Evidence map›Paper›PMID 32348591›Full record

ArticleHead & neck2020

Management of dysphagia in the patient with head and neck cancer during COVID-19 pandemic: Practical strategy.

Peter K M Ku, Floyd Christopher Holsinger, Jason Y K Chan, Zenon W C Yeung, Becky Y T Chan, Michael C F Tong, Heather M Starmer

Open access · bronzeAbstract read
In one paragraph

Article in Head & neck, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
15.2field-weighted citation impact, top 1% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Screening for oropharyngeal dysphagia in hospitalized COVID-19 patients: a prospective study.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 · 2023
    Article
  6. Observational
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Patient-reported outcomes and complications during head and neck cancer radiotherapy before versus during the COVID-19 pandemic.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  13. Terapia de voz en el contexto de la pandemia covid-19; recomendaciones para la práctica clínica.Journal of voice : official journal of the Voice Foundation · 2021
    Review
  14. Voice Therapy in the Context of the COVID-19 Pandemic: Guidelines for Clinical Practice.Journal of voice : official journal of the Voice Foundation · 2021
    Review
  15. Review
  16. Terapia Vocal No Contexto Da Pandemia Do Covid-19; Orientações Para A Prática Clínica.Journal of voice : official journal of the Voice Foundation · 2021
    Review
  17. Article
  18. Review
  19. Review
  20. Looking at the day after COVID-19… what laryngeal sequelae should we expect?Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Peter K M KuDepartment of Otorhinolaryngology-Head and Neck Surgery, United Christian Hospital and Tseung Kwan O Hospital, Tseung Kwan O, Hong Kong.
Floyd Christopher HolsingerDivision of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California, USA.ORCID https://orcid.org/0000-0002-9594-1414
Jason Y K ChanDepartment of Otorhinolaryngology-Head and Neck Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.ORCID https://orcid.org/0000-0002-9480-4637
Zenon W C YeungDepartment of Otorhinolaryngology-Head and Neck Surgery, United Christian Hospital and Tseung Kwan O Hospital, Tseung Kwan O, Hong Kong.ORCID https://orcid.org/0000-0003-4643-6240
Becky Y T ChanDepartment of Speech Therapy, Prince of Wales Hospital, Shatin, Hong Kong.
Michael C F TongDepartment of Otorhinolaryngology-Head and Neck Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.
Heather M StarmerDivision of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California, USA.ORCID https://orcid.org/0000-0002-1716-9852
Chinese University of Hong Kong · HKStanford University · USPrince of Wales Hospital · CNUnited Christian Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The global pandemic of 2019 novel coronavirus disease (COVID-19) has tremendously altered routine medical service provision and imposed unprecedented challenges to the health care system. This impacts patients with dysphagia complications caused by head and neck cancers. As this pandemic of COVID-19 may last longer than severe acute respiratory syndrome (SARS) in 2003, a practical workflow for managing dysphagia is crucial to ensure a safe and efficient practice to patients and health care personnel. This document provides clinical practice guidelines based on available evidence to date to balance the risks of SARS-CoV-2 exposure with the risks associated with dysphagia. Critical considerations include reserving instrumental assessments for urgent cases only, optimizing the noninstrumental swallowing evaluation, appropriate use of personal protective equipment (PPE), and use of telehealth when appropriate. Despite significant limitations in clinical service provision during the pandemic of COVID-19, a safe and reasonable dysphagia care pathway can still be implemented with modifications of setup and application of newer technologies.

Indexed as

BetacoronavirusCoronavirus InfectionsPandemicsPneumonia, ViralAir FiltersBarium SulfateContrast MediaCOVID-19Deglutition DisordersEnvironmental ExposureEsophagoscopyFluoroscopyHead and Neck NeoplasmsHumansInfection ControlOccupational ExposureBarium SulfateContrast MediacoronavirusCOVID-19dysphagiahead and neckmanagement

Identifiers

PMID32348591
PMCPMC7267655
OpenAlexW3019470401

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.