2020
DOI: 10.1002/hed.26229
|View full text |Cite
|
Sign up to set email alerts
|

Ethical surgical triage of patients with head and neck cancer during the COVID‐19 pandemic

Abstract: Background: Coronavirus has serially overtaken our metropolitan hospitals. At peak, patients with acute respiratory distress syndrome may outnumber mechanical ventilators. In our Miami Hospital System, COVID-19 cases have multiplied for 4 weeks and elective surgery has been suspended.Methods: An Otolaryngologic Triage Committee was created to appropriately allocate resources to patients. Hospital ethicists provided support. Our tumor conference screened patients for nonsurgical options. Patients were tested tw… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
2
1
1

Citation Types

0
47
0

Year Published

2020
2020
2023
2023

Publication Types

Select...
9

Relationship

2
7

Authors

Journals

citations
Cited by 22 publications
(47 citation statements)
references
References 31 publications
(46 reference statements)
0
47
0
Order By: Relevance
“…With 5000 new cancer diagnoses a day in the United States, 2 delivery of timely cancer care has been challenging in the wake of this pandemic. Many cancer care triaging algorithms have been proposed locally and by national organizations, 3‐5 yet it is unknown how these algorithms have affected outcomes.…”
Section: Introductionmentioning
confidence: 99%
“…With 5000 new cancer diagnoses a day in the United States, 2 delivery of timely cancer care has been challenging in the wake of this pandemic. Many cancer care triaging algorithms have been proposed locally and by national organizations, 3‐5 yet it is unknown how these algorithms have affected outcomes.…”
Section: Introductionmentioning
confidence: 99%
“…Amid the current coronavirus disease 2019 (COVID-19) practice environment, 46 - 53 otolaryngologists have faced the challenge of making diagnoses without the typical reliance on concurrent fiberoptic exam. During telehealth encounters, we often need to proceed with medical decisions based on described symptoms and histories.…”
Section: Discussionmentioning
confidence: 99%
“…This is in contrast to the traditional paradigm and recent COVID-19 guidelines recommending MDT involvement only in cases of uncertainty regarding optimal management. 22,23 Virtual MDT meetings during the COVID-19 era have allowed providers as far as 200 miles away to participate. 24 Patients are often requested to meet face-to-face with the MDT following the tumor board to discuss their treatment options.…”
Section: Patient-centric Multidisciplinary Care Of Head and Neck Cancermentioning
confidence: 99%