The year 2020 was an extraordinary year for publishing. The American Society for Radiation Oncology’s (ASTRO’s) Advances in Radiation Oncology received 130 manuscripts focused on the effect of coro- navirus disease 2019 (COVID-19) on our profession and our patients. In the first week of March, our editors realized that our readers would soon be searching knowledge of best practices of operating their clinics, and although the pandemic was starting to dominate the news, there was nothing in the medical literature that they could turn to. Realizing that we could not be complacent and wait for the manuscripts to come to us, we commissioned a series of first-person accounts from Wuhan, Northern Italy, Beijing, and, ultimately, Seattle and New York. Of the top 10 downloads from ASTRO’s Advances published in 2020, 8 were COVID related. 1,2 Rivera et al 3 published a review in the early weeks of the pandemic summarizing current best practices and recommendations. As a gold open access journal, our articles are free of charge for all to read whether provider or patient, always, across the globe. After the initial publication of firsthand accounts, we then published a series of treatment guidelines setting forth best practices for hypofractionation. 4,5 Two of these, focused on prostate cancer and breast cancer radiation therapy, were our 2 top downloads last year. Our fifth most downloaded article was a reflection on intergenera- tional differences in the response to the pandemic by Gharzai et al.
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