Development and validation of a Surgical Prioritization and Ranking Tool and Navigation Aid for Head and Neck Cancer (SPARTAN-HN) in a scarce resource setting: Response to the COVID-19 pandemic.
Identifieur interne : 000627 ( Main/Exploration ); précédent : 000626; suivant : 000628Development and validation of a Surgical Prioritization and Ranking Tool and Navigation Aid for Head and Neck Cancer (SPARTAN-HN) in a scarce resource setting: Response to the COVID-19 pandemic.
Auteurs : John R. De Almeida [Canada] ; Christopher W. Noel [Canada] ; David Forner [Canada] ; Han Zhang [Canada] ; Anthony C. Nichols [Canada] ; Marc A. Cohen [États-Unis] ; Richard J. Wong [États-Unis] ; Caitlin Mcmullen [États-Unis] ; Evan M. Graboyes [États-Unis] ; Vasu Divi [États-Unis] ; Andrew G. Shuman [États-Unis] ; Andrew J. Rosko [États-Unis] ; Carol M. Lewis [États-Unis] ; Ehab Y. Hanna [États-Unis] ; Jeffrey Myers [États-Unis] ; Vinidh Paleri [Royaume-Uni] ; Brett Miles [États-Unis] ; Eric Genden [États-Unis] ; Antoine Eskander [Canada] ; Danny J. Enepekides [Canada] ; Kevin M. Higgins [Canada] ; Dale Brown [Canada] ; Douglas B. Chepeha [Canada] ; Ian J. Witterick [Canada] ; Patrick J. Gullane [Canada] ; Jonathan C. Irish [Canada] ; Eric Monteiro [Canada] ; David P. Goldstein [Canada] ; Ralph Gilbert [Canada]Source :
- Cancer [ 1097-0142 ] ; 2020.
Descripteurs français
- KwdFr :
- Algorithmes (MeSH), Betacoronavirus (MeSH), Chirurgiens (MeSH), Consensus (MeSH), Coopération internationale (MeSH), Humains (MeSH), Infections à coronavirus (virologie), Infections à coronavirus (épidémiologie), Pandémies (MeSH), Plan de recherche (MeSH), Pneumopathie virale (virologie), Pneumopathie virale (épidémiologie), Prise de décision clinique (MeSH), Reproductibilité des résultats (MeSH), Ressources en santé (MeSH), Triage (méthodes), Tumeurs de la tête et du cou (chirurgie).
- MESH :
- chirurgie : Tumeurs de la tête et du cou.
- méthodes : Triage.
- virologie : Infections à coronavirus, Pneumopathie virale.
- épidémiologie : Infections à coronavirus, Pneumopathie virale.
- Algorithmes, Betacoronavirus, Chirurgiens, Consensus, Coopération internationale, Humains, Pandémies, Plan de recherche, Prise de décision clinique, Reproductibilité des résultats, Ressources en santé.
English descriptors
- KwdEn :
- Algorithms (MeSH), Betacoronavirus (MeSH), COVID-19 (MeSH), Clinical Decision-Making (MeSH), Consensus (MeSH), Coronavirus Infections (epidemiology), Coronavirus Infections (virology), Head and Neck Neoplasms (surgery), Health Resources (MeSH), Humans (MeSH), International Cooperation (MeSH), Pandemics (MeSH), Pneumonia, Viral (epidemiology), Pneumonia, Viral (virology), Reproducibility of Results (MeSH), Research Design (MeSH), SARS-CoV-2 (MeSH), Surgeons (MeSH), Triage (methods).
- MESH :
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- methods : Triage.
- surgery : Head and Neck Neoplasms.
- virology : Coronavirus Infections, Pneumonia, Viral.
- Algorithms, Betacoronavirus, COVID-19, Clinical Decision-Making, Consensus, Health Resources, Humans, International Cooperation, Pandemics, Reproducibility of Results, Research Design, SARS-CoV-2, Surgeons.
Abstract
BACKGROUND
In the wake of the coronavirus disease 2019 (COVID-19) pandemic, access to surgical care for patients with head and neck cancer (HNC) is limited and unpredictable. Determining which patients should be prioritized is inherently subjective and difficult to assess. The authors have proposed an algorithm to fairly and consistently triage patients and mitigate the risk of adverse outcomes.
METHODS
Two separate expert panels, a consensus panel (11 participants) and a validation panel (15 participants), were constructed among international HNC surgeons. Using a modified Delphi process and RAND Corporation/University of California at Los Angeles methodology with 4 consensus rounds and 2 meetings, groupings of high-priority, intermediate-priority, and low-priority indications for surgery were established and subdivided. A point-based scoring algorithm was developed, the Surgical Prioritization and Ranking Tool and Navigation Aid for Head and Neck Cancer (SPARTAN-HN). Agreement was measured during consensus and for algorithm scoring using the Krippendorff alpha. Rankings from the algorithm were compared with expert rankings of 12 case vignettes using the Spearman rank correlation coefficient.
RESULTS
A total of 62 indications for surgical priority were rated. Weights for each indication ranged from -4 to +4 (scale range; -17 to 20). The response rate for the validation exercise was 100%. The SPARTAN-HN demonstrated excellent agreement and correlation with expert rankings (Krippendorff alpha, .91 [95% CI, 0.88-0.93]; and rho, 0.81 [95% CI, 0.45-0.95]).
