CovidStanfordV1, Main, Exploration, bibRecord, 000564

Framework for prioritizing head and neck surgery during the COVID-19 pandemic.

Identifieur interne : 000564 ( Main/Exploration ); précédent : 000563; suivant : 000565

Framework for prioritizing head and neck surgery during the COVID-19 pandemic.

Auteurs : Michael C. Topf [États-Unis] ; Jared A. Shenson [États-Unis] ; F Christopher Holsinger [États-Unis] ; Samuel H. Wald [États-Unis] ; Lisa J. Cianfichi [États-Unis] ; Eben L. Rosenthal [États-Unis] ; John B. Sunwoo [États-Unis]

Source :

Head & neck [ 1097-0347 ] ; 2020.

RBID : pubmed:32298036

Descripteurs français

KwdFr :
- Délai jusqu'au traitement (statistiques et données numériques), Femelle (MeSH), Humains (MeSH), Infections à coronavirus (diagnostic), Infections à coronavirus (prévention et contrôle), Infections à coronavirus (épidémiologie), Interventions chirurgicales non urgentes (statistiques et données numériques), Mâle (MeSH), Oncologie chirurgicale (organisation et administration), Pandémies (prévention et contrôle), Pneumopathie virale (prévention et contrôle), Pneumopathie virale (épidémiologie), Priorités en santé (MeSH), Procédures de chirurgie oto-rhino-laryngologique (méthodes), Rendez-vous et plannings (MeSH), Sélection de patients (MeSH), Techniques de laboratoire clinique (méthodes), Tumeurs de la tête et du cou (anatomopathologie), Tumeurs de la tête et du cou (chirurgie), États-Unis (MeSH), Évaluation de programme (MeSH).
MESH :
- anatomopathologie : Tumeurs de la tête et du cou.
- chirurgie : Tumeurs de la tête et du cou.
- diagnostic : Infections à coronavirus.
- méthodes : Procédures de chirurgie oto-rhino-laryngologique, Techniques de laboratoire clinique.
- organisation et administration : Oncologie chirurgicale.
- prévention et contrôle : Infections à coronavirus, Pandémies, Pneumopathie virale.
- statistiques et données numériques : Délai jusqu'au traitement, Interventions chirurgicales non urgentes.
- épidémiologie : Infections à coronavirus, Pneumopathie virale.
- Femelle, Humains, Mâle, Priorités en santé, Rendez-vous et plannings, Sélection de patients, États-Unis, Évaluation de programme.
Wicri :
- geographic : États-Unis.

English descriptors

KwdEn :
- Appointments and Schedules (MeSH), COVID-19 (MeSH), COVID-19 Testing (MeSH), Clinical Laboratory Techniques (methods), Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Coronavirus Infections (prevention & control), Elective Surgical Procedures (statistics & numerical data), Female (MeSH), Head and Neck Neoplasms (pathology), Head and Neck Neoplasms (surgery), Health Priorities (MeSH), Humans (MeSH), Male (MeSH), Otorhinolaryngologic Surgical Procedures (methods), Outcome Assessment, Health Care (MeSH), Pandemics (prevention & control), Patient Selection (MeSH), Pneumonia, Viral (epidemiology), Pneumonia, Viral (prevention & control), Program Evaluation (MeSH), Surgical Oncology (organization & administration), Time-to-Treatment (statistics & numerical data), United States (MeSH).
MESH :
- geographic : United States.
- diagnosis : Coronavirus Infections.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- methods : Clinical Laboratory Techniques, Otorhinolaryngologic Surgical Procedures.
- organization & administration : Surgical Oncology.
- pathology : Head and Neck Neoplasms.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- statistics & numerical data : Elective Surgical Procedures, Time-to-Treatment.
- surgery : Head and Neck Neoplasms.
- Appointments and Schedules, COVID-19, COVID-19 Testing, Female, Health Priorities, Humans, Male, Outcome Assessment, Health Care, Patient Selection, Program Evaluation.

Abstract

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.

DOI: 10.1002/hed.26184
PubMed: 32298036
PubMed Central: PMC7262168

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000804
to stream Main, to step Curation: 000804

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Appointments and Schedules (MeSH)</term>
<term>COVID-19 (MeSH)</term>
<term>COVID-19 Testing (MeSH)</term>
<term>Clinical Laboratory Techniques (methods)</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (prevention & control)</term>
<term>Elective Surgical Procedures (statistics & numerical data)</term>
<term>Female (MeSH)</term>
<term>Head and Neck Neoplasms (pathology)</term>
<term>Head and Neck Neoplasms (surgery)</term>
<term>Health Priorities (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Otorhinolaryngologic Surgical Procedures (methods)</term>
<term>Outcome Assessment, Health Care (MeSH)</term>
<term>Pandemics (prevention & control)</term>
<term>Patient Selection (MeSH)</term>
<term>Pneumonia, Viral (epidemiology)</term>
<term>Pneumonia, Viral (prevention & control)</term>
<term>Program Evaluation (MeSH)</term>
<term>Surgical Oncology (organization & administration)</term>
<term>Time-to-Treatment (statistics & numerical data)</term>
<term>United States (MeSH)</term>
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<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (diagnostic)</term>
<term>Infections à coronavirus (prévention et contrôle)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Interventions chirurgicales non urgentes (statistiques et données numériques)</term>
<term>Mâle (MeSH)</term>
<term>Oncologie chirurgicale (organisation et administration)</term>
<term>Pandémies (prévention et contrôle)</term>
<term>Pneumopathie virale (prévention et contrôle)</term>
<term>Pneumopathie virale (épidémiologie)</term>
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<term>Techniques de laboratoire clinique (méthodes)</term>
<term>Tumeurs de la tête et du cou (anatomopathologie)</term>
<term>Tumeurs de la tête et du cou (chirurgie)</term>
<term>États-Unis (MeSH)</term>
<term>Évaluation de programme (MeSH)</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term>
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<keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Oncologie chirurgicale</term>
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<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Surgical Oncology</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pandemics</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pandémies</term>
<term>Pneumopathie virale</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Elective Surgical Procedures</term>
<term>Time-to-Treatment</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Délai jusqu'au traitement</term>
<term>Interventions chirurgicales non urgentes</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Head and Neck Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
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<term>COVID-19</term>
<term>COVID-19 Testing</term>
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<term>Health Priorities</term>
<term>Humans</term>
<term>Male</term>
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<term>Patient Selection</term>
<term>Program Evaluation</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Priorités en santé</term>
<term>Rendez-vous et plannings</term>
<term>Sélection de patients</term>
<term>États-Unis</term>
<term>Évaluation de programme</term>
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<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term>
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<front><div type="abstract" xml:lang="en">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.</div>
</front>
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<DateCompleted><Year>2020</Year>
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<Day>18</Day>
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<Title>Head & neck</Title>
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<ArticleTitle>Framework for prioritizing head and neck surgery during the COVID-19 pandemic.</ArticleTitle>
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<Abstract><AbstractText>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.</AbstractText>
<CopyrightInformation>© 2020 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Topf</LastName>
<ForeName>Michael C</ForeName>
<Initials>MC</Initials>
<Identifier Source="ORCID">0000-0002-1022-4417</Identifier>
<AffiliationInfo><Affiliation>Division of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California, USA.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Shenson</LastName>
<ForeName>Jared A</ForeName>
<Initials>JA</Initials>
<AffiliationInfo><Affiliation>Division of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California, USA.</Affiliation>
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Framework for prioritizing head and neck surgery during the COVID-19 pandemic.

Framework for prioritizing head and neck surgery during the COVID-19 pandemic.

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