1. Head and neck surgical oncology in the time of a pandemic: Subsite‐specific triage guidelines during the <scp>COVID</scp> ‐19 pandemic
- Author
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Courtlyn G Burgess, Ruth Aponte Wesson, Jennifer Alpard, Kimberley L. Kiong, Erich M. Sturgis, G. Brandon Gunn, Jose A Garcia, Neil D. Gross, Dan S. Gombos, Michael E. Kupferman, Paul W. Gidley, Carol M. Lewis, Jessica Rodriguez, Jennifer Wang, Matthew Johnston, Shirley Y. Su, Eduardo M. Diaz, Marc-Elie Nader, Cayla Wideman, Katherine Heiberger, Ehab Y. Hanna, Mark S. Chambers, Mark Zafereo, Danielle M. Fournier, Rebekah A Friddell, Liza M. Joseph, Richard C. Cardoso, Miriam N. Lango, Julia Diersing, Yelda Jozaghi, Ajay Thomas, Justin Sellers, Jeffrey N. Myers, Renata Ferrarotto, Nagham Al-Zubidi, Maura L. Gillison, Eric N. Appelbaum, Amy C. Hessel, Jill E. Flynn, David I. Rosenthal, Stephen Y. Lai, Lilian Mugartegui, Ryan P. Goepfert, Theresa M. Hofstede, Sonam J Khanjae, Christopher M. K. L. Yao, Anastasios Maniakas, Kristen B. Pytynia, Alex Won, Anderson Head, Theresa Guo, Adegbenga O. Otun, Katherine A. Hutcheson, Katherine B Schwarzlose, Xiao Zhao, Sara Zendehdel, Randal S. Weber, Shawn Terry, Rolando de Luna, Sarah Bauer, Kaitlin Prescott, Chenxi You, and Ann M. Gillenwater
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Male ,medicine.medical_specialty ,Consensus ,Coronavirus disease 2019 (COVID-19) ,Pneumonia, Viral ,Cancer Care Facilities ,SARS‐CoV‐2 ,Betacoronavirus ,03 medical and health sciences ,0302 clinical medicine ,Outcome Assessment, Health Care ,Pandemic ,medicine ,Humans ,030223 otorhinolaryngology ,Head and neck ,Surgical treatment ,Pandemics ,Occupational Health ,Special Issue ,SARS-CoV-2 ,business.industry ,Patient Selection ,COVID-19 ,Head and Neck Cancer ,Triage ,United States ,Surgical Oncology ,Otorhinolaryngology ,Head and Neck Neoplasms ,030220 oncology & carcinogenesis ,oncology ,otolaryngology ,Communicable Disease Control ,Practice Guidelines as Topic ,Material resources ,Head and neck surgery ,Female ,Patient Safety ,Coronavirus Infections ,business ,Humanities - Abstract
Author(s): MD Anderson Head and Neck Surgery Treatment Guidelines Consortium; Consortium members; Maniakas, Anastasios; Jozaghi, Yelda; Zafereo, Mark E; Sturgis, Erich M; Su, Shirley Y; Gillenwater, Ann M; Gidley, Paul W; Lewis, Carol M; Diaz, Eduardo; Goepfert, Ryan P; Kupferman, Michael E; Gross, Neil D; Hessel, Amy C; Pytynia, Kristen B; Nader, Marc-Elie; Wang, Jennifer R; Lango, Miriam N; Kiong, Kimberley L; Guo, Theresa; Zhao, Xiao; Yao, Christopher MKL; Appelbaum, Eric; Alpard, Jennifer; Garcia, Jose A; Terry, Shawn; Flynn, Jill E; Bauer, Sarah; Fournier, Danielle; Burgess, Courtlyn G; Wideman, Cayla; Johnston, Matthew; You, Chenxi; De Luna, Rolando; Joseph, Liza; Diersing, Julia; Prescott, Kaitlin; Heiberger, Katherine; Mugartegui, Lilian; Rodriguez, Jessica; Zendehdel, Sara; Sellers, Justin; Friddell, Rebekah A; Thomas, Ajay; Khanjae, Sonam J; Schwarzlose, Katherine B; Chambers, Mark S; Hofstede, Theresa M; Cardoso, Richard C; Wesson, Ruth Aponte; Won, Alex; Otun, Adegbenga O; Gombos, Dan S; Al-Zubidi, Nagham; Hutcheson, Katherine A; Gunn, G Brandon; Rosenthal, David I; Gillison, Maura L; Ferrarotto, Renata; Weber, Randal S; Hanna, Ehab Y; Myers, Jeffrey N; Lai, Stephen Y | Abstract: BackgroundCOVID-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.MethodsThe 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.RecommendationsEach subsite is presented separately with disease-specific recommendations. Options for alternative treatment modalities are provided if surgical treatment needs to be deferred.ConclusionThese 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.
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- 2020