CONCLUSIONS
The SPARTAN-HN surgical prioritization algorithm consistently stratifies patients requiring HNC surgical care in the COVID-19 era. Formal evaluation and implementation are required.
LAY SUMMARY
Many countries have enacted strict rules regarding the use of hospital resources during the coronavirus disease 2019 (COVID-19) pandemic. Facing delays in surgery, patients may experience worse functional outcomes, stage migration, and eventual inoperability. Treatment prioritization tools have shown benefit in helping to triage patients equitably with minimal provider cognitive burden. The current study sought to develop what to the authors' knowledge is the first cancer-specific surgical prioritization tool for use in the COVID-19 era, the Surgical Prioritization and Ranking Tool and Navigation Aid for Head and Neck Cancer (SPARTAN-HN). This algorithm consistently stratifies patients requiring head and neck cancer surgery in the COVID-19 era and provides evidence for the initial uptake of the SPARTAN-HN.
DOI: 10.1002/cncr.33114
PubMed: 32780426
PubMed Central: PMC7436362
Affiliations:
- Canada, Royaume-Uni, États-Unis
- Angleterre, Californie, Caroline du Sud, Floride, Grand Londres, Michigan, Ontario, Texas, État de New York
- Hamilton (Ontario), Londres, Toronto
- Université McMaster, Université de Toronto
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Development and validation of a Surgical Prioritization and Ranking Tool and Navigation Aid for Head and Neck Cancer (SPARTAN-HN) in a scarce resource setting: Response to the COVID-19 pandemic.</title><author><name sortKey="De Almeida, John R" sort="De Almeida, John R" uniqKey="De Almeida J" first="John R" last="De Almeida">John R. De Almeida</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Noel, Christopher W" sort="Noel, Christopher W" uniqKey="Noel C" first="Christopher W" last="Noel">Christopher W. Noel</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Forner, David" sort="Forner, David" uniqKey="Forner D" first="David" last="Forner">David Forner</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia</wicri:regionArea><wicri:noRegion>Nova Scotia</wicri:noRegion></affiliation></author><author><name sortKey="Zhang, Han" sort="Zhang, Han" uniqKey="Zhang H" first="Han" last="Zhang">Han Zhang</name><affiliation wicri:level="4"><nlm:affiliation>Division of Otolaryngology-Head and Neck Surgery, McMaster University, Hamilton, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Otolaryngology-Head and Neck Surgery, McMaster University, Hamilton, Ontario</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Nichols, Anthony C" sort="Nichols, Anthony C" uniqKey="Nichols A" first="Anthony C" last="Nichols">Anthony C. Nichols</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Western University, London, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Western University, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Cohen, Marc A" sort="Cohen, Marc A" uniqKey="Cohen M" first="Marc A" last="Cohen">Marc A. Cohen</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, Memorial Sloan Kettering Cancer Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Wong, Richard J" sort="Wong, Richard J" uniqKey="Wong R" first="Richard J" last="Wong">Richard J. Wong</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, Memorial Sloan Kettering Cancer Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Mcmullen, Caitlin" sort="Mcmullen, Caitlin" uniqKey="Mcmullen C" first="Caitlin" last="Mcmullen">Caitlin Mcmullen</name><affiliation wicri:level="2"><nlm:affiliation>Head and Neck-Endocrine Oncology, Moffitt Cancer Center, Tampa, Florida.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Head and Neck-Endocrine Oncology, Moffitt Cancer Center, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Graboyes, Evan M" sort="Graboyes, Evan M" uniqKey="Graboyes E" first="Evan M" last="Graboyes">Evan M. Graboyes</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Sud</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston</wicri:cityArea></affiliation></author><author><name sortKey="Divi, Vasu" sort="Divi, Vasu" uniqKey="Divi V" first="Vasu" last="Divi">Vasu Divi</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto</wicri:cityArea></affiliation></author><author><name sortKey="Shuman, Andrew G" sort="Shuman, Andrew G" uniqKey="Shuman A" first="Andrew G" last="Shuman">Andrew G. Shuman</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor</wicri:cityArea></affiliation></author><author><name sortKey="Rosko, Andrew J" sort="Rosko, Andrew J" uniqKey="Rosko A" first="Andrew J" last="Rosko">Andrew J. Rosko</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor</wicri:cityArea></affiliation></author><author><name sortKey="Lewis, Carol M" sort="Lewis, Carol M" uniqKey="Lewis C" first="Carol M" last="Lewis">Carol M. Lewis</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Hanna, Ehab Y" sort="Hanna, Ehab Y" uniqKey="Hanna E" first="Ehab Y" last="Hanna">Ehab Y. Hanna</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Myers, Jeffrey" sort="Myers, Jeffrey" uniqKey="Myers J" first="Jeffrey" last="Myers">Jeffrey Myers</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Paleri, Vinidh" sort="Paleri, Vinidh" uniqKey="Paleri V" first="Vinidh" last="Paleri">Vinidh Paleri</name><affiliation wicri:level="3"><nlm:affiliation>Head and Neck Unit, The Royal Marsden Hospital, London, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Head and Neck Unit, The Royal Marsden Hospital, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Miles, Brett" sort="Miles, Brett" uniqKey="Miles B" first="Brett" last="Miles">Brett Miles</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea></affiliation></author><author><name