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Head and neck surgical oncology in the time of a pandemic: Subsite‐specific triage guidelines during the <scp>COVID</scp> ‐19 pandemic
- Source :
- Head & Neck
- Publication Year :
- 2020
- Publisher :
- Wiley, 2020.
-
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.
- Subjects :
- 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
Subjects
Details
- ISSN :
- 10970347 and 10433074
- Volume :
- 42
- Database :
- OpenAIRE
- Journal :
- Head & Neck
- Accession number :
- edsair.doi.dedup.....46258cd0f4ae1b76cd1a28e254653c40