099688504 endingPage "1402" @default.
• W3099688504 startingPage "1402" @default.
• W3099688504 abstract "Being at the epicenter of the initial outbreak of COVID-19 in the US, we sought to characterize the impact of the pandemic on oncologic care at the two largest radiation oncology departments within the Rutgers-Barnabas health system in New Jersey (NJ). We hypothesized that management was modified for a significant percentage of patients due to a combination of patients’ fears, physician’s efforts to minimize patient exposure to the healthcare setting and the reallocation of hospital resources. A multi-institutional retrospective review was performed on all patients seen at two radiation oncology departments in NJ between 3/9/20-6/15/20, corresponding to peak of the pandemic in the state. Patients who were seen in consultation either via telemedicine or in person, undergoing treatment planning or on active treatment during this period were included. Patients whose care had been modified due to the pandemic were identified, and the details of how care had been altered were documented. Care changes were classified into several categories including RT delay, RT fractionation change, RT omission, RT modality change, disruption of RT course and change in sequencing of treatment. All 482 patients seen at the two radiation oncology departments during the period of interest were identified. 103 patients (21.3%) experienced at least one COVID related care change. Of the 103 patients who experienced care changes, the most common change was a delay in RT (53.3%), followed by RT omission (10.6%), change in the sequencing of treatment (7.8%) and RT fractionation change (6.8%). RT delays were attributed to the reallocation of hospital resources for 43.6% of patients, physician’s independent clinical judgement for 31% of patients, patient’s own fears of presenting to clinic for 20% patients and positive COVID tests for 5.5% patients. Among the patients for whom RT was omitted, the decision to avoid RT as part of the treatment course was physician driven for 6 (54.5%). Patients with the following tumor types were most likely to experience care changes: rectal (75%), endometrial (44%), breast (36.5%), H&N (23.3%) and prostate (12.9%). Over a fifth of the patient cohort experienced changes in care including RT delays, omission, or changes in the sequencing of treatment and fractionation. The likelihood of care changes also varied noticeably across different tumor types. This study, set at the heart of the initial outbreak, may provide a valuable perspective for the oncology community throughout the rest of the nation on how cancer care may be affected in balancing the need for protecting patients from COVID-19 and optimizing cancer outcomes." @default.
• W3099688504 created "2020-11-23" @default.
• W3099688504 creator A5007578449 @default.
• W3099688504 creator A5022784821 @default.
• W3099688504 creator A5038899884 @default.
• W3099688504 creator A5042787185 @default.
• W3099688504 creator A5065279122 @default.
• W3099688504 creator A5070891920 @default.
• W3099688504 date "2020-12-01" @default.
• W3099688504 modified "2023-10-17" @default.
• W3099688504 title "Evaluating the Impact of COVID-19 on Clinical Decision Making During the Initial Outbreak in a High-prevalence Environment" @default.
• W3099688504 doi "https://doi.org/10.1016/j.ijrobp.2020.09.027" @default.
• W3099688504 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7671929" @default.
• W3099688504 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/33427663" @default.
• W3099688504 hasPublicationYear "2020" @default.
• W3099688504 type Work @default.
• W3099688504 sameAs 3099688504 @default.
• W3099688504 citedByCount "0" @default.
• W3099688504 crossrefType "journal-article" @default.
• W3099688504 hasAuthorship W3099688504A5007578449 @default.
• W3099688504 hasAuthorship W3099688504A5022784821 @default.
• W3099688504 hasAuthorship W3099688504A5038899884 @default.
• W3099688504 hasAuthorship W3099688504A5042787185 @default.
• W3099688504 hasAuthorship W3099688504A5065279122 @default.
• W3099688504 hasAuthorship W3099688504A5070891920 @default.
• W3099688504 hasBestOaLocation W30996885041 @default.
• W3099688504 hasConcept C116675565 @default.
• W3099688504 hasConcept C126322002 @default.
• W3099688504 hasConcept C142724271 @default.
• W3099688504 hasConcept C160735492 @default.
• W3099688504 hasConcept C162324750 @default.
• W3099688504 hasConcept C167135981 @default.
• W3099688504 hasConcept C194828623 @default.
• W3099688504 hasConcept C2779134260 @default.
• W3099688504 hasConcept C2992520072 @default.
• W3099688504 hasConcept C3008058167 @default.
• W3099688504 hasConcept C50522688 @default.
• W3099688504 hasConcept C509974204 @default.
• W3099688504 hasConcept C512399662 @default.
• W3099688504 hasConcept C524204448 @default.
• W3099688504 hasConcept C71924100 @default.
• W3099688504 hasConcept C89623803 @default.
• W3099688504 hasConceptScore W3099688504C116675565 @default.
• W3099688504 hasConceptScore W3099688504C126322002 @default.
• W3099688504 hasConceptScore W3099688504C142724271 @default.
• W3099688504 hasConceptScore W3099688504C160735492 @default.
• W3099688504 hasConceptScore W3099688504C162324750 @default.
• W3099688504 hasConceptScore W3099688504C167135981 @default.
• W3099688504 hasConceptScore W3099688504C194828623 @default.
• W3099688504 hasConceptScore W3099688504C2779134260 @default.
• W3099688504 hasConceptScore W3099688504C2992520072 @default.
• W3099688504 hasConceptScore W3099688504C3008058167 @default.
• W3099688504 hasConceptScore W3099688504C50522688 @default.
• W3099688504 hasConceptScore W3099688504C509974204 @default.
• W3099688504 hasConceptScore W3099688504C512399662 @default.
• W3099688504 hasConceptScore W3099688504C524204448 @default.
• W3099688504 hasConceptScore W3099688504C71924100 @default.
• W3099688504 hasConceptScore W3099688504C89623803 @default.
• W3099688504 hasIssue "5" @default.
• W3099688504 hasLocation W30996885041 @default.
• W3099688504 hasLocation W30996885042 @default.
• W3099688504 hasOpenAccess W3099688504 @default.
• W3099688504 hasPrimaryLocation W30996885041 @default.
• W3099688504 hasRelatedWork W3019646496 @default.
• W3099688504 hasRelatedWork W3024128669 @default.
• W3099688504 hasRelatedWork W3034773963 @default.
• W3099688504 hasRelatedWork W3039711063 @default.
• W3099688504 hasRelatedWork W3040396088 @default.
• W3099688504 hasRelatedWork W3180686050 @default.
• W3099688504 hasRelatedWork W4296820108 @default.
• W3099688504 hasRelatedWork W4296890577 @default.
• W3099688504 hasRelatedWork W4311081284 @default.
• W3099688504 hasRelatedWork W4381942459 @default.
• W3099688504 hasVolume "108" @default.
• W3099688504 isParatext "false" @default.
• W3099688504 isRetracted "false" @default.
• W3099688504 magId "3099688504" @default.
• W3099688504 workType "article" @default.