sortKey="Genden, Eric" sort="Genden, Eric" uniqKey="Genden E" first="Eric" last="Genden">Eric Genden</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea></affiliation></author><author><name sortKey="Eskander, Antoine" sort="Eskander, Antoine" uniqKey="Eskander A" first="Antoine" last="Eskander">Antoine Eskander</name><affiliation wicri:level="4"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Enepekides, Danny J" sort="Enepekides, Danny J" uniqKey="Enepekides D" first="Danny J" last="Enepekides">Danny J. Enepekides</name><affiliation wicri:level="4"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Higgins, Kevin M" sort="Higgins, Kevin M" uniqKey="Higgins K" first="Kevin M" last="Higgins">Kevin M. Higgins</name><affiliation wicri:level="4"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Brown, Dale" sort="Brown, Dale" uniqKey="Brown D" first="Dale" last="Brown">Dale Brown</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Chepeha, Douglas B" sort="Chepeha, Douglas B" uniqKey="Chepeha D" first="Douglas B" last="Chepeha">Douglas B. Chepeha</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Witterick, Ian J" sort="Witterick, Ian J" uniqKey="Witterick I" first="Ian J" last="Witterick">Ian J. Witterick</name><affiliation wicri:level="4"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Sinai Health System, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Sinai Health System, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Gullane, Patrick J" sort="Gullane, Patrick J" uniqKey="Gullane P" first="Patrick J" last="Gullane">Patrick J. Gullane</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Irish, Jonathan C" sort="Irish, Jonathan C" uniqKey="Irish J" first="Jonathan C" last="Irish">Jonathan C. Irish</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Monteiro, Eric" sort="Monteiro, Eric" uniqKey="Monteiro E" first="Eric" last="Monteiro">Eric Monteiro</name><affiliation wicri:level="4"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Sinai Health System, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Sinai Health System, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Goldstein, David P" sort="Goldstein, David P" uniqKey="Goldstein D" first="David P" last="Goldstein">David P. Goldstein</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Gilbert, Ralph" sort="Gilbert, Ralph" uniqKey="Gilbert R" first="Ralph" last="Gilbert">Ralph Gilbert</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32780426</idno><idno type="pmid">32780426</idno><idno type="doi">10.1002/cncr.33114</idno><idno type="pmc">PMC7436362</idno><idno type="wicri:Area/Main/Corpus">000438</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000438</idno><idno type="wicri:Area/Main/Curation">000438</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000438</idno><idno type="wicri:Area/Main/Exploration">000438</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Development and validation of a Surgical Prioritization and Ranking Tool and Navigation Aid for Head and Neck Cancer (SPARTAN-HN) in a scarce resource setting: Response to the COVID-19 pandemic.</title><author><name sortKey="De Almeida, John R" sort="De Almeida, John R" uniqKey="De Almeida J" first="John R" last="De Almeida">John R. De Almeida</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Noel, Christopher W" sort="Noel, Christopher W" uniqKey="Noel C" first="Christopher W" last="Noel">Christopher W. Noel</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Forner, David" sort="Forner, David" uniqKey="Forner D" first="David" last="Forner">David Forner</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia</wicri:regionArea><wicri:noRegion>Nova Scotia</wicri:noRegion></affiliation></author><author><name sortKey="Zhang, Han" sort="Zhang, Han" uniqKey="Zhang H" first="Han" last="Zhang">Han Zhang</name><affiliation wicri:level="4"><nlm:affiliation>Division of Otolaryngology-Head and Neck Surgery, McMaster University, Hamilton, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Otolaryngology-Head and Neck Surgery, McMaster University, Hamilton, Ontario</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Nichols, Anthony C" sort="Nichols, Anthony C" uniqKey="Nichols A" first="Anthony C" last="Nichols">Anthony C. Nichols</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Western University, London, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Western University, London, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Cohen, Marc A" sort="Cohen, Marc A" uniqKey="Cohen M" first="Marc A" last="Cohen">Marc A. Cohen</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, Memorial Sloan Kettering Cancer Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Wong, Richard J" sort="Wong, Richard J" uniqKey="Wong R" first="Richard J" last="Wong">Richard J. Wong</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, Memorial Sloan Kettering Cancer Center, New York</wicri:cityArea></affiliation></author><author><name sortKey="Mcmullen, Caitlin" sort="Mcmullen, Caitlin" uniqKey="Mcmullen C" first="Caitlin" last="Mcmullen">Caitlin Mcmullen</name><affiliation wicri:level="2"><nlm:affiliation>Head and Neck-Endocrine Oncology, Moffitt Cancer Center, Tampa, Florida.