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

Consortium members; MD Anderson Head and Neck Surgery Treatment Guidelines Consortium

doi:10.1002/hed.26206

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

Consortium members, MD Anderson Head and Neck Surgery Treatment Guidelines Consortium

Research output: Contribution to journal › Article › peer-review

32 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	1194-1201
Number of pages	8
Journal	Head and Neck
Volume	42
Issue number	6
DOIs	https://doi.org/10.1002/hed.26206
State	Published - Jun 1 2020

Keywords

SARS-CoV-2
oncology
otolaryngology
Head and Neck Neoplasms/diagnosis
Occupational Health
United States
Humans
Coronavirus Infections/epidemiology
Male
Cancer Care Facilities
Consensus
Pandemics/prevention & control
Patient Selection
Surgical Oncology/standards
Communicable Disease Control/standards
Pneumonia, Viral/epidemiology
Patient Safety
Betacoronavirus
Female
Practice Guidelines as Topic/standards
Outcome Assessment, Health Care
Triage/standards

ASJC Scopus subject areas

Otorhinolaryngology

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10.1002/hed.26206

Cite this

@article{3908d1ae0a334e30bf6bcf72ce1ebdf9,

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

abstract = "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.",

keywords = "SARS-CoV-2, oncology, otolaryngology, Head and Neck Neoplasms/diagnosis, Occupational Health, United States, Humans, Coronavirus Infections/epidemiology, Male, Cancer Care Facilities, Consensus, Pandemics/prevention & control, Patient Selection, Surgical Oncology/standards, Communicable Disease Control/standards, Pneumonia, Viral/epidemiology, Patient Safety, Betacoronavirus, Female, Practice Guidelines as Topic/standards, Outcome Assessment, Health Care, Triage/standards",

author = "{Consortium members} and {MD Anderson Head and Neck Surgery Treatment Guidelines Consortium} and Anastasios Maniakas and Yelda Jozaghi and Zafereo, {Mark E.} and Sturgis, {Erich M.} and Su, {Shirley Y.} and Gillenwater, {Ann M.} and Gidley, {Paul W.} and Lewis, {Carol M.} and Eduardo Diaz and Goepfert, {Ryan P.} and Kupferman, {Michael E.} and Gross, {Neil D.} and Hessel, {Amy C.} and Pytynia, {Kristen B.} and Nader, {Marc Elie} and Wang, {Jennifer R.} and Lango, {Miriam N.} and Kiong, {Kimberley L.} and Theresa Guo and Xiao Zhao and Yao, {Christopher M.K.L.} and Eric Appelbaum and Jennifer Alpard and Garcia, {Jose A.} and Shawn Terry and Flynn, {Jill E.} and Sarah Bauer and Danielle Fournier and Burgess, {Courtlyn G.} and Cayla Wideman and Matthew Johnston and Chenxi You and {De Luna}, Rolando and Liza Joseph and Julia Diersing and Kaitlin Prescott and Katherine Heiberger and Lilian Mugartegui and Jessica Rodriguez and Sara Zendehdel and Justin Sellers and Friddell, {Rebekah A.} and Ajay Thomas and Khanjae, {Sonam J.} and Schwarzlose, {Katherine B.} and Chambers, {Mark S.} and Hofstede, {Theresa M.} and Cardoso, {Richard C.} and Gombos, {Dan S.} and Nagham Al-Zubidi",

note = "{\textcopyright} 2020 Wiley Periodicals, Inc.",

year = "2020",

month = jun,

day = "1",

doi = "10.1002/hed.26206",

language = "English (US)",

volume = "42",

pages = "1194--1201",

journal = "Head and Neck Surgery",

issn = "1043-3074",

publisher = "Wiley",

number = "6",

}

TY - JOUR

T1 - Head and neck surgical oncology in the time of a pandemic

T2 - Subsite-specific triage guidelines during the COVID-19 pandemic

AU - Consortium members

AU - MD Anderson Head and Neck Surgery Treatment Guidelines Consortium

AU - Maniakas, Anastasios

AU - Jozaghi, Yelda

AU - Zafereo, Mark E.

AU - Sturgis, Erich M.

AU - Su, Shirley Y.

AU - Gillenwater, Ann M.

AU - Gidley, Paul W.

AU - Lewis, Carol M.

AU - Diaz, Eduardo

AU - Goepfert, Ryan P.

AU - Kupferman, Michael E.

AU - Gross, Neil D.

AU - Hessel, Amy C.

AU - Pytynia, Kristen B.

AU - Nader, Marc Elie

AU - Wang, Jennifer R.

AU - Lango, Miriam N.

AU - Kiong, Kimberley L.

AU - Guo, Theresa

AU - Zhao, Xiao

AU - Yao, Christopher M.K.L.

AU - Appelbaum, Eric

AU - Alpard, Jennifer

AU - Garcia, Jose A.

AU - Terry, Shawn

AU - Flynn, Jill E.

AU - Bauer, Sarah

AU - Fournier, Danielle

AU - Burgess, Courtlyn G.

AU - Wideman, Cayla

AU - Johnston, Matthew

AU - You, Chenxi

AU - De Luna, Rolando

AU - Joseph, Liza

AU - Diersing, Julia

AU - Prescott, Kaitlin

AU - Heiberger, Katherine

AU - Mugartegui, Lilian

AU - Rodriguez, Jessica

AU - Zendehdel, Sara

AU - Sellers, Justin

AU - Friddell, Rebekah A.

AU - Thomas, Ajay

AU - Khanjae, Sonam J.

AU - Schwarzlose, Katherine B.

AU - Chambers, Mark S.

AU - Hofstede, Theresa M.

AU - Cardoso, Richard C.

AU - Gombos, Dan S.

AU - Al-Zubidi, Nagham

PY - 2020/6/1

Y1 - 2020/6/1

N2 - 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.

AB - 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.

KW - SARS-CoV-2

KW - oncology

KW - otolaryngology

KW - Head and Neck Neoplasms/diagnosis

KW - Occupational Health

KW - United States

KW - Humans

KW - Coronavirus Infections/epidemiology

KW - Male

KW - Cancer Care Facilities

KW - Consensus

KW - Pandemics/prevention & control

KW - Patient Selection

KW - Surgical Oncology/standards

KW - Communicable Disease Control/standards

KW - Pneumonia, Viral/epidemiology

KW - Patient Safety

KW - Betacoronavirus

KW - Female

KW - Practice Guidelines as Topic/standards

KW - Outcome Assessment, Health Care

KW - Triage/standards

UR - http://www.scopus.com/inward/record.url?scp=85085151449&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85085151449&partnerID=8YFLogxK

U2 - 10.1002/hed.26206

DO - 10.1002/hed.26206

M3 - Article

C2 - 32342541

AN - SCOPUS:85085151449

VL - 42

SP - 1194

EP - 1201

JO - Head and Neck Surgery

JF - Head and Neck Surgery

SN - 1043-3074

IS - 6

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

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