Recommendations for head and neck surgical oncology practice in a setting of acute severe resource constraint during the COVID-19 pandemic: an international consensus

Mehanna, Hisham; Hardman, John; Shenson, Jared A.; Abou‐Foul, Ahmad K.; Topf, Michael C.; AlFalasi, Mohammad; Chan, Jason Ying Kuen; Chaturvedi, Pankaj; Chow, Velda Ling Yu; Dietz, Andreas; Fagan, Johannes J.; Godballe, Christian; Golusiński, Wojciech; Homma, Akihiro; Hoşal, Şefik; Iyer, N. Gopalakrishna; Kerawala, Cyrus; Koh, Yoon Woo; Konney, Anna; Kowalski, Luiz Paulo; Kraus, Dennis H.; Kuriakose, Moni Abraham; Kyrodimos, Efthymios; Lai, Stephen Y.; Leemans, C. René; Lennon, Paul; Licitra, Lisa; Lou, Pei‐Jen; Lyons, Bernard; Mirghani, Haïtham; Nichols, Anthony C.; Paleri, Vinidh; Panizza, Benedict; Arias, Pablo Parente; Patel, Mihir R.; Piazza, Cesare; Rischin, Danny; Sanábria, Álvaro; Takes, Robert P.; Thomson, David J; Uppaluri, Ravindra; Wang, Yu; Yom, Sue S.; Zhu, Yi; Porceddu, Sandro; Almeida, John R. de; Simon, Chrisian; Holsinger, F. Christopher

doi:10.1016/s1470-2045(20)30334-x

Cited by 102 publications

(131 citation statements)

References 28 publications

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“…Baseline patient demographics were analysed; however, ethnicity was not included. This is important because black, Asian and minority ethnic groups have been found to have a markedly higher vulnerability and risk of mortality from COVID-19 [22].…”

Section: Study Limitationsmentioning

confidence: 99%

Outcomes of elective head and neck confirmed or suspected cancer surgery during the COVID-19 pandemic

Brar

Ofo

Hyde

et al. 2020

Eur Arch Otorhinolaryngol

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Purpose To analyse the complication outcomes of COVID-19 negative patients undergoing elective head and neck surgery during the COVID-19 pandemic. Methods This was a retrospective case review of all patients undergoing elective head and neck surgery for confirmed or suspected head and neck cancer. Results There were no mortalities recorded in the cohort of patients analysed. At 30 days, pulmonary complications had occurred in 4 patients (9%). None of these were related to COVID infection. Conclusion With careful pre-operative screening of patients for COVID-19 and post-operative care in a COVID-19 clean ward, head and neck surgery can proceed safely during the epidemic. This data could help to minimise delay in treatment by allowing a greater number of elective head and neck cancer operations to proceed.

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Section: Study Limitationsmentioning

confidence: 99%

Outcomes of elective head and neck confirmed or suspected cancer surgery during the COVID-19 pandemic

Brar

Ofo

Hyde

et al. 2020

Eur Arch Otorhinolaryngol

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“…rhinoscopy or flexible laryngoscopy in the outpatient setting and tracheostomy or rigid endoscopy under anesthesia), it is recommended that all health care personnel wear personal protective equipment such as N95, gown, cap, eye protection, and gloves [26]. Additional guidelines are provided by Werner et al and Mehanna et al [24,27].…”

Section: Oncology Site Specific Publications and Consensus Guidelinesmentioning

confidence: 99%

https://researchopenworld.com/management-of-cancer-patients-undergoing-radiation-therapy-during-the-novel-coronavirus-disease-2019-covid-19-pandemic-a-review-of-the-literature/#

2020

Cancer Stud Ther J

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systemic management and may therefore not necessarily be immunecompromised, as well as the implication for daily attendance to a RT facility and the associated infection risk and how to best mitigate it. Other questions involve the ability to and safety of delaying or altering RT treatment schedules to minimize risk of infection. Important additional considerations abound in particular settings such a RT emergencies and treatment of the COVID-19 positive patient as well as the administration of radioactive isotopes such as radioactive iodine in thyroid patients who then need to self-isolate at home or as inpatients for several days. Since the COVID-19 pandemic has raised unprecedented challenges and questions, with ongoing lack of robust data, periodic review of the available evidence is important to help guide providers and patients in order to enable evidence-based care hence prompting this scoping review. Materials and Methods To carry out the scoping review, publications that specifically addressed the impact and management of cancer patients undergoing radiation therapy in the context of the COVID 19 pandemic were identified in PubMed using the following mesh terms: (("risk"[MeSH Terms] OR "risk"[All Fields]) OR "risk of "[All Fields]) AND ((((((("covid 19"[All Fields] OR "covid 2019"[All Fields]) OR "severe acute respiratory syndrome coronavirus 2"[Supplementary Concept]) OR "severe acute respiratory syndrome coronavirus 2"[All Fields]) OR "2019 ncov"[All Fields]) OR "sars cov 2"[All Fields]) OR "2019ncov"[All Fields]

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“…With no established cure or vaccine for COVID-19 to date, the virus is likely to be a burden for the foreseeable future, and there has been extensive published guidance on working during COVID-19 and the return to elective activity [8,9]. As the first peak of the pandemic passed across most of Europe [10], surgical departments began a graduated return to selective face-to-face clinics.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 and the return to head and neck outpatient activity in the United Kingdom: what is the new normal?

Bola

Jaikaransingh

Winter

2020

Eur Arch Otorhinolaryngol

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Purpose As surgical specialties now begin the graduated return to elective activity and face-to-face clinics, this paper investigates the current head and neck outpatient practices across the United Kingdom. Methods A cross-sectional study comprised of an online 20-item survey was distributed to members of the British Association of Head & Neck Oncologists (BAHNO). The survey was open on a web-based platform and covered topics including safety measures for patients, protective equipment for healthcare staff and protocols for the use of flexible nasendoscopy in the clinic. Results The survey was completed by 117 participants covering 66 NHS Trusts across the UK. There was a significant reduction in face-to-face Otolaryngology, Maxillofacial and Speech and Language clinic patients when compared to pre-pandemic numbers (p < 0.0001). Risk assessments for flexible nasendoscopy were done for 69% of clinics and 58% had an established protocol. Room downtime after flexible nasendoscopy ranged from 0 to 6 h and there was a significant increase in allocated downtime after a patient had coughed/sneezed (p < 0.001). Natural ventilation existed in 36% of clinics and the majority of responders didn’t know the Air Change Per Hour (ACPH) of the clinic room (77%). Where ACPH was known, it often did not match the allocated room downtime. Conclusion There is a wide variation in outpatient activity across the United Kingdom, but adaptations are being made to try and maintain staff and patient safety. However, more can still be done by liaising with allied teams to clarify outpatient protocols.

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Recommendations for head and neck surgical oncology practice in a setting of acute severe resource constraint during the COVID-19 pandemic: an international consensus

Cited by 102 publications

References 28 publications

Outcomes of elective head and neck confirmed or suspected cancer surgery during the COVID-19 pandemic

Outcomes of elective head and neck confirmed or suspected cancer surgery during the COVID-19 pandemic

https://researchopenworld.com/management-of-cancer-patients-undergoing-radiation-therapy-during-the-novel-coronavirus-disease-2019-covid-19-pandemic-a-review-of-the-literature/#

COVID-19 and the return to head and neck outpatient activity in the United Kingdom: what is the new normal?

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