Head and neck surgical oncology in the time of a pandemic: Subsite-specific triage guidelines during the COVID-19 pandemic
Head and neck surgical oncology in the time of a pandemic: Subsite-specific triage guidelines during the COVID-19 pandemic
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DOI：
10.1002/hed.26206
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发表时间：
2020-06-01
影响因子：
2.9
通讯作者：
Lai, Stephen Y.
中科院分区：
文献类型：
--
作者：
Maniakas, Anastasios;Jozaghi, Yelda;Lai, Stephen Y.
背景新冠肺炎大流行使全球人力物力资源紧张。外科肿瘤学的实践必须改变，以应对这些资源限制，根据敏锐度、预期肿瘤学结果、支持资源的可用性和医护人员的安全进行分类。方法MD Anderson头颈手术治疗指南联盟设计了以下内容，基于多学科共识为头颈癌(HNC)手术分类提供指导。被考虑的HNC亚部位包括呼吸道粘膜、鼻窦、唾液、内分泌、皮肤和眼球。如果需要推迟手术治疗，则提供替代治疗方式的选择。结论这些指南旨在帮助护理HNC患者的临床医生在医疗危机期间适当分配资源，如新冠肺炎大流行。我们继续提倡根据个别患者的情况和资源可获得性，以多学科的方式对病例进行个别审议。
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.