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ArticleEuropean 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 Surgery2024

COVID-19 impact on the management of head and neck cancer: a French single-centre experience.

Maheo Clementine, Clement Camille, Archimede Swann, Zarrin Alavi, Marianowski Remi, Leclere Jean-Christophe

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Article in 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, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Maheo ClementineENT department, Brest Univeristy Hospital, Brest, France. clementine.maheo@chu-brest.fr.ORCID http://orcid.org/0000-0003-4733-1977
Clement CamilleENT department, Brest Univeristy Hospital, Brest, France.
Archimede SwannENT department, Brest Univeristy Hospital, Brest, France.
Zarrin AlaviINSERM, CIC 1412, Brest University Hospital, Brest, France.
Marianowski RemiENT department, Brest Univeristy Hospital, Brest, France.
Leclere Jean-ChristopheENT department, Brest Univeristy Hospital, Brest, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe COVID-19 pandemic has caused unprecedented pressure on medical care resources and access. The aim of this study was to evaluate the time between the cancer symptoms' onset and the first ENT specialist consultation for patients with head and neck (HNC) and salivary glands cancers during the pandemic.

methodsThe outcome measures evaluated were time to diagnosis, and time to treatment onset, as well as the COVID-19 impact on the proportion of both cancer patient groups: asymptomatic and advanced stages. This is single-centre retrospective cross-sectional study, including 473 patients who were treated in our University Hospital for HNC and salivary gland cancers, 171 in the COVID-19 pandemic group (C +), and 302 patients in the pre-pandemic group (C-).

resultsThere were no significant between-group differences in the delays between cancer symptoms' onset and ENT consultation, diagnostic workup and initial treatment onset, respectively. There was a suggestive reduction in the number of diagnostic panendoscopy performed in the C + group (62%) compared to the C- group (73%) as well as a suggestive increase in the delay to adjuvant radiotherapy onset.

conclusionThe median delay between cancer symptoms' onset and ENT specialist consultation was not affected by the COVID-19 pandemic in our centre. Our results suggest an 11% decrease in diagnostic procedures performed independently, a decrease in the delay between the ENT consultation and surgical treatment onset and a 10-day increase in the delay to adjuvant radiotherapy onset.

Indexed as

COVID-19Head and Neck NeoplasmsCross-Sectional StudiesHumansPandemicsRetrospective StudiesCoronavirusCOVID-19Head and neck cancerPandemic

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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.