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Head and neck surgical oncology in the time of a pandemic: Subsite‐specific triage guidelines during the COVID ‐19 pandemic
Author(s) -
Maniakas Anastasios,
Jozaghi Yelda,
Zafereo Mark E.,
Sturgis Erich M.,
Su Shirley Y.,
Gillenwater Ann M.,
Gidley Paul W.,
Lewis Carol M.,
Diaz Eduardo,
Goepfert Ryan P.,
Kupferman Michael E.,
Gross Neil D.,
Hessel Amy C.,
Pytynia Kristen B.,
Nader MarcElie,
Wang Jennifer R.,
Lango Miriam N.,
Kiong Kimberley L.,
Guo Theresa,
Zhao Xiao,
Yao Christopher M. K. L.,
Appelbaum Eric,
Alpard Jennifer,
Garcia Jose A.,
Terry Shawn,
Flynn Jill E.,
Bauer Sarah,
Fournier Danielle,
Burgess Courtlyn G.,
Wideman Cayla,
Johnston Matthew,
You Chenxi,
De Luna Rolando,
Joseph Liza,
Diersing Julia,
Prescott Kaitlin,
Heiberger Katherine,
Mugartegui Lilian,
Rodriguez Jessica,
Zendehdel Sara,
Sellers Justin,
Friddell Rebekah A.,
Thomas Ajay,
Khanjae Sonam J.,
Schwarzlose Katherine B.,
Chambers Mark S.,
Hofstede Theresa M.,
Cardoso Richard C.,
Wesson Ruth Aponte,
Won Alex,
Otun Adegbenga O.,
Gombos Dan S.,
AlZubidi Nagham,
Hutcheson Katherine A.,
Gunn G. Brandon,
Rosenthal David I.,
Gillison Maura L.,
Ferrarotto Renata,
Weber Randal S.,
Hanna Ehab Y.,
Myers Jeffrey N.,
Lai Stephen Y.
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.26206
Subject(s) - pandemic , covid-19 , triage , head and neck , medicine , virology , medical emergency , surgery , outbreak , infectious disease (medical specialty) , disease
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.