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Head and Neck-Endocrine Oncology, Moffitt Cancer Center, Tampa</wicri:cityArea></affiliation></author><author><name sortKey="Graboyes, Evan M" sort="Graboyes, Evan M" uniqKey="Graboyes E" first="Evan M" last="Graboyes">Evan M. Graboyes</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Sud</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston</wicri:cityArea></affiliation></author><author><name sortKey="Divi, Vasu" sort="Divi, Vasu" uniqKey="Divi V" first="Vasu" last="Divi">Vasu Divi</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto</wicri:cityArea></affiliation></author><author><name sortKey="Shuman, Andrew G" sort="Shuman, Andrew G" uniqKey="Shuman A" first="Andrew G" last="Shuman">Andrew G. Shuman</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor</wicri:cityArea></affiliation></author><author><name sortKey="Rosko, Andrew J" sort="Rosko, Andrew J" uniqKey="Rosko A" first="Andrew J" last="Rosko">Andrew J. Rosko</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Michigan</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor</wicri:cityArea></affiliation></author><author><name sortKey="Lewis, Carol M" sort="Lewis, Carol M" uniqKey="Lewis C" first="Carol M" last="Lewis">Carol M. Lewis</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Hanna, Ehab Y" sort="Hanna, Ehab Y" uniqKey="Hanna E" first="Ehab Y" last="Hanna">Ehab Y. Hanna</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Myers, Jeffrey" sort="Myers, Jeffrey" uniqKey="Myers J" first="Jeffrey" last="Myers">Jeffrey Myers</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Paleri, Vinidh" sort="Paleri, Vinidh" uniqKey="Paleri V" first="Vinidh" last="Paleri">Vinidh Paleri</name><affiliation wicri:level="3"><nlm:affiliation>Head and Neck Unit, The Royal Marsden Hospital, London, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Head and Neck Unit, The Royal Marsden Hospital, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Miles, Brett" sort="Miles, Brett" uniqKey="Miles B" first="Brett" last="Miles">Brett Miles</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea></affiliation></author><author><name sortKey="Genden, Eric" sort="Genden, Eric" uniqKey="Genden E" first="Eric" last="Genden">Eric Genden</name><affiliation wicri:level="2"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York</wicri:cityArea></affiliation></author><author><name sortKey="Eskander, Antoine" sort="Eskander, Antoine" uniqKey="Eskander A" first="Antoine" last="Eskander">Antoine Eskander</name><affiliation wicri:level="4"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Enepekides, Danny J" sort="Enepekides, Danny J" uniqKey="Enepekides D" first="Danny J" last="Enepekides">Danny J. Enepekides</name><affiliation wicri:level="4"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Higgins, Kevin M" sort="Higgins, Kevin M" uniqKey="Higgins K" first="Kevin M" last="Higgins">Kevin M. Higgins</name><affiliation wicri:level="4"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Brown, Dale" sort="Brown, Dale" uniqKey="Brown D" first="Dale" last="Brown">Dale Brown</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Chepeha, Douglas B" sort="Chepeha, Douglas B" uniqKey="Chepeha D" first="Douglas B" last="Chepeha">Douglas B. Chepeha</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Witterick, Ian J" sort="Witterick, Ian J" uniqKey="Witterick I" first="Ian J" last="Witterick">Ian J. Witterick</name><affiliation wicri:level="4"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Sinai Health System, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Sinai Health System, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Gullane, Patrick J" sort="Gullane, Patrick J" uniqKey="Gullane P" first="Patrick J" last="Gullane">Patrick J. Gullane</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Irish, Jonathan C" sort="Irish, Jonathan C" uniqKey="Irish J" first="Jonathan C" last="Irish">Jonathan C. Irish</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Monteiro, Eric" sort="Monteiro, Eric" uniqKey="Monteiro E" first="Eric" last="Monteiro">Eric Monteiro</name><affiliation wicri:level="4"><nlm:affiliation>Department of Otolaryngology-Head and Neck Surgery, Sinai Health System, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Otolaryngology-Head and Neck Surgery, Sinai Health System, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Goldstein, David P" sort="Goldstein, David P" uniqKey="Goldstein D" first="David P" last="Goldstein">David P. Goldstein</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Gilbert, Ralph" sort="Gilbert, Ralph" uniqKey="Gilbert R" first="Ralph" last="Gilbert">Ralph Gilbert</name><affiliation wicri:level="1"><nlm:affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author></analytic><series><title level="j">Cancer</title><idno type="eISSN">1097-0142</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Algorithms (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>COVID-19 (MeSH)</term><term>Clinical Decision-Making (MeSH)</term><term>Consensus (MeSH)</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (virology)</term><term>Head and Neck Neoplasms (surgery)</term><term>Health Resources (MeSH)</term><term>Humans (MeSH)</term><term>International Cooperation (MeSH)</term><term>Pandemics (MeSH)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (virology)</term><term>Reproducibility of Results (MeSH)</term><term>Research Design (MeSH)</term><term>SARS-CoV-2 (MeSH)</term><term>Surgeons (MeSH)</term><term>Triage (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Algorithmes (MeSH)</term><term>Betacoronavirus (MeSH)</term><term>Chirurgiens (MeSH)</term><term>Consensus (MeSH)</term><term>Coopération internationale (MeSH)</term><term>Humains (MeSH)</term><term>Infections à coronavirus (virologie)</term><term>Infections à coronavirus (épidémiologie)</term><term>Pandémies (MeSH)</term><term>Plan de recherche (MeSH)</term><term>Pneumopathie virale (virologie)</term><term>Pneumopathie virale (épidémiologie)</term><term>Prise de décision clinique (MeSH)</term><term>Reproductibilité des résultats (MeSH)</term><term>Ressources