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Changes in head and neck oncologic practice during the COVID ‐19 pandemic
Author(s) -
Brody Robert M.,
Albergotti William Greer,
Shimunov David,
Nicolli Elizabeth,
Patel Urjeet A.,
Harris Brian.,
Bur Andrés M.
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.26233
Subject(s) - medicine , pandemic , head and neck cancer , head and neck , covid-19 , general surgery , cancer , surgery , infectious disease (medical specialty) , disease
Abstract Introduction The COVID‐19 pandemic has raised controversies regarding safe and effective care of patients with head and neck cancer. It is unknown how much the pandemic has changed surgeon practice. Methods A questionnaire was distributed to head and neck surgeons assessing opinions related to treatment and concerns for the safety of patients, self, family, and staff. Results A total of 88 head and neck surgeons responded during the study period. Surgeons continued to recommend primary surgical treatment for oral cavity cancers. Respondents were more likely to consider nonsurgical therapy for patients with early glottic cancers and HPV‐mediated oropharynx cancer. Surgeons were least likely to be concerned for their own health and safety and had the greatest concern for their resident trainees. Conclusions This study highlights differences in the willingness of head and neck surgeons to delay surgery or alter plans during times when hospital resources are scarce and risk is high.