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Head and neck surgical oncology in the time of a pandemic: Subsite‐specific triage guidelines during the COVID‐19 pandemic.

Authors :
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
Source :
Head & Neck; Jun2020, Vol. 42 Issue 6, p1194-1201, 8p
Publication Year :
2020

Abstract

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. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
10433074
Volume :
42
Issue :
6
Database :
Complementary Index
Journal :
Head & Neck
Publication Type :
Academic Journal
Accession number :
143452109
Full Text :
https://doi.org/10.1002/hed.26206