美国在 SARS-CoV-2（COVID19）大流行期间的早期机构性头颈部肿瘤学和微血管外科手术实践模式。
Early institutional head and neck oncologic and microvascular surgery practice patterns across the United States during the SARS-CoV-2 (COVID19) pandemic.
机构信息
West Virginia University, Morgantown, West Virginia, USA.
University of Kentucky Markey Cancer Center, Lexington, Kentucky, USA.
出版信息
Head Neck. 2020 Jun;42(6):1168-1172. doi: 10.1002/hed.26189. Epub 2020 Apr 28.
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.
摘要
背景
SARS-CoV-2（COVID-19）大流行导致头颈部癌症（HNC）治疗迅速变化。“实时”监测实践模式的方法可以优化提供者的安全性和患者护理。
方法
来自美国 14 个机构的头颈部外科医生定期将其实践模式贡献到一个共享的电子表格中。对 2020 年 3 月 27 日至 2020 年 4 月 5 日的数据进行了分析。
结果
所有机构均显著限制了 HNC 临床评估。有两个机构停止了游离皮瓣手术，其余的手术通过委员会审查来安排。导致临床量减少的因素包括缺乏个人防护设备（PPE）（35%）和缺乏快速 COVID-19 检测（86%）。
结论
COVID-19 大流行导致 HNC 治疗减少。快速 COVID-19 检测及其与传染性的相关性仍然是恢复头颈部癌症患者护理的关键。随着大流行的发展，基于云的共享实践模式平台将是必不可少的。
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本文引用的文献
1
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JAMA Otolaryngol Head Neck Surg. 2020 Jun 1;146(6):579-584. doi: 10.1001/jamaoto.2020.0780.
2
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J Natl Compr Canc Netw. 2020 Mar 20:1-4. doi: 10.6004/jnccn.2020.7560.
3
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N Engl J Med. 2020 Apr 16;382(16):1564-1567. doi: 10.1056/NEJMc2004973. Epub 2020 Mar 17.
4
Integrated infection control strategy to minimize nosocomial infection of coronavirus disease 2019 among ENT healthcare workers.综合感染控制策略，以尽量减少耳鼻喉科医护人员中2019冠状病毒病的医院感染。
J Hosp Infect. 2020 Apr;104(4):454-455. doi: 10.1016/j.jhin.2020.02.018. Epub 2020 Feb 27.
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6
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8
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