en santé (MeSH)</term><term>Triage (méthodes)</term><term>Tumeurs de la tête et du cou (chirurgie)</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Tumeurs de la tête et du cou</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Triage</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Triage</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Head and Neck Neoplasms</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coronavirus Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Algorithms</term><term>Betacoronavirus</term><term>COVID-19</term><term>Clinical Decision-Making</term><term>Consensus</term><term>Health Resources</term><term>Humans</term><term>International Cooperation</term><term>Pandemics</term><term>Reproducibility of Results</term><term>Research Design</term><term>SARS-CoV-2</term><term>Surgeons</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Algorithmes</term><term>Betacoronavirus</term><term>Chirurgiens</term><term>Consensus</term><term>Coopération internationale</term><term>Humains</term><term>Pandémies</term><term>Plan de recherche</term><term>Prise de décision clinique</term><term>Reproductibilité des résultats</term><term>Ressources en santé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>In the wake of the coronavirus disease 2019 (COVID-19) pandemic, access to surgical care for patients with head and neck cancer (HNC) is limited and unpredictable. Determining which patients should be prioritized is inherently subjective and difficult to assess. The authors have proposed an algorithm to fairly and consistently triage patients and mitigate the risk of adverse outcomes.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Two separate expert panels, a consensus panel (11 participants) and a validation panel (15 participants), were constructed among international HNC surgeons. Using a modified Delphi process and RAND Corporation/University of California at Los Angeles methodology with 4 consensus rounds and 2 meetings, groupings of high-priority, intermediate-priority, and low-priority indications for surgery were established and subdivided. A point-based scoring algorithm was developed, the Surgical Prioritization and Ranking Tool and Navigation Aid for Head and Neck Cancer (SPARTAN-HN). Agreement was measured during consensus and for algorithm scoring using the Krippendorff alpha. Rankings from the algorithm were compared with expert rankings of 12 case vignettes using the Spearman rank correlation coefficient.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 62 indications for surgical priority were rated. Weights for each indication ranged from -4 to +4 (scale range; -17 to 20). The response rate for the validation exercise was 100%. The SPARTAN-HN demonstrated excellent agreement and correlation with expert rankings (Krippendorff alpha, .91 [95% CI, 0.88-0.93]; and rho, 0.81 [95% CI, 0.45-0.95]).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The SPARTAN-HN surgical prioritization algorithm consistently stratifies patients requiring HNC surgical care in the COVID-19 era. Formal evaluation and implementation are required.</p></div><div type="abstract" xml:lang="en"><p><b>LAY SUMMARY</b></p><p>Many countries have enacted strict rules regarding the use of hospital resources during the coronavirus disease 2019 (COVID-19) pandemic. Facing delays in surgery, patients may experience worse functional outcomes, stage migration, and eventual inoperability. Treatment prioritization tools have shown benefit in helping to triage patients equitably with minimal provider cognitive burden. The current study sought to develop what to the authors' knowledge is the first cancer-specific surgical prioritization tool for use in the COVID-19 era, the Surgical Prioritization and Ranking Tool and Navigation Aid for Head and Neck Cancer (SPARTAN-HN). This algorithm consistently stratifies patients requiring head and neck cancer surgery in the COVID-19 era and provides evidence for the initial uptake of the SPARTAN-HN.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32780426</PMID><DateCompleted><Year>2020</Year><Month>11</Month><Day>06</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1097-0142</ISSN><JournalIssue CitedMedium="Internet"><Volume>126</Volume><Issue>22</Issue><PubDate><Year>2020</Year><Month>11</Month><Day>15</Day></PubDate></JournalIssue><Title>Cancer</Title><ISOAbbreviation>Cancer</ISOAbbreviation></Journal><ArticleTitle>Development and validation of a Surgical Prioritization and Ranking Tool and Navigation Aid for Head and Neck Cancer (SPARTAN-HN) in a scarce resource setting: Response to the COVID-19 pandemic.</ArticleTitle><Pagination><MedlinePgn>4895-4904</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/cncr.33114</ELocationID><Abstract><AbstractText Label="BACKGROUND">In the wake of the coronavirus disease 2019 (COVID-19) pandemic, access to surgical care for patients with head and neck cancer (HNC) is limited and unpredictable. Determining which patients should be prioritized is inherently subjective and difficult to assess. The authors have proposed an algorithm to fairly and consistently triage patients and mitigate the risk of adverse outcomes.</AbstractText><AbstractText Label="METHODS">Two separate expert panels, a consensus panel (11 participants) and a validation panel (15 participants), were constructed among international HNC surgeons. Using a modified Delphi process and RAND Corporation/University of California at Los Angeles methodology with 4 consensus rounds and 2 meetings, groupings of high-priority, intermediate-priority, and low-priority indications for surgery were established and subdivided. A point-based scoring algorithm was developed, the Surgical Prioritization and Ranking Tool and Navigation Aid for Head and Neck Cancer (SPARTAN-HN). Agreement was measured during consensus and for algorithm scoring using the Krippendorff alpha. Rankings from the algorithm were compared with expert rankings of 12 case vignettes using the Spearman rank correlation coefficient.