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Changes in head and neck oncologic practice during the COVID-19 pandemic.
Brody, Robert M; Albergotti, William Greer; Shimunov, David; Nicolli, Elizabeth; Patel, Urjeet A; Harris, Brianna N; Bur, Andrés M.
  • Brody RM; Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Albergotti WG; Department of Otolaryngology-Head and Neck Surgery, Medical College of Georgia, Augusta University, Augusta, Georgia, USA.
  • Shimunov D; Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Nicolli E; Department of Otolaryngology-Head and Neck Surgery, University of Miami, Miami, Florida, USA.
  • Patel UA; Department of Otolaryngology-Head and Neck Surgery, Northwestern University, Chicago, Illinois, USA.
  • Harris BN; Department of Otolaryngology-Head and Neck Surgery, Scripps Memorial, San Diego, California, USA.
  • Bur AM; Department of Otolaryngology-Head and Neck Surgery, University of Kansas, Kansas City, Kansas, USA.
Head Neck ; 42(7): 1448-1453, 2020 Jul.
Article in English | MEDLINE | ID: covidwho-155352
ABSTRACT

INTRODUCTION:

The COVID-19 pandemic has raised controversies regarding safe and effective care of patients with head and neck cancer. It is unknown how much the pandemic has changed surgeon practice.

METHODS:

A questionnaire was distributed to head and neck surgeons assessing opinions related to treatment and concerns for the safety of patients, self, family, and staff.

RESULTS:

A total of 88 head and neck surgeons responded during the study period. Surgeons continued to recommend primary surgical treatment for oral cavity cancers. Respondents were more likely to consider nonsurgical therapy for patients with early glottic cancers and HPV-mediated oropharynx cancer. Surgeons were least likely to be concerned for their own health and safety and had the greatest concern for their resident trainees.

CONCLUSIONS:

This study highlights differences in the willingness of head and neck surgeons to delay surgery or alter plans during times when hospital resources are scarce and risk is high.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Surveys and Questionnaires / Elective Surgical Procedures / Coronavirus Infections / Pandemics / Surgical Oncology / Head and Neck Neoplasms Type of study: 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.26233

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Surveys and Questionnaires / Elective Surgical Procedures / Coronavirus Infections / Pandemics / Surgical Oncology / Head and Neck Neoplasms Type of study: 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.26233