Evidence map›Paper›PMID 32484380›Full record

ReviewOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2020

Time for a Paradigm Shift in Head and Neck Cancer Management During the COVID-19 Pandemic.

Albert Y Han, Jessa E Miller, Jennifer L Long, Maie A St John

Abstract readReview
In one paragraph

Review in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Prioritization of head and neck cancer patient care during the COVID-19 pandemic: a retrospective cohort study.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2023
    Article
  6. Article
  7. Article
  8. COVID-19 and head and neck oncology.Operative techniques in otolaryngology--head and neck surgery · 2022
    Article
  9. 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
  10. Article
  11. Multidisciplinary Safety Recommendations After Tracheostomy During COVID-19 Pandemic: State of the Art Review.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2021
    Review
  12. Review
  13. Article
  14. 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

4 authors.

Albert Y HanDepartment of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Jessa E MillerDepartment of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Jennifer L LongDepartment of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Maie A St JohnDepartment of Head and Neck Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.

Funding

Women's CancersP30CA016042 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Samuel Wheeler French · 1985 to 2026
$134.5M
Tissue engineering to regenerate functional vocal fold after scarring or tissue lossR01DC016959 · NIDCD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LONG, JENNIFER L · 2018 to 2022
$3.7M
Vocal cord tissue engineering: Pre-clinical scale-upI21RX002867 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI LONG, JENNIFER L · 2018 to 2020
–
NCI NIH HHS P30 CA016042NIDCD NIH HHS R01 DC016959RRD VA I21 RX002867
6 · The paper itself

Abstract

objectiveThe coronavirus disease 2019 (COVID-19) pandemic has caused physicians and surgeons to consider restructuring traditional cancer management paradigms. We aim to review the current evidence regarding the diagnosis and management of head and neck cancer, with an emphasis on the role of the multidisciplinary team (MDT) during a pandemic. DATA SOURCES: COVID-19 resources from PubMed, Google Scholar, the American Academy of Otolaryngology-Head and Neck Surgery, and the American Head and Neck Society were examined. REVIEW

methodsStudies and guidelines related to the multidisciplinary management of head and neck cancer in the COVID-19 setting were reviewed. A total of 54 studies were included. Given the continuously evolving body of literature, the sources cited include the latest statements from medical and dental societies.

resultsThe unpredictable fluctuation of hospital resources and the risk of the nosocomial spread of SARS-CoV-2 have direct effects on head and neck cancer management. Using an MDT approach to help define "essential surgery" for immediately life- or function-threatening disease processes in the context of available hospital resources will help to maximize outcomes. Early enrollment in an MDT is often critical for considering nonsurgical options to protect patients and health care workers. The role of the MDT continues after cancer treatment, if delivered, and the MDT plays an essential role in surveillance and survivorship programs in these challenging times.

conclusionHead and neck cancer management during the COVID-19 pandemic poses a unique challenge for all specialists involved. Early MDT involvement is important to maximize patient outcomes and satisfaction in the context of public and community safety.

Indexed as

Disease ManagementBetacoronavirusCoronavirus InfectionsCOVID-19Head and Neck NeoplasmsHumansPandemicsPneumonia, ViralPractice Guidelines as TopicSARS-CoV-2cancer managementCOVID-19head and neck cancermultidisciplinary cancersurvivorship

Identifiers

PMID32484380
PMCPMC7484111

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.