</AbstractText><AbstractText Label="RESULTS">A total of 62 indications for surgical priority were rated. Weights for each indication ranged from -4 to +4 (scale range; -17 to 20). The response rate for the validation exercise was 100%. The SPARTAN-HN demonstrated excellent agreement and correlation with expert rankings (Krippendorff alpha, .91 [95% CI, 0.88-0.93]; and rho, 0.81 [95% CI, 0.45-0.95]).</AbstractText><AbstractText Label="CONCLUSIONS">The SPARTAN-HN surgical prioritization algorithm consistently stratifies patients requiring HNC surgical care in the COVID-19 era. Formal evaluation and implementation are required.</AbstractText><AbstractText Label="LAY SUMMARY">Many countries have enacted strict rules regarding the use of hospital resources during the coronavirus disease 2019 (COVID-19) pandemic. Facing delays in surgery, patients may experience worse functional outcomes, stage migration, and eventual inoperability. Treatment prioritization tools have shown benefit in helping to triage patients equitably with minimal provider cognitive burden. The current study sought to develop what to the authors' knowledge is the first cancer-specific surgical prioritization tool for use in the COVID-19 era, the Surgical Prioritization and Ranking Tool and Navigation Aid for Head and Neck Cancer (SPARTAN-HN). This algorithm consistently stratifies patients requiring head and neck cancer surgery in the COVID-19 era and provides evidence for the initial uptake of the SPARTAN-HN.</AbstractText><CopyrightInformation>© 2020 American Cancer Society.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>de Almeida</LastName><ForeName>John R</ForeName><Initials>JR</Initials><Identifier Source="ORCID">0000-0002-1546-5033</Identifier><AffiliationInfo><Affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Noel</LastName><ForeName>Christopher W</ForeName><Initials>CW</Initials><Identifier Source="ORCID">0000-0002-6625-0809</Identifier><AffiliationInfo><Affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Forner</LastName><ForeName>David</ForeName><Initials>D</Initials><Identifier Source="ORCID">0000-0002-1014-3545</Identifier><AffiliationInfo><Affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Han</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Division of Otolaryngology-Head and Neck Surgery, McMaster University, Hamilton, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nichols</LastName><ForeName>Anthony C</ForeName><Initials>AC</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Western University, London, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cohen</LastName><ForeName>Marc A</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wong</LastName><ForeName>Richard J</ForeName><Initials>RJ</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McMullen</LastName><ForeName>Caitlin</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Head and Neck-Endocrine Oncology, Moffitt Cancer Center, Tampa, Florida.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Graboyes</LastName><ForeName>Evan M</ForeName><Initials>EM</Initials><Identifier Source="ORCID">0000-0003-3766-468X</Identifier><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Divi</LastName><ForeName>Vasu</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shuman</LastName><ForeName>Andrew G</ForeName><Initials>AG</Initials><Identifier Source="ORCID">0000-0002-9305-7860</Identifier><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rosko</LastName><ForeName>Andrew J</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lewis</LastName><ForeName>Carol M</ForeName><Initials>CM</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hanna</LastName><ForeName>Ehab Y</ForeName><Initials>EY</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Myers</LastName><ForeName>Jeffrey</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Paleri</LastName><ForeName>Vinidh</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Head and Neck Unit, The Royal Marsden Hospital, London, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Miles</LastName><ForeName>Brett</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Genden</LastName><ForeName>Eric</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Eskander</LastName><ForeName>Antoine</ForeName><Initials>A</Initials><Identifier Source="ORCID">0000-0003-4326-1393</Identifier><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Enepekides</LastName><ForeName>Danny J</ForeName><Initials>DJ</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Higgins</LastName><ForeName>Kevin M</ForeName><Initials>KM</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brown</LastName><ForeName>Dale</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chepeha</LastName><ForeName>Douglas B</ForeName><Initials>DB</Initials><Identifier Source="ORCID">0000-0001-9062-3719</Identifier><AffiliationInfo><Affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Witterick</LastName><ForeName>Ian J</ForeName><Initials>IJ</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Sinai Health System, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gullane</LastName><ForeName>Patrick J</ForeName><Initials>PJ</Initials><AffiliationInfo><Affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Irish</LastName><ForeName>Jonathan