Framework for prioritizing head and neck surgery during the COVID ‐19 pandemic
| Autor: | Eben L. Rosenthal, F. Christopher Holsinger, Michael C. Topf, Lisa J. Cianfichi, Samuel H. Wald, Jared A. Shenson, John B. Sunwoo |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Program evaluation medicine.medical_specialty Coronavirus disease 2019 (COVID-19) Pneumonia Viral Time-to-Treatment Appointments and Schedules 03 medical and health sciences COVID-19 Testing 0302 clinical medicine Clinical pathway Surgical oncology Outcome Assessment Health Care Health care Pandemic Humans Medicine 030223 otorhinolaryngology Pandemics Clinical Laboratory Techniques Health Priorities business.industry Operational definition Patient Selection General surgery Head and neck cancer COVID-19 medicine.disease United States Otorhinolaryngologic Surgical Procedures Surgical Oncology Otorhinolaryngology Elective Surgical Procedures Head and Neck Neoplasms 030220 oncology & carcinogenesis Female Coronavirus Infections business Program Evaluation |
| Zdroj: | Head & Neck |
| ISSN: | 1097-0347 1043-3074 |
| DOI: | 10.1002/hed.26184 |
| Popis: | The COVID-19 pandemic has placed an extraordinary demand on the United States health care system. Many institutions have canceled elective and non-urgent procedures to conserve resources and limit exposure. While operational definitions of elective and urgent categories exist, there is a degree of surgeon judgment in designation. In the present commentary, we provide a framework for prioritizing head and neck surgery during the pandemic. Unique considerations for the head and neck patient are examined including risk to the oncology patient, outcomes following delay in head and neck cancer therapy, and risk of transmission during otolaryngologic surgery. Our case prioritization criteria consist of four categories: urgent-proceed with surgery, less urgent-consider postpone > 30 days, less urgent-consider postpone 30 to 90 days, and case-by-case basis. Finally, we discuss our preoperative clinical pathway for transmission mitigation including defining low-risk and high-risk surgery for transmission and role of preoperative COVID-19 testing. |
| Databáze: | OpenAIRE |
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