Endocrine surgery in the Coronavirus disease 2019 pandemic: Surgical Triage Guidelines
| Autor: | Mouhammed Amir Habra, Steven I. Sherman, Conor Best, Steven P. Weitzman, Neil D. Gross, Sarah B. Fisher, Ryan P. Goepfert, Camilo Jimenez, Anita K. Ying, Elizabeth G. Grubbs, Naifa L. Busaidy, Mark Zafereo, Maria E. Cabanillas, Steven G. Waguespack, Mimi I. Hu, Jennifer Wang, Paul H. Graham, Jeena Varghese, Erich M. Sturgis, Robert F. Gagel, Sonali Thosani, Nancy D. Perrier, Stephen Y. Lai, Ramona Dadu, Yelda Jozaghi |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Pneumonia Viral coronavirus 030209 endocrinology & metabolism Context (language use) Endocrine System Diseases surgery Betacoronavirus 03 medical and health sciences 0302 clinical medicine Surgical oncology medicine Humans Endocrine system Intensive care medicine Pandemics COVID Special Issue SARS-CoV-2 business.industry Patient Selection COVID-19 Cancer Guideline medicine.disease Triage Endocrine surgery Otorhinolaryngology 030220 oncology & carcinogenesis Practice Guidelines as Topic Airway management Endocrine Coronavirus Infections business guideline Algorithms |
| Zdroj: | Head & Neck |
| ISSN: | 1097-0347 1043-3074 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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