Evidence map›Paper›PMID 32298036›Full record

ReviewHead & neck2020

Framework for prioritizing head and neck surgery during the COVID-19 pandemic.

Michael C Topf, Jared A Shenson, F Christopher Holsinger, Samuel H Wald, Lisa J Cianfichi, Eben L Rosenthal, John B Sunwoo

Open access · greenAbstract readReview
In one paragraph

Review in Head & neck, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 5 pooled it
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 5 syntheses or guidelines pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Sinus and anterior skull base surgery during the COVID-19 pandemic: systematic review, synthesis and YO-IFOS position.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Recommendations from the Canadian Association of Head and Neck Surgical Oncology for the Management of Head and Neck Cancers during the COVID-19 pandemic.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2020
    Guideline
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Impact of the COVID-19 pandemic on head and neck cancer diagnosis: data from a single referral center, South Tyrol, northern Italy.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Article
  14. COVID-19 and head and neck oncology.Operative techniques in otolaryngology--head and neck surgery · 2022
    Article
  15. Delayed presentation of head and neck cancer patients during COVID-19 pandemic.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021
    Article
  16. Review
  17. Article
  18. Timing and volume of information produced for the Otolaryngologist during the COVID-19 pandemic in the UK: A review of the volume of online literature.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2021
    Article
  19. Making the Best of Limited Resources: Improving Outcomes in Head and Neck Cancer.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2021
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Michael C TopfDivision of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California, USA.ORCID 0000-0002-1022-4417
Jared A ShensonDivision of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California, USA.
F Christopher HolsingerDivision of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California, USA.ORCID 0000-0002-9594-1414
Samuel H WaldDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, California, USA.
Lisa J CianfichiDepartment of Perioperative Services, Stanford Healthcare, Palo Alto, California, USA.
Eben L RosenthalDivision of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California, USA.
John B SunwooDivision of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California, USA.
Stanford University · USStanford Health Care · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic has placed an extraordinary demand on the United States health care system. Many institutions have canceled elective and non-urgent procedures to conserve resources and limit exposure. While operational definitions of elective and urgent categories exist, there is a degree of surgeon judgment in designation. In the present commentary, we provide a framework for prioritizing head and neck surgery during the pandemic. Unique considerations for the head and neck patient are examined including risk to the oncology patient, outcomes following delay in head and neck cancer therapy, and risk of transmission during otolaryngologic surgery. Our case prioritization criteria consist of four categories: urgent-proceed with surgery, less urgent-consider postpone > 30 days, less urgent-consider postpone 30 to 90 days, and case-by-case basis. Finally, we discuss our preoperative clinical pathway for transmission mitigation including defining low-risk and high-risk surgery for transmission and role of preoperative COVID-19 testing.

Indexed as

Appointments and SchedulesClinical Laboratory TechniquesCoronavirus InfectionsCOVID-19COVID-19 TestingElective Surgical ProceduresFemaleHead and Neck NeoplasmsHealth PrioritiesHumansMaleOtorhinolaryngologic Surgical ProceduresOutcome Assessment, Health CarePandemicsPatient SelectionPneumonia, Viralclinical practice guidelinesCOVID-19head and neck cancerSARS-CoV-2surgical oncology

Identifiers

PMID32298036
PMCPMC7262168
OpenAlexW3016575517

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.