COVID-19 screening protocols for preoperative assessment of head and neck cancer patients candidate for elective surgery in the midst of the pandemic: A narrative review with comparison between two Italian institutions.
Oral Oncol
; 112: 105043, 2021 01.
Article
in English
| MEDLINE | ID: covidwho-857053
ABSTRACT
BACKGROUND:
Preoperative screening had a key role in planning elective surgical activity for head and neck cancer (HNC) during the COVID-19 pandemic.METHODS:
All patients undergoing surgery for HNC at two Italian referral hospitals (University of Padua and National Cancer Institute [NCI]) during the peak of the COVID-19 epidemic in Italy were included. Accuracy of screening protocols was assessed.RESULTS:
In the Padua protocol, 41 patients were screened by pharyngeal swab. The entire sample (100%) was admitted to surgery, diagnostic accuracy was 100%. In the NCI protocol, 23 patients underwent a telephone interview, blood test, and chest CT. Twenty patients (87%) were negative and were directly admitted to surgery. In the remaining 3 (13%), pharyngeal swab was performed. The screening was repeated until a negative chest CT was found. Diagnostic accuracy was 85%.CONCLUSIONS:
Dedicated screening protocols for COVID-19 allow to safely perform elective HNC surgery.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Preoperative Care
/
COVID-19 Testing
/
SARS-CoV-2
/
COVID-19
/
Head and Neck Neoplasms
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Reviews
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
English
Journal:
Oral Oncol
Journal subject:
Neoplasms
Year:
2021
Document Type:
Article
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