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Endocrine surgery in the Coronavirus disease 2019 pandemic: Surgical Triage Guidelines
Author(s) -
Jozaghi Yelda,
Zafereo Mark E.,
Perrier Nancy D.,
Wang Jennifer R.,
Grubbs Elizabeth,
Gross Neil D.,
Fisher Sarah,
Sturgis Erich M.,
Goepfert Ryan P.,
Lai Stephen Y.,
Best Conor,
Busaidy Naifa L.,
Cabanillas Maria E.,
Dadu Ramona,
Gagel Robert F.,
Habra Mouhammed A.,
Hu Mimi I.,
Jimenez Camilo,
Sherman Steven I.,
Thosani Sonali,
Varghese Jeena,
Waguespack Steven G.,
Weitzman Steven,
Ying Anita K.,
Graham Paul H.
Publication year - 2020
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.26169
Subject(s) - medicine , endocrine surgery , context (archaeology) , endocrine system , triage , endocrine disease , multidisciplinary approach , intensive care medicine , pandemic , general surgery , surgical oncology , disease , thyroid , medical emergency , surgery , covid-19 , infectious disease (medical specialty) , hormone , paleontology , social science , sociology , biology
Background In the face of the COVID‐19 pandemic, cancer care has had to adapt rapidly given the Centers for Disease Control and Prevention and the American College of Surgeons (ACS) issuing recommendations to postpone nonurgent surgeries. Methods An institutional multidisciplinary group of Head and Neck Surgical Oncology, Surgical Endocrinology, and Medical Endocrinology devised Surgical Triaging Guidelines for Endocrine Surgery during COVID‐19, aligned with phases of care published by the ACS. Results Phases of care with examples of corresponding endocrine cases are outlined. Most cases can be safely postponed with active surveillance, including most differentiated and medullary thyroid cancers. During the most acute phase, all endocrine surgeries are deferred, except thyroid tumors requiring acute airway management. Conclusions These guidelines provide context for endocrine surgery within the spectrum of surgical oncology, with the goal of optimal individualized multidisciplinary patient care and the expectation of significant resource diversion to care for patients with COVID‐19.