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The study aimed to evaluate practice changes in the time period of the early wave of the COVID-19 pandemic. This was a retrospective single institution study. We defined palliative radiotherapy (PRT) initiated before Saturday, March 14 as pre-COVID and PRT initiated later as during-COVID (through June 30 ). National COVID-19 recommendations led to a significant decrease in PRT with 10 or more fractions, while re-irradiation and radiotherapy during the final 30 days of life were equally common before and after these recommendations had be
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