Early institutional head and neck oncologic and microvascular surgery practice patterns across the United States during the SARS-CoV-2 (COVID19) pandemic.
Abstract
[BACKGROUND] The SARS-CoV-2 (COVID-19) pandemic has caused rapid changes in head and neck cancer (HNC) care. "Real-time" methods to monitor practice patterns can optimize provider safety and patient care.
[METHODS] Head and neck surgeons from 14 institutions in the United States regularly contributed their practice patterns to a shared spreadsheet. Data from 27 March 2020 to 5 April 2020 was analyzed.
[RESULTS] All institutions had significantly restricted HNC clinic evaluations. Two institutions stopped free-flap surgery with the remaining scheduling surgery by committee review. Factors contributing to reduced clinical volume included lack of personal protective equipment (PPE) (35%) and lack of rapid COVID-19 testing (86%).
[CONCLUSIONS] The COVID-19 pandemic has caused a reduction in HNC care. Rapid COVID-19 testing and correlation with infectious potential remain paramount to resuming the care of patients with head and neck cancer. Cloud-based platforms to share practice patterns will be essential as the pandemic evolves.
[METHODS] Head and neck surgeons from 14 institutions in the United States regularly contributed their practice patterns to a shared spreadsheet. Data from 27 March 2020 to 5 April 2020 was analyzed.
[RESULTS] All institutions had significantly restricted HNC clinic evaluations. Two institutions stopped free-flap surgery with the remaining scheduling surgery by committee review. Factors contributing to reduced clinical volume included lack of personal protective equipment (PPE) (35%) and lack of rapid COVID-19 testing (86%).
[CONCLUSIONS] The COVID-19 pandemic has caused a reduction in HNC care. Rapid COVID-19 testing and correlation with infectious potential remain paramount to resuming the care of patients with head and neck cancer. Cloud-based platforms to share practice patterns will be essential as the pandemic evolves.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | microvascular
|
미세수술 | dict | 1 | |
| 시술 | flap
|
피판재건술 | dict | 1 | |
| 약물 | HNC
→ head and neck cancer
|
C0278996
Malignant Head and Neck Neoplasm
|
scispacy | 1 | |
| 약물 | COVID19
|
scispacy | 1 | ||
| 약물 | [BACKGROUND]
|
scispacy | 1 | ||
| 약물 | COVID-19
→ COVID19) pandemic. [BACKGROUND] The SARS-CoV-2
|
scispacy | 1 | ||
| 약물 | [CONCLUSIONS] The
|
scispacy | 1 | ||
| 질환 | head and neck oncologic and microvascular surgery
|
scispacy | 1 | ||
| 질환 | head and neck cancer
|
C0278996
Malignant Head and Neck Neoplasm
|
scispacy | 1 | |
| 질환 | HNC
→ head and neck cancer
|
C0278996
Malignant Head and Neck Neoplasm
|
scispacy | 1 | |
| 질환 | head and neck
|
scispacy | 1 | ||
| 질환 | Head and neck surgeons from 14
|
scispacy | 1 | ||
| 기타 | patient
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 |
MeSH Terms
COVID-19; COVID-19 Testing; Clinical Laboratory Techniques; Communicable Disease Control; Coronavirus Infections; Databases, Factual; Female; Head and Neck Neoplasms; Humans; Male; Medical Oncology; Microsurgery; Pandemics; Patient Safety; Pneumonia, Viral; Practice Patterns, Physicians'; Program Evaluation; Retrospective Studies; Societies, Medical; Surgical Oncology; Surveys and Questionnaires; United States
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