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COVID-19 对头颈部癌症护理的伦理框架产生影响。

Ethical framework for head and neck cancer care impacted by COVID-19.

机构信息

Center for Bioethics and Social Sciences in Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.

Department of Otolaryngology-Head & Neck Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.

出版信息

Head Neck. 2020 Jun;42(6):1214-1217. doi: 10.1002/hed.26193. Epub 2020 Apr 28.

DOI:10.1002/hed.26193
PMID:32329948
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7264503/
Abstract

The COVID-19 pandemic has upended head and neck cancer care delivery in ways unforeseen and unprecedented. The impact of these changes parallels other fields in oncology, but is disproportionate due to protective measures and limitations on potentially aerosolizing procedures and related interventions specific to the upper aerodigestive tract. The moral and professional dimensions of providing ethically appropriate and consistent care for our patients in the COVID-19 crisis are considered herein for head and neck oncology providers.

摘要

COVID-19 大流行以意想不到和前所未有的方式颠覆了头颈部癌症的治疗方式。这些变化的影响与肿瘤学的其他领域相似,但由于保护措施以及对上呼吸道进行潜在气溶胶化处理和相关干预的限制,这种影响在头颈部肿瘤学领域更为突出。本文考虑了在 COVID-19 危机期间为头颈部肿瘤患者提供合乎道德且一致的护理的道德和专业层面问题。

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本文引用的文献

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Impact of the COVID-19 Pandemic on the Management of Head and Neck Malignancies.COVID-19 大流行对头颈部恶性肿瘤治疗的影响。
Otolaryngol Head Neck Surg. 2020 Jun;162(6):816-817. doi: 10.1177/0194599820921413. Epub 2020 Apr 21.
2
COVID-19 Pandemic: What Every Otolaryngologist-Head and Neck Surgeon Needs to Know for Safe Airway Management.COVID-19 大流行:每位耳鼻喉科-头颈外科医生都需要了解的安全气道管理知识。
Otolaryngol Head Neck Surg. 2020 Jun;162(6):804-808. doi: 10.1177/0194599820919751. Epub 2020 Apr 14.
3
Navigating the Ethics of COVID-19 in Otolaryngology.耳鼻喉科 COVID-19 伦理问题探讨。
Otolaryngol Head Neck Surg. 2020 Jun;162(6):811-812. doi: 10.1177/0194599820920850. Epub 2020 Apr 14.
4
The impact of Coronavirus (COVID-19) on head and neck cancer patients' care.冠状病毒(COVID-19)对头颈癌患者护理的影响。
Radiother Oncol. 2020 Jun;147:84-85. doi: 10.1016/j.radonc.2020.03.020. Epub 2020 Mar 24.
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Safety Recommendations for Evaluation and Surgery of the Head and Neck During the COVID-19 Pandemic.COVID-19 大流行期间头颈部评估和手术的安全建议。
JAMA Otolaryngol Head Neck Surg. 2020 Jun 1;146(6):579-584. doi: 10.1001/jamaoto.2020.0780.
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