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10.1017/S0022215120001267 http://scihub22266oqcxt.onion/10.1017/S0022215120001267 32613916!7399153!32613916     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Laryngol+Otol 2020 ; 134 (8): 680-683 Nephropedia Template TP {{tp|p=32613916|t=2020. North East London coronavirus disease 2019 protocol for diagnostics in two-week wait head and neck cancer patients |pdf=|usr=}}{{32613916}} gab.com Text North East London coronavirus disease 2019 protocol for diagnostics in two-week wait head and neck cancer patients JO: J Laryngol Otol http://www.kidney.de/pget.php?&tw=1&pmid=32613916 #FOAvip BACKGROUND: The coronavirus disease 2019 pandemic requires urgent modification to existing head and neck cancer diagnosis and management practices. A protocol was established that utilises risk stratification, early investigation prior to clinical review and a reduction in aerosol generating procedures to lessen the risk of coronavirus disease 2019 spread. METHODS: Two-week wait referrals were stratified into low, intermediate and high risk. Low risk patients were referred back to primary care with advice; intermediate and high risk patients underwent investigation. Clinical encounters and aerosol generating procedures were minimised. A combined diagnostic and therapeutic surgical approach was undertaken where possible. RESULTS: Forty-one patients were used to assess feasibility. Thirty-one per cent were low risk, 35 per cent were intermediate and 33 per cent were high risk. Thirty-three per cent were discharged with no imaging. CONCLUSION: Implementing this protocol reduces the future burden on tertiary services, by empowering primary care physicians to re-refer low risk patients. The protocol is applicable across the UK and avoids diagnostic delay. Twit Text FOAