Should we wait or not? The preferable option for patients with stage IV oral cancer in COVID-19 pandemic.
Head Neck
; 42(6): 1173-1178, 2020 06.
Article
in English
| MEDLINE | ID: covidwho-116849
ABSTRACT
BACKGROUND:
The coronavirus infection is rapidly spreading, putting a strain on health care services across the globe. Patients with oral cancer are susceptible often immunosuppressed due to the disease and/or the treatment received.METHODS:
We performed a simulation of the currently available data using a multistate and hazards model to provide an objective model for counseling and decision making for health care workers.RESULTS:
Stage IV patients with oral cancer who did not receive treatment had progression of disease and an increased mortality rate compared to patients who receive treatment but did not contract COVID-19. The patients who received treatment and got affected with COVID-19 had a far worse impact and higher mortality rate than all other groups.CONCLUSION:
Isolation and deferring treatment for stage IV patients with oral cancer, so as to avoid hospital visits and contraction of COVID-19, is an advisable strategy based on this model.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Mouth Neoplasms
/
Cause of Death
/
Coronavirus Infections
/
Pandemics
/
Clinical Decision-Making
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
North America
Language:
English
Journal:
Head Neck
Journal subject:
Neoplasms
Year:
2020
Document Type:
Article
Affiliation country:
Hed.26196
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