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

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 pers...

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Published in:Head & Neck 2020-06, Vol.42 (6), p.1194-1201
Main 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, Yao, Christopher M. K. L., 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.
Format: Article
Language:English
Subjects:
Acuity
Betacoronavirus
Cancer Care Facilities
Communicable Disease Control - standards
Consensus
Coronavirus Infections - epidemiology
Coronavirus Infections - prevention & control
COVID-19
Female
Head & neck cancer
Head and Neck Cancer
Head and Neck Neoplasms - diagnosis
Head and Neck Neoplasms - surgery
Humans
Male
Mucosa
Occupational Health
Oncology
otolaryngology
Outcome Assessment, Health Care
Pandemics
Pandemics - prevention & control
Pandemics - statistics & numerical data
Patient Safety
Patient Selection
Patients
Pneumonia, Viral - epidemiology
Pneumonia, Viral - prevention & control
Practice Guidelines as Topic - standards
Resource availability
SARS-CoV-2
Special Issue
Surgery
Surgical Oncology - standards
Triage - standards
United States
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Summary: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.
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.26206