Head and neck surgical oncology in the time of a pandemic: Subsite-specific triage guidelines during the COVID-19 pandemic.
Betacoronavirus
COVID-19
Cancer Care Facilities
Communicable Disease Control
/ standards
Consensus
Coronavirus Infections
/ epidemiology
Female
Head and Neck Neoplasms
/ diagnosis
Humans
Male
Occupational Health
Outcome Assessment, Health Care
Pandemics
/ prevention & control
Patient Safety
Patient Selection
Pneumonia, Viral
/ epidemiology
Practice Guidelines as Topic
/ standards
SARS-CoV-2
Surgical Oncology
/ standards
Triage
/ standards
United States
SARS-CoV-2
oncology
otolaryngology
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
received:
10
04
2020
accepted:
14
04
2020
pubmed:
29
4
2020
medline:
11
6
2020
entrez:
29
4
2020
Statut:
ppublish
Résumé
COVID-19 pandemic has strained human and material resources around the world. Practices in surgical oncology had to change in response to these resource limitations, triaging based on acuity, expected oncologic outcomes, availability of supportive resources, and safety of health care personnel. The MD Anderson Head and Neck Surgery Treatment Guidelines Consortium devised the following to provide guidance on triaging head and neck cancer (HNC) surgeries based on multidisciplinary consensus. HNC subsites considered included aerodigestive tract mucosa, sinonasal, salivary, endocrine, cutaneous, and ocular. Each subsite is presented separately with disease-specific recommendations. Options for alternative treatment modalities are provided if surgical treatment needs to be deferred. These guidelines are intended to help clinicians caring for patients with HNC appropriately allocate resources during a health care crisis, such as the COVID-19 pandemic. We continue to advocate for individual consideration of cases in a multidisciplinary fashion based on individual patient circumstances and resource availability.
Sections du résumé
BACKGROUND
COVID-19 pandemic has strained human and material resources around the world. Practices in surgical oncology had to change in response to these resource limitations, triaging based on acuity, expected oncologic outcomes, availability of supportive resources, and safety of health care personnel.
METHODS
The MD Anderson Head and Neck Surgery Treatment Guidelines Consortium devised the following to provide guidance on triaging head and neck cancer (HNC) surgeries based on multidisciplinary consensus. HNC subsites considered included aerodigestive tract mucosa, sinonasal, salivary, endocrine, cutaneous, and ocular.
RECOMMENDATIONS
Each subsite is presented separately with disease-specific recommendations. Options for alternative treatment modalities are provided if surgical treatment needs to be deferred.
CONCLUSION
These guidelines are intended to help clinicians caring for patients with HNC appropriately allocate resources during a health care crisis, such as the COVID-19 pandemic. We continue to advocate for individual consideration of cases in a multidisciplinary fashion based on individual patient circumstances and resource availability.
Identifiants
pubmed: 32342541
doi: 10.1002/hed.26206
pmc: PMC7267348
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1194-1201Informations de copyright
© 2020 Wiley Periodicals, Inc.
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