Talks

Presenting Author

Pooja Kalra

Presentation Type

Oral Presentation

Discipline Track

Patient Care

Abstract Type

Research/Clinical

Abstract

Background and Objectives: High Grade Gliomas are categorised as Grade III and IV and have high mortality rate with poor prognosis. How we should adopt clinical practice in neuro-oncology during Covid 19 Pandemic is another area of scientific exploration . Hypofractionated radiotherapy protocols can be easily utilised in high grade gliomas during Covid 19 pandemic .

Materials and Methods: Retrospective analysis of 147 patients with diagnosis of high-grade gliomas between January 2009 till December 2020 including Covid-19 pandemic lockdown time was done. Age , gender , KPS , symptoms , extent of surgery and use of concurrent temozolamide , were evaluated using univariate and multivariate analysis .Overall Survival was determined using the Kaplan Meir method .

Results: Glioblastoma multiforme being the most common brain tumor (82.3%) in all high-grade gliomas .Near total or total excision was done in 83.7% of cases The median dose of EBRT delivered was 60Gy .75.5% patients were treated with concurrent and adjuvant chemotherapy . 29.2% patients were treated during Covid 19 pandemic lockdown time . The median overall survival was 15.9 months . The 1 year Overall survival was 67.8% , and 3 year OS was 6.4% . Out of 43 patients treated during covid pandemic time ,62.7% are alive and on follow up .

Conclusion: The results of survival analysis demonstrated the benefit of adding radiation with concurrent and adjuvant temzolamide in high grade gliomas including covid 19 during lockdown time . Hypofractionated radiotherapy with concurrent temozolamide is safe during the Covid 19 pandemic.

Included in

Oncology Commons

Share

COinS
 

A survival analysis of high-grade gliomas in sub-himalayan population including the times of lockdown during COVID 19 pandemic: A single institutional experience

Background and Objectives: High Grade Gliomas are categorised as Grade III and IV and have high mortality rate with poor prognosis. How we should adopt clinical practice in neuro-oncology during Covid 19 Pandemic is another area of scientific exploration . Hypofractionated radiotherapy protocols can be easily utilised in high grade gliomas during Covid 19 pandemic .

Materials and Methods: Retrospective analysis of 147 patients with diagnosis of high-grade gliomas between January 2009 till December 2020 including Covid-19 pandemic lockdown time was done. Age , gender , KPS , symptoms , extent of surgery and use of concurrent temozolamide , were evaluated using univariate and multivariate analysis .Overall Survival was determined using the Kaplan Meir method .

Results: Glioblastoma multiforme being the most common brain tumor (82.3%) in all high-grade gliomas .Near total or total excision was done in 83.7% of cases The median dose of EBRT delivered was 60Gy .75.5% patients were treated with concurrent and adjuvant chemotherapy . 29.2% patients were treated during Covid 19 pandemic lockdown time . The median overall survival was 15.9 months . The 1 year Overall survival was 67.8% , and 3 year OS was 6.4% . Out of 43 patients treated during covid pandemic time ,62.7% are alive and on follow up .

Conclusion: The results of survival analysis demonstrated the benefit of adding radiation with concurrent and adjuvant temzolamide in high grade gliomas including covid 19 during lockdown time . Hypofractionated radiotherapy with concurrent temozolamide is safe during the Covid 19 pandemic.

blog comments powered by Disqus
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.