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10.1002/hed.26184

http://scihub22266oqcxt.onion/10.1002/hed.26184
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32298036!7262168!32298036
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suck abstract from ncbi


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pmid32298036      Head+Neck 2020 ; 42 (6): 1159-1167
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  • Framework for prioritizing head and neck surgery during the COVID-19 pandemic #MMPMID32298036
  • Topf MC; Shenson JA; Holsinger FC; Wald SH; Cianfichi LJ; Rosenthal EL; Sunwoo JB
  • Head Neck 2020[Jun]; 42 (6): 1159-1167 PMID32298036show ga
  • 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.
  • |Appointments and Schedules[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Clinical Laboratory Techniques/methods[MESH]
  • |Coronavirus Infections/diagnosis/*epidemiology/prevention & control[MESH]
  • |Elective Surgical Procedures/statistics & numerical data[MESH]
  • |Female[MESH]
  • |Head and Neck Neoplasms/pathology/*surgery[MESH]
  • |Health Priorities[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Otorhinolaryngologic Surgical Procedures/*methods[MESH]
  • |Outcome Assessment, Health Care[MESH]
  • |Pandemics/*prevention & control[MESH]
  • |Patient Selection[MESH]
  • |Pneumonia, Viral/*epidemiology/prevention & control[MESH]
  • |Program Evaluation[MESH]
  • |Surgical Oncology/organization & administration[MESH]
  • |Time-to-Treatment/*statistics & numerical data[MESH]


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