Evidence map›Paper›PMID 34179522›Full record

ArticlePhysics and imaging in radiation oncology2021

Professional practice changes in radiotherapy physics during the COVID-19 pandemic.

Jenny Bertholet, Marianne C Aznar, Cristina Garibaldi, David Thwaites, Eduard Gershkevitsh, Daniela Thorwarth, Dirk Verellen, Ben Heijmen, Coen Hurkmans, Ludvig Muren and 7 more

Open access · goldAbstract read
In one paragraph

Article in Physics and imaging in radiation oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 8 institutions in 12 countries.

Jenny BertholetEuropean Society for Radiotherapy and Oncology (ESTRO), Physics Committee, Brussels, Belgium.
Marianne C AznarEuropean Society for Radiotherapy and Oncology (ESTRO), Physics Committee, Brussels, Belgium.
Cristina GaribaldiEuropean Society for Radiotherapy and Oncology (ESTRO), Physics Committee, Brussels, Belgium.
David ThwaitesEuropean Society for Radiotherapy and Oncology (ESTRO), Physics Committee, Brussels, Belgium.
Eduard GershkevitshEuropean Society for Radiotherapy and Oncology (ESTRO), Physics Committee, Brussels, Belgium.
Daniela ThorwarthEuropean Society for Radiotherapy and Oncology (ESTRO), Physics Committee, Brussels, Belgium.
Dirk VerellenEuropean Society for Radiotherapy and Oncology (ESTRO), Physics Committee, Brussels, Belgium.
Ben HeijmenEuropean Society for Radiotherapy and Oncology (ESTRO), Physics Committee, Brussels, Belgium.
Coen HurkmansEuropean Society for Radiotherapy and Oncology (ESTRO), Physics Committee, Brussels, Belgium.
Ludvig MurenEuropean Society for Radiotherapy and Oncology (ESTRO), Physics Committee, Brussels, Belgium.
Kathrine Røe RedalenEuropean Society for Radiotherapy and Oncology (ESTRO), Physics Committee, Brussels, Belgium.
Frank-André SiebertEuropean Society for Radiotherapy and Oncology (ESTRO), Physics Committee, Brussels, Belgium.
Marco SchwarzEuropean Society for Radiotherapy and Oncology (ESTRO), Physics Committee, Brussels, Belgium.
Wouter Van ElmptEuropean Society for Radiotherapy and Oncology (ESTRO), Physics Committee, Brussels, Belgium.
Dietmar GeorgEuropean Society for Radiotherapy and Oncology (ESTRO), Physics Committee, Brussels, Belgium.
Nuria JornetEuropean Society for Radiotherapy and Oncology (ESTRO), Physics Committee, Brussels, Belgium.
Catharine H ClarkEuropean Society for Radiotherapy and Oncology (ESTRO), Physics Committee, Brussels, Belgium.
European Society for Therapeutic Radiology and Oncology · BEEuropean Institute of Oncology · ITMaastro Clinic · NLNorth Estonia Medical Centre · EENorwegian University of Science and Technology · NOUniversity of Bern · CHUniversity of Lübeck · DEUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe COVID-19 pandemic has imposed changes in radiotherapy (RT) departments worldwide. Medical physicists (MPs) are key healthcare professionals in maintaining safe and effective RT. This study reports on MPs experience during the first pandemic peak and explores the consequences on their work.

methodsA 39-question survey on changes in departmental and clinical practice and on the impact for the future was sent to the global MP community. A total of 433 responses were analysed by professional role and by country clustered on the daily infection numbers.

resultsThe impact of COVID-19 was bigger in countries with high daily infection rate. The majority of MPs worked in alternation at home/on-site. Among practice changes, implementation and/or increased use of hypofractionation was the most common (47% of the respondents). Sixteen percent of respondents modified patient-specific quality assurance (QA), 21% reduced machine QA, and 25% moved machine QA to weekends/evenings. The perception of trust in leadership and team unity was reversed between management MPs (towards increased trust and unity) and clinical MPs (towards a decrease). Changes such as home-working and increased use of hypofractionation were welcomed. However, some MPs were concerned about pressure to keep negative changes (e.g. weekend work).

conclusionCOVID-19 affected MPs through changes in practice and QA procedures but also in terms of trust in leadership and team unity. Some changes were welcomed but others caused worries for the future. This report forms the basis, from a medical physics perspective, to evaluate long-lasting changes within a multi-disciplinary setting.

Indexed as

COVID-19Medical PhysicsQuality assuranceRadiotherapySARS-CoV-2Treatment planning

Identifiers

PMID34179522
PMCPMC8216850
OpenAlexW3177389142

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.