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

被引:29
作者
Maniakas, Anastasios
Jozaghi, Yelda [1 ]
Zafereo, Mark E. [1 ]
Sturgis, Erich M. [1 ]
Su, Shirley Y. [1 ]
Gillenwater, Ann M. [1 ]
Gidley, Paul W. [1 ]
Lewis, Carol M. [1 ]
Diaz, Eduardo, Jr. [1 ]
Goepfert, Ryan P. [1 ]
Kupferman, Michael E. [1 ]
Gross, Neil D. [1 ]
Hessel, Amy C. [1 ]
Pytynia, Kristen B. [1 ]
Nader, Marc-Elie [1 ]
Wang, Jennifer R. [1 ]
Lango, Miriam N. [1 ]
Kiong, Kimberley L. [1 ]
Guo, Theresa [1 ]
Zhao, Xiao [1 ]
Yao, Christopher M. K. L. [1 ]
Appelbaum, Eric [1 ]
Alpard, Jennifer [1 ]
Garcia, Jose A. [1 ]
Terry, Shawn [1 ]
Flynn, Jill E. [1 ]
Bauer, Sarah [1 ]
Fournier, Danielle [1 ]
Burgess, Courtlyn G. [1 ]
Wideman, Cayla [1 ]
Johnston, Matthew [1 ]
You, Chenxi [1 ]
De Luna, Rolando [1 ]
Joseph, Liza [1 ]
Diersing, Julia [1 ]
Prescott, Kaitlin [1 ]
Heiberger, Katherine [1 ]
Mugartegui, Lilian [1 ]
Rodriguez, Jessica [1 ]
Zendehdel, Sara [1 ]
Sellers, Justin [1 ]
Friddell, Rebekah A. [1 ]
Thomas, Ajay [1 ]
Khanjae, Sonam J. [1 ]
Schwarzlose, Katherine B. [1 ]
Chambers, Mark S. [1 ]
Hofstede, Theresa M. [1 ]
Cardoso, Richard C. [1 ]
Wesson, Ruth Aponte [1 ]
Won, Alex [1 ]
机构
[1] Univ Texas MD Anderson Canc Ctr, Dept Head & Neck Surg, Houston, TX 77030 USA
[2] Univ Texas MD Anderson Canc Ctr, Dept Radiat Oncol, Houston, TX 77030 USA
[3] Univ Texas MD Anderson Canc Ctr, Dept Thorac Head & Neck Med Oncol, Houston, TX 77030 USA
来源
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2020年 / 42卷 / 06期
关键词
oncology; otolaryngology; SARS-CoV-2;
D O I
10.1002/hed.26206
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
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.
引用
收藏
页码:1194 / 1201
页数:8
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