Kimberley L Kiong1, Theresa Guo1, Christopher M K L Yao1, Neil D Gross1, Matthew M Hanasono2, Renata Ferrarotto3, David I Rosenthal4, Jeffrey N Myers1, Ehab Y Hanna1, Stephen Y Lai1,4. 1. Department of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA. 2. Department of Plastics and Reconstructive Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA. 3. Department of Thoracic Head and Neck Medical Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA. 4. Department of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
Abstract
BACKGROUND: The novel coronavirus 2019 (COVID-19) pandemic has changed health care, challenged by resource constraints and fears of transmission. We report the surgical practice pattern changes in a Head and Neck Surgery department of a tertiary cancer care center and discuss the issues surrounding multidisciplinary care during the pandemic. METHODS: We report data regarding outpatient visits, multidisciplinary treatment planning conference, surgical caseload, and modifications of oncologic therapy during this pandemic and compared this data to the same interval last year. RESULTS: We found a 46.7% decrease in outpatient visits and a 46.8% decrease in surgical caseload, compared to 2019. We discuss the factors involved in the decision-making process and perioperative considerations. CONCLUSIONS: Surgical practice patterns in head and neck oncologic surgery will continue to change with the evolving pandemic. Despite constraints, we strive to prioritize and balance the oncologic and safety needs of patients with head and neck cancer in the face of COVID-19.
BACKGROUND: The novel coronavirus 2019 (COVID-19) pandemic has changed health care, challenged by resource constraints and fears of transmission. We report the surgical practice pattern changes in a Head and Neck Surgery department of a tertiary cancer care center and discuss the issues surrounding multidisciplinary care during the pandemic. METHODS: We report data regarding outpatient visits, multidisciplinary treatment planning conference, surgical caseload, and modifications of oncologic therapy during this pandemic and compared this data to the same interval last year. RESULTS: We found a 46.7% decrease in outpatient visits and a 46.8% decrease in surgical caseload, compared to 2019. We discuss the factors involved in the decision-making process and perioperative considerations. CONCLUSIONS: Surgical practice patterns in head and neck oncologic surgery will continue to change with the evolving pandemic. Despite constraints, we strive to prioritize and balance the oncologic and safety needs of patients with head and neck cancer in the face of COVID-19.
Authors: Anastasios Maniakas; Yelda Jozaghi; Mark E Zafereo; Erich M Sturgis; Shirley Y Su; Ann M Gillenwater; Paul W Gidley; Carol M Lewis; Eduardo Diaz; Ryan P Goepfert; Michael E Kupferman; Neil D Gross; Amy C Hessel; Kristen B Pytynia; Marc-Elie Nader; Jennifer R Wang; Miriam N Lango; Kimberley L Kiong; Theresa Guo; Xiao Zhao; Christopher M K L Yao; Eric Appelbaum; Jennifer Alpard; Jose A Garcia; Shawn Terry; Jill E Flynn; Sarah Bauer; Danielle Fournier; Courtlyn G Burgess; Cayla Wideman; Matthew Johnston; Chenxi You; Rolando De Luna; Liza Joseph; Julia Diersing; Kaitlin Prescott; Katherine Heiberger; Lilian Mugartegui; Jessica Rodriguez; Sara Zendehdel; Justin Sellers; Rebekah A Friddell; Ajay Thomas; Sonam J Khanjae; Katherine B Schwarzlose; Mark S Chambers; Theresa M Hofstede; Richard C Cardoso; Ruth Aponte Wesson; Alex Won; Adegbenga O Otun; Dan S Gombos; Nagham Al-Zubidi; Katherine A Hutcheson; G Brandon Gunn; David I Rosenthal; Maura L Gillison; Renata Ferrarotto; Randal S Weber; Ehab Y Hanna; Jeffrey N Myers; Stephen Y Lai Journal: Head Neck Date: 2020-06 Impact factor: 3.147
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Authors: Hisham Mehanna; John C Hardman; Jared A Shenson; Ahmad K Abou-Foul; Michael C Topf; Mohammad AlFalasi; Jason Y K Chan; Pankaj Chaturvedi; Velda Ling Yu Chow; Andreas Dietz; Johannes J Fagan; Christian Godballe; Wojciech Golusiński; Akihiro Homma; Sefik Hosal; N Gopalakrishna Iyer; Cyrus Kerawala; Yoon Woo Koh; Anna Konney; Luiz P Kowalski; Dennis Kraus; Moni A Kuriakose; Efthymios Kyrodimos; Stephen Y Lai; C Rene Leemans; Paul Lennon; Lisa Licitra; Pei-Jen Lou; Bernard Lyons; Haitham Mirghani; Anthonny C Nichols; Vinidh Paleri; Benedict J Panizza; Pablo Parente Arias; Mihir R Patel; Cesare Piazza; Danny Rischin; Alvaro Sanabria; Robert P Takes; David J Thomson; Ravindra Uppaluri; Yu Wang; Sue S Yom; Yi-Ming Zhu; Sandro V Porceddu; John R de Almeida; Chrisian Simon; F Christopher Holsinger Journal: Lancet Oncol Date: 2020-06-11 Impact factor: 41.316
Authors: Ifigenia Vasiliadou; David Noble; Andrew Hartley; Rafael Moleron; Paul Sanghera; Teresa Guerrero Urbano; Stefano Schipani; Dorothy Gujral; Bernie Foran; Shree Bhide; Anoop Haridass; Kannon Nathan; Andriana Michaelidou; Mehmet Sen; Konstantinos Geropantas; Mano Joseph; Lorcan O'Toole; Matthew Griffin; Laura Pettit; Jonathan Chambers; Petra Jankowska; Emma De Winton; Rebecca Goranova; Niveditha Singh; Ketan Shah; Anthony Kong Conceptualisation Journal: Clin Transl Radiat Oncol Date: 2021-06-30