C</ForeName><Initials>JC</Initials><AffiliationInfo><Affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Monteiro</LastName><ForeName>Eric</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology-Head and Neck Surgery, Sinai Health System, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goldstein</LastName><ForeName>David P</ForeName><Initials>DP</Initials><AffiliationInfo><Affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gilbert</LastName><ForeName>Ralph</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Division of Surgical Oncology, Department of Otolaryngology-Head and Neck Surgery, Princess Margaret Cancer Center, University Health Network, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D023361">Validation Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Cancer</MedlineTA><NlmUniqueID>0374236</NlmUniqueID><ISSNLinking>0008-543X</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000465" MajorTopicYN="N">Algorithms</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="Y">Betacoronavirus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000066491" MajorTopicYN="N">Clinical Decision-Making</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D032921" MajorTopicYN="N">Consensus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006258" MajorTopicYN="N">Head and Neck Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006295" MajorTopicYN="Y">Health Resources</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007391" MajorTopicYN="N">International Cooperation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012107" MajorTopicYN="N">Research Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D066231" MajorTopicYN="N">Surgeons</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014218" MajorTopicYN="N">Triage</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">coronavirus disease 2019 (COVID-19)</Keyword><Keyword MajorTopicYN="Y">delivery of health care</Keyword><Keyword MajorTopicYN="Y">head and neck cancer</Keyword><Keyword MajorTopicYN="Y">health priorities</Keyword><Keyword MajorTopicYN="Y">patient selection</Keyword><Keyword MajorTopicYN="Y">surgical procedures</Keyword><Keyword MajorTopicYN="Y">waiting lists</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>06</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>06</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>06</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>11</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32780426</ArticleId><ArticleId IdType="doi">10.1002/cncr.33114</ArticleId><ArticleId IdType="pmc">PMC7436362</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Cancer. 2018 Apr 1;124(7):1400-1414</Citation><ArticleIdList><ArticleId IdType="pubmed">29315499</ArticleId></ArticleIdList></Reference><Reference><Citation>Oral Oncol. 2020 Oct;109:104849</Citation><ArticleIdList><ArticleId IdType="pubmed">32599499</ArticleId></ArticleIdList></Reference><Reference><Citation>J Clin Oncol. 2020 Jul 1;38(19):2201-2205</Citation><ArticleIdList><ArticleId IdType="pubmed">32343643</ArticleId></ArticleIdList></Reference><Reference><Citation>Head Neck. 2020 Jun;42(6):1159-1167</Citation><ArticleIdList><ArticleId IdType="pubmed">32298036</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA Otolaryngol Head Neck Surg. 2019 Feb 1;145(2):166-177</Citation><ArticleIdList><ArticleId IdType="pubmed">30383146</ArticleId></ArticleIdList></Reference><Reference><Citation>J Eval Clin Pract. 2003 Feb;9(1):23-31</Citation><ArticleIdList><ArticleId IdType="pubmed">12558699</ArticleId></ArticleIdList></Reference><Reference><Citation>Head Neck. 2020 Jun;42(6):1214-1217</Citation><ArticleIdList><ArticleId IdType="pubmed">32329948</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA Otolaryngol Head Neck Surg. 2020 Jun 1;146(6):579-584</Citation><ArticleIdList><ArticleId IdType="pubmed">32232423</ArticleId></ArticleIdList></Reference><Reference><Citation>J Clin Oncol. 2016 Jan 10;34(2):169-78</Citation><ArticleIdList><ArticleId IdType="pubmed">26628469</ArticleId></ArticleIdList></Reference><Reference><Citation>ANZ J Surg. 2018 Dec;88(12):1279-1283</Citation><ArticleIdList><ArticleId IdType="pubmed">30117634</ArticleId></ArticleIdList></Reference><Reference><Citation>Head Neck. 2019 Jun;41(6):1756-1769</Citation><ArticleIdList><ArticleId IdType="pubmed">30615247</ArticleId></ArticleIdList></Reference><Reference><Citation>Cancer. 2020 Nov 15;126(22):4895-4904</Citation><ArticleIdList><ArticleId IdType="pubmed">32780426</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2020 May 21;382(21):2049-2055</Citation><ArticleIdList><ArticleId IdType="pubmed">32202722</ArticleId></ArticleIdList></Reference><Reference><Citation>Data Brief. 2020 Feb 22;29:105310</Citation><ArticleIdList><ArticleId IdType="pubmed">32154347</ArticleId></ArticleIdList></Reference><Reference><Citation>BMJ. 1997 Jan 11;314(7074):131-4</Citation><ArticleIdList><ArticleId IdType="pubmed">9006477</ArticleId></ArticleIdList></Reference><Reference><Citation>Med Care. 1993 Mar;31(3):247-63</Citation><ArticleIdList><ArticleId IdType="pubmed">8450681</ArticleId></ArticleIdList></Reference><Reference><Citation>J Am Coll Surg. 2020 Aug;231(2):281-288</Citation><ArticleIdList><ArticleId IdType="pubmed">32278725</ArticleId></ArticleIdList></Reference><Reference><Citation>N Z Med J. 1998 Jun 26;111(1068):231-3</Citation><ArticleIdList><ArticleId IdType="pubmed">9695752</ArticleId></ArticleIdList></Reference><Reference><Citation>Head Neck. 2020 Jun;42(6):1202-1208</Citation><ArticleIdList><ArticleId IdType="pubmed">32338807</ArticleId></ArticleIdList></Reference><Reference><Citation>ANZ J Surg. 2003 Aug;73(8):633-42</Citation><ArticleIdList><ArticleId IdType="pubmed">12887536</ArticleId></ArticleIdList></Reference><Reference><Citation>Can