Collateral damage of the COVID-19 pandemic: an alarming decline in critical procedures in otorhinolaryngology in a German university hospital.
Cancer
Coronavirus
ENT
Head and neck surgery
Oncology
Journal
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
received:
30
08
2020
accepted:
23
11
2020
pubmed:
16
12
2020
medline:
5
8
2021
entrez:
15
12
2020
Statut:
ppublish
Résumé
The COVID-19 pandemic has a major impact on the diagnosis and treatment of ENT patients. The aim of this study was to analyze the influence of the pandemic on the number of otolaryngological procedures, particularly for critical diagnoses with potential negative effects due to prolonged symptom duration. We evaluated 10,716 surgical procedures between January 1, 2018 and May 31, 2020, focusing on the 16-week period around March 16, 2020, which includes 1080 observations. We further analyzed subsets of critical procedures. We found a decline in critical procedures by 43% although no critical procedures were postponed by the hospital. Meanwhile, the share of critical procedures increased up to 90% caused by the cancellation of elective surgery. Especially worrisome was that diagnostic procedures for suspected malignancies decreased by 41% during the pandemic. The decline in critical procedures in otorhinolaryngology as collateral damage of the COVID-19 pandemic is considerable and therefore alarming.
Identifiants
pubmed: 33320294
doi: 10.1007/s00405-020-06519-1
pii: 10.1007/s00405-020-06519-1
pmc: PMC7736669
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3417-3423Informations de copyright
© 2020. The Author(s).
Références
Guan W, Ni Z, Hu Y et al (2020) Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 382(18):1708–1720. https://doi.org/10.1056/NEJMoa2002032
doi: 10.1056/NEJMoa2002032
pubmed: 32109013
pmcid: 32109013
Vukkadala N, Qian ZJ, Holsinger FC, Patel ZM, Rosenthal E (2020) COVID-19 and the otolaryngologist—preliminary evidence-based review. Laryngoscope. https://doi.org/10.1002/lary.28672
doi: 10.1002/lary.28672
pubmed: 32484933
pmcid: 7300673
Brunello A, Zagonel V (2020) Caring for patients with advanced stage cancer at the time of COVID-19. Oncologist. https://doi.org/10.1634/theoncologist.2020-0230
doi: 10.1634/theoncologist.2020-0230
pubmed: 32307803
pmcid: 7264766
Tan J, Yang C (2020) Prevention and control strategies for the diagnosis and treatment of cancer patients during the COVID-19 pandemic. Br J Cancer. https://doi.org/10.1038/s41416-020-0854-2
doi: 10.1038/s41416-020-0854-2
pubmed: 33087896
pmcid: 7884427
Al-Quteimat OM, Amer AM (2020) The impact of the COVID-19 pandemic on cancer patients. Am J Clin Oncol. https://doi.org/10.1097/COC.0000000000000712
doi: 10.1097/COC.0000000000000712
pubmed: 32304435
pmcid: 7188063
Graboyes EM, Kompelli AR, Neskey DM et al (2019) Association of treatment delays with survival for patients with head and neck cancer: a systematic review. JAMA Otolaryngol Head Neck Surg 145(2):166–177. https://doi.org/10.1001/jamaoto.2018.2716
doi: 10.1001/jamaoto.2018.2716
pubmed: 30383146
pmcid: 6494704
Chen MM, Harris JP, Orosco RK, Sirjani D, Hara W, Divi V (2018) Association of time between surgery and adjuvant therapy with survival in oral cavity cancer. Otolaryngol Head Neck Surg (United States) 158(6):1051–1056. https://doi.org/10.1177/0194599817751679
doi: 10.1177/0194599817751679
Xiao R, Ward MC, Yang K et al (2018) Increased pathologic upstaging with rising time to treatment initiation for head and neck cancer: a mechanism for increased mortality. Cancer 124(7):1400–1414. https://doi.org/10.1002/cncr.31213
doi: 10.1002/cncr.31213
pubmed: 29315499
Liang W, Guan W, Chen R et al (2020) Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China. Lancet Oncol 21(3):335–337. https://doi.org/10.1016/S1470-2045(20)30096-6
doi: 10.1016/S1470-2045(20)30096-6
pubmed: 32066541
pmcid: 7159000
Kansagra AP, Goyal MS, Hamilton S, Albers GW (2020) Collateral effect of Covid-19 on stroke evaluation in the United States. N Engl J Med. https://doi.org/10.1056/NEJMc2014816
doi: 10.1056/NEJMc2014816
pubmed: 33252876
pmcid: 8012102
Metzler B, Siostrzonek P, Binder RK, Bauer A, Reinstadler SJ (2020) Decline of acute coronary syndrome admissions in Austria since the outbreak of COVID-19: the pandemic response causes cardiac collateral damage. Eur Heart J. https://doi.org/10.1093/eurheartj/ehaa314
doi: 10.1093/eurheartj/ehaa314
pubmed: 32297932
Huet F, Prieur C, Schurtz G et al (2020) One train may hide another: Acute cardiovascular diseases could be neglected because of the COVID-19 pandemic. Arch Cardiovasc Dis. https://doi.org/10.1016/J.ACVD.2020.04.002
doi: 10.1016/J.ACVD.2020.04.002
pubmed: 32616390
pmcid: 7301107
Givi B, Schiff BA, Chinn SB et al (2020) Safety recommendations for evaluation and surgery of the head and neck during the COVID-19 Pandemic. JAMA Otolaryngol Head Neck Surg. https://doi.org/10.1001/jamaoto.2020.0780
doi: 10.1001/jamaoto.2020.0780
pubmed: 32232423
Couloigner V, Schmerber S, Nicollas R et al (2020) COVID-19 and ENT Surgery. Eur Ann Otorhinolaryngol Head Neck Dis. https://doi.org/10.1016/j.anorl.2020.04.012
doi: 10.1016/j.anorl.2020.04.012
pubmed: 33250365
pmcid: 7255273
Kowalski LP, Sanabria A, Ridge JA et al (2020) COVID-19 pandemic: effects and evidence-based recommendations for otolaryngology and head and neck surgery practice. Head Neck. https://doi.org/10.1002/hed.26164 (John Wiley and Sons Inc.)
doi: 10.1002/hed.26164
pubmed: 33169420
pmcid: 7262203
Cui C, Yao Q, Zhang D et al (2020) Approaching otolaryngology patients during the COVID-19 pandemic. Otolaryngol Neck Surg. https://doi.org/10.1177/0194599820926144
doi: 10.1177/0194599820926144
OPS. https://www.dimdi.de/dynamic/de/klassifikationen/ops/ . Accessed 7 June 2020.
Bundesregierung | Coronavirus in Deutschland | Besprechung der Bundeskanzlerin mit den Länderchefs. https://www.bundesregierung.de/breg-de/themen/coronavirus/beschluss-zu-corona-1730292 . Accessed 7 June 2020.
Goyal M, Singh P, Singh K, Shekhar S, Agrawal N, Misra S (2020) The effect of the COVID-19 pandemic on maternal health due to delay in seeking health care: experience from a tertiary center. Int J Gynaecol Obstet. https://doi.org/10.1002/ijgo.13457
doi: 10.1002/ijgo.13457
pubmed: 33128794
Quaquarini E, Saltalamacchia G, Presti D et al (2020) Impact of COVID-19 outbreak on cancer patient care and treatment: data from an outpatient oncology clinic in Lombardy (Italy). Cancers (Basel) 12(10):1–16. https://doi.org/10.3390/cancers12102941
doi: 10.3390/cancers12102941
Guven DC, Sahin TK, Aktepe OH, Yildirim HC, Aksoy S, Kilickap S (2020) Perspectives, knowledge, and fears of cancer patients about COVID-19. Front Oncol. https://doi.org/10.3389/fonc.2020.01553
doi: 10.3389/fonc.2020.01553
pubmed: 33014800
pmcid: 7493662
Smith JD, Chen MM, Balakrishnan K et al (2020) The difficult airway and aerosol-generating procedures in COVID-19: timeless principles for uncertain times. Otolaryngol Head Neck Surg (United States). https://doi.org/10.1177/0194599820936615
doi: 10.1177/0194599820936615
Lammers MJW, Lea J, Westerberg BD (2020) Guidance for otolaryngology health care workers performing aerosol generating medical procedures during the COVID-19 pandemic. J Otolaryngol Head Neck Surg. https://doi.org/10.1186/s40463-020-00429-2
doi: 10.1186/s40463-020-00429-2
pubmed: 32493489
pmcid: 7269420
Anagiotos A, Petrikkos G (2020) Otolaryngology in the COVID-19 pandemic era: the impact on our clinical practice. Eur Arch Oto-Rhino-Laryngol. https://doi.org/10.1007/s00405-020-06161-x
doi: 10.1007/s00405-020-06161-x
Kuhar HN, Heilingoetter A, Bergman M, Worobetz N, Chiang T, Matrka L (2020) Otolaryngology in the time of corona: assessing operative impact and risk during the COVID-19 crisis. Otolaryngol Head Neck Surg (United States) 163(2):307–315. https://doi.org/10.1177/0194599820930214
doi: 10.1177/0194599820930214
Ralli M, Minni A, Candelori F, Cialente F, Greco A, de Vincentiis M (2020) Effects of COVID-19 pandemic on otolaryngology surgery in italy: the experience of our university hospital. Otolaryngol Head Neck Surg (United States) 163(1):86–88. https://doi.org/10.1177/0194599820928970
doi: 10.1177/0194599820928970
Sud A, Jones M, Broggio J et al (2020) Collateral damage: the impact on outcomes from cancer surgery of the COVID-19 pandemic. Ann Oncol. https://doi.org/10.1016/j.annonc.2020.05.009
doi: 10.1016/j.annonc.2020.05.009
pubmed: 32442581
Schutte HW, van den Broek GB, Steens SCA et al (2020) Impact of optimizing diagnostic workup and reducing the time to treatment in head and neck cancer. Cancer. https://doi.org/10.1002/cncr.33037
doi: 10.1002/cncr.33037
pubmed: 32634271