COVID-19 筛查方案用于大流行期间择期手术的头颈部癌症患者的术前评估：对两家意大利机构的比较进行叙述性综述。
COVID-19 screening protocols for preoperative assessment of head and neck cancer patients candidate for elective surgery in the midst of the pandemic: A narrative review with comparison between two Italian institutions.
机构信息
Section of Otorhinolaryngology-Head and Neck Surgery, Azienda Ospedaliera di Padova, University of Padua, Padua, Italy; Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Spedali Civili di Brescia, University of Brescia, Brescia, Italy.
Unit of Otorhinolaryngology-Head and Neck Surgery, Azienda Spedali Civili di Brescia, University of Brescia, Brescia, Italy.
出版信息
Oral Oncol. 2021 Jan;112:105043. doi: 10.1016/j.oraloncology.2020.105043. Epub 2020 Oct 14.
BACKGROUND
Preoperative screening had a key role in planning elective surgical activity for head and neck cancer (HNC) during the COVID-19 pandemic.
METHODS
All patients undergoing surgery for HNC at two Italian referral hospitals (University of Padua and National Cancer Institute [NCI]) during the peak of the COVID-19 epidemic in Italy were included. Accuracy of screening protocols was assessed.
RESULTS
In the Padua protocol, 41 patients were screened by pharyngeal swab. The entire sample (100%) was admitted to surgery, diagnostic accuracy was 100%. In the NCI protocol, 23 patients underwent a telephone interview, blood test, and chest CT. Twenty patients (87%) were negative and were directly admitted to surgery. In the remaining 3 (13%), pharyngeal swab was performed. The screening was repeated until a negative chest CT was found. Diagnostic accuracy was 85%.
CONCLUSIONS
Dedicated screening protocols for COVID-19 allow to safely perform elective HNC surgery.
背景
在 COVID-19 大流行期间，术前筛查在规划头颈部癌症（HNC）择期手术中起着关键作用。
方法
纳入了在意大利 COVID-19 疫情高峰期在两家意大利转诊医院（帕多瓦大学和国家癌症研究所[NCI]）接受 HNC 手术的所有患者。评估了筛查方案的准确性。
结果
在帕多瓦方案中，有 41 例患者通过咽拭子筛查。整个样本（100%）均接受手术，诊断准确性为 100%。在 NCI 方案中，23 例患者接受了电话访谈、血液检查和胸部 CT。20 例（87%）为阴性并直接接受手术。其余 3 例（13%）进行了咽拭子检查。重复进行筛查，直到发现阴性的胸部 CT 为止。诊断准确性为 85%。
结论
针对 COVID-19 的专用筛查方案可安全地进行 HNC 择期手术。
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