1. Endocrine surgery in the Coronavirus disease 2019 pandemic: Surgical Triage Guidelines
- Author
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Mouhammed Amir Habra, Steven I. Sherman, Conor Best, Steven P. Weitzman, Neil D. Gross, Sarah B. Fisher, Ryan P. Goepfert, Camilo Jimenez, Anita K. Ying, Elizabeth G. Grubbs, Naifa L. Busaidy, Mark Zafereo, Maria E. Cabanillas, Steven G. Waguespack, Mimi I. Hu, Jennifer Wang, Paul H. Graham, Jeena Varghese, Erich M. Sturgis, Robert F. Gagel, Sonali Thosani, Nancy D. Perrier, Stephen Y. Lai, Ramona Dadu, and Yelda Jozaghi
- Subjects
medicine.medical_specialty ,medicine.medical_treatment ,Pneumonia, Viral ,coronavirus ,030209 endocrinology & metabolism ,Context (language use) ,Endocrine System Diseases ,surgery ,Betacoronavirus ,03 medical and health sciences ,0302 clinical medicine ,Surgical oncology ,medicine ,Humans ,Endocrine system ,Intensive care medicine ,Pandemics ,COVID ,Special Issue ,SARS-CoV-2 ,business.industry ,Patient Selection ,COVID-19 ,Cancer ,Guideline ,medicine.disease ,Triage ,Endocrine surgery ,Otorhinolaryngology ,030220 oncology & carcinogenesis ,Practice Guidelines as Topic ,Airway management ,Endocrine ,Coronavirus Infections ,business ,guideline ,Algorithms - Abstract
Background In the face of the COVID‐19 pandemic, cancer care has had to adapt rapidly given the Centers for Disease Control and Prevention and the American College of Surgeons (ACS) issuing recommendations to postpone nonurgent surgeries. Methods An institutional multidisciplinary group of Head and Neck Surgical Oncology, Surgical Endocrinology, and Medical Endocrinology devised Surgical Triaging Guidelines for Endocrine Surgery during COVID‐19, aligned with phases of care published by the ACS. Results Phases of care with examples of corresponding endocrine cases are outlined. Most cases can be safely postponed with active surveillance, including most differentiated and medullary thyroid cancers. During the most acute phase, all endocrine surgeries are deferred, except thyroid tumors requiring acute airway management. Conclusions These guidelines provide context for endocrine surgery within the spectrum of surgical oncology, with the goal of optimal individualized multidisciplinary patient care and the expectation of significant resource diversion to care for patients with COVID‐19.
- Published
- 2020