J Surg. 2004 Feb;47(1):39-46</Citation><ArticleIdList><ArticleId IdType="pubmed">14997924</ArticleId></ArticleIdList></Reference><Reference><Citation>BMC Health Serv Res. 2008 Apr 08;8:76</Citation><ArticleIdList><ArticleId IdType="pubmed">18397519</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Canada</li><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Californie</li><li>Caroline du Sud</li><li>Floride</li><li>Grand Londres</li><li>Michigan</li><li>Ontario</li><li>Texas</li><li>État de New York</li></region><settlement><li>Hamilton (Ontario)</li><li>Londres</li><li>Toronto</li></settlement><orgName><li>Université McMaster</li><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><noRegion><name sortKey="De Almeida, John R" sort="De Almeida, John R" uniqKey="De Almeida J" first="John R" last="De Almeida">John R. De Almeida</name></noRegion><name sortKey="Brown, Dale" sort="Brown, Dale" uniqKey="Brown D" first="Dale" last="Brown">Dale Brown</name><name sortKey="Chepeha, Douglas B" sort="Chepeha, Douglas B" uniqKey="Chepeha D" first="Douglas B" last="Chepeha">Douglas B. Chepeha</name><name sortKey="De Almeida, John R" sort="De Almeida, John R" uniqKey="De Almeida J" first="John R" last="De Almeida">John R. De Almeida</name><name sortKey="Enepekides, Danny J" sort="Enepekides, Danny J" uniqKey="Enepekides D" first="Danny J" last="Enepekides">Danny J. Enepekides</name><name sortKey="Eskander, Antoine" sort="Eskander, Antoine" uniqKey="Eskander A" first="Antoine" last="Eskander">Antoine Eskander</name><name sortKey="Forner, David" sort="Forner, David" uniqKey="Forner D" first="David" last="Forner">David Forner</name><name sortKey="Forner, David" sort="Forner, David" uniqKey="Forner D" first="David" last="Forner">David Forner</name><name sortKey="Forner, David" sort="Forner, David" uniqKey="Forner D" first="David" last="Forner">David Forner</name><name sortKey="Gilbert, Ralph" sort="Gilbert, Ralph" uniqKey="Gilbert R" first="Ralph" last="Gilbert">Ralph Gilbert</name><name sortKey="Goldstein, David P" sort="Goldstein, David P" uniqKey="Goldstein D" first="David P" last="Goldstein">David P. Goldstein</name><name sortKey="Gullane, Patrick J" sort="Gullane, Patrick J" uniqKey="Gullane P" first="Patrick J" last="Gullane">Patrick J. Gullane</name><name sortKey="Higgins, Kevin M" sort="Higgins, Kevin M" uniqKey="Higgins K" first="Kevin M" last="Higgins">Kevin M. Higgins</name><name sortKey="Irish, Jonathan C" sort="Irish, Jonathan C" uniqKey="Irish J" first="Jonathan C" last="Irish">Jonathan C. Irish</name><name sortKey="Monteiro, Eric" sort="Monteiro, Eric" uniqKey="Monteiro E" first="Eric" last="Monteiro">Eric Monteiro</name><name sortKey="Nichols, Anthony C" sort="Nichols, Anthony C" uniqKey="Nichols A" first="Anthony C" last="Nichols">Anthony C. Nichols</name><name sortKey="Noel, Christopher W" sort="Noel, Christopher W" uniqKey="Noel C" first="Christopher W" last="Noel">Christopher W. Noel</name><name sortKey="Noel, Christopher W" sort="Noel, Christopher W" uniqKey="Noel C" first="Christopher W" last="Noel">Christopher W. Noel</name><name sortKey="Witterick, Ian J" sort="Witterick, Ian J" uniqKey="Witterick I" first="Ian J" last="Witterick">Ian J. Witterick</name><name sortKey="Zhang, Han" sort="Zhang, Han" uniqKey="Zhang H" first="Han" last="Zhang">Han Zhang</name></country><country name="États-Unis"><region name="État de New York"><name sortKey="Cohen, Marc A" sort="Cohen, Marc A" uniqKey="Cohen M" first="Marc A" last="Cohen">Marc A. Cohen</name></region><name sortKey="Divi, Vasu" sort="Divi, Vasu" uniqKey="Divi V" first="Vasu" last="Divi">Vasu Divi</name><name sortKey="Genden, Eric" sort="Genden, Eric" uniqKey="Genden E" first="Eric" last="Genden">Eric Genden</name><name sortKey="Graboyes, Evan M" sort="Graboyes, Evan M" uniqKey="Graboyes E" first="Evan M" last="Graboyes">Evan M. Graboyes</name><name sortKey="Hanna, Ehab Y" sort="Hanna, Ehab Y" uniqKey="Hanna E" first="Ehab Y" last="Hanna">Ehab Y. Hanna</name><name sortKey="Lewis, Carol M" sort="Lewis, Carol M" uniqKey="Lewis C" first="Carol M" last="Lewis">Carol M. Lewis</name><name sortKey="Mcmullen, Caitlin" sort="Mcmullen, Caitlin" uniqKey="Mcmullen C" first="Caitlin" last="Mcmullen">Caitlin Mcmullen</name><name sortKey="Miles, Brett" sort="Miles, Brett" uniqKey="Miles B" first="Brett" last="Miles">Brett Miles</name><name sortKey="Myers, Jeffrey" sort="Myers, Jeffrey" uniqKey="Myers J" first="Jeffrey" last="Myers">Jeffrey Myers</name><name sortKey="Rosko, Andrew J" sort="Rosko, Andrew J" uniqKey="Rosko A" first="Andrew J" last="Rosko">Andrew J. Rosko</name><name sortKey="Shuman, Andrew G" sort="Shuman, Andrew G" uniqKey="Shuman A" first="Andrew G" last="Shuman">Andrew G. Shuman</name><name sortKey="Wong, Richard J" sort="Wong, Richard J" uniqKey="Wong R" first="Richard J" last="Wong">Richard J. Wong</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Paleri, Vinidh" sort="Paleri, Vinidh" uniqKey="Paleri V" first="Vinidh" last="Paleri">Vinidh Paleri</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/CovidStanfordV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000627 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000627 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= CovidStanfordV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:32780426
|texte= Development and validation of a Surgical Prioritization and Ranking Tool and Navigation Aid for Head and Neck Cancer (SPARTAN-HN) in a scarce resource setting: Response to the COVID-19 pandemic.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:32780426" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a CovidStanfordV1
| This area was generated with Dilib version V0.6.38. |  |