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10.1002/hed.26219

http://scihub22266oqcxt.onion/10.1002/hed.26219
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32374942!7267183!32374942
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suck abstract from ncbi


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pmid32374942      Head+Neck 2020 ; 42 (7): 1674-1680
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  • Rapid implementation of an evidence-based remote triaging system for assessment of suspected referrals and patients with head and neck cancer on follow-up after treatment during the COVID-19 pandemic: Model for international collaboration #MMPMID32374942
  • Paleri V; Hardman J; Tikka T; Bradley P; Pracy P; Kerawala C
  • Head Neck 2020[Jul]; 42 (7): 1674-1680 PMID32374942show ga
  • BACKGROUND: Outpatient telemedicine consultations are being adopted to triage patients for head and neck cancer. However, there is currently no established structure to frame this consultation. METHODS: For suspected referrals with cancer, we adapted the Head and Neck Cancer Risk Calculator (HaNC-RC)-V.2, generated from 10 244 referrals with the following diagnostic efficacy metrics: 85% sensitivity, 98.6% negative predictive value, and area under the curve of 0.89. For follow-up patients, a symptom inventory generated from 5123 follow-up consultations was used. A customized Excel Data Tool was created, trialed across professional groups and made freely available for download at www.entintegrate.co.uk/entuk2wwtt, alongside a user guide, protocol, and registration link for the project. Stakeholder support was obtained from national bodies. RESULTS: No remote consultations were refused by patients. Preliminary data from 511 triaging episodes at 13 centers show that 77.1% of patients were discharged directly or have had their appointments deferred. DISCUSSION: Significant reduction in footfall can be achieved using a structured triaging system. Further refinement of HaNC-RC-V.2 is feasible and the authors welcome international collaboration.
  • |*Continuity of Patient Care[MESH]
  • |*Referral and Consultation[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Clinical Decision-Making[MESH]
  • |Coronavirus Infections/*epidemiology[MESH]
  • |Evidence-Based Practice[MESH]
  • |Head and Neck Neoplasms/*diagnosis/*epidemiology[MESH]
  • |Humans[MESH]
  • |Medical Oncology/methods[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*epidemiology[MESH]
  • |Predictive Value of Tests[MESH]
  • |Remote Consultation[MESH]
  • |Risk Assessment/*methods[MESH]
  • |SARS-CoV-2[MESH]
  • |Symptom Assessment[MESH]
  • |Triage/*organization & administration[MESH]


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