Expert Recommendations
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Oncol. Aug 24, 2020; 11(8): 510-527
Published online Aug 24, 2020. doi: 10.5306/wjco.v11.i8.510
GOECP/SEOR clinical recommendations for lung cancer radiotherapy during the COVID-19 pandemic
Felipe Couñago, Arturo Navarro-Martin, Javier Luna, Nuria Rodríguez de Dios, Aurora Rodríguez, Francesc Casas, Rafael García, Antonio Gómez-Caamaño, Jorge Contreras, Javier Serrano
Felipe Couñago, Department of Radiation Oncology, Hospital Universitario Quirónsalud Madrid, Pozuelo de Alarcón, Madrid 28223, Spain
Felipe Couñago, Clinical Department, Hospital La Luz, Madrid, Faculty of Biomedicine, Universidad Europea, Madrid 28223, Spain
Arturo Navarro-Martin, Department of Radiation Oncology, Institut Catalá d’Oncologia, L’Hospitalet de Llobregat, Barcelona 08908, Spain
Javier Luna, Department of Radiation Oncology, Hospital Fundación Jiménez Díaz, Madrid 28040, Spain
Nuria Rodríguez de Dios, Department of Radiation Oncology, Hospital del Mar, Barcelona 08003, Spain
Aurora Rodríguez, Department of Radiation Oncology, Hospital Ruber Internacional, Madrid 28034, Spain
Francesc Casas, Department of Radiation Oncology, Thoracic Unit, Hospital Clínic, Barcelona 08036, Spain
Rafael García, Department of Radiaiton Oncology, Hospital Ruber Internacional, Madrid 28034, Spain
Antonio Gómez-Caamaño, Department of Radiation Oncology, Hospital Clínico Universitario Santiago de Compostela, A Coruña 15706, Spain
Jorge Contreras, Department of Radiation Oncology, Hospital Regional Universitario de Málaga, 29010, Spain
Javier Serrano, Department of Radiation Oncology, Clínica Universidad de Navarra, Madrid 28027, Spain
Author contributions: All the authors contributed equally to this work.
Conflict-of-interest statement: Authors declare no conflict of interests for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Felipe Couñago, MD, PhD, Associate Chief Physician, Professor, Research Scientist, Radiation Oncology, Hospital Universitario Quirónsalud Madrid, Calle Diego de Velázquez 1, Madrid 28223, Spain. fcounago@gmail.com
Received: May 17, 2020
Peer-review started: May 17, 2020
First decision: June 3, 2020
Revised: June 7, 2020
Accepted: August 1, 2020
Article in press: August 1, 2020
Published online: August 24, 2020
Processing time: 95 Days and 2.7 Hours
Abstract

The coronavirus disease 2019 crisis has had a major and highly complex impact on the clinical practice of radiation oncology worldwide. Spain is one of the countries hardest hit by the virus, with devastating consequences. There is an urgent need to share experiences and offer guidance on decision-making with regard to the indications and standards for radiation therapy in the treatment of lung cancer. In the present article, the Oncological Group for the Study of Lung Cancer of the Spanish Society of Radiation Oncology reviews the literature and establishes a series of consensus-based recommendations for the treatment of patients with lung cancer in different clinical scenarios during the present pandemic.

Keywords: Lung cancer; COVID-19; Pandemic; Radiotherapy; Recommendations

Core Tip: The coronavirus disease 2019 crisis has had a major impact on the clinical practice of radiation oncology worldwide. Spain is one of the countries most affected by the devastating consequences of the pandemic. There is an urgent need to share experiences and offer guidance on the indications and standards of radiotherapy in the treatment of lung cancer. In this document, the Oncologic Group for the Study of Lung Cancer/ Spanish Society of Radiation Oncology establishes recommendations for triage, patient prioritization, and radiotherapy treatment regimens for the different clinical scenarios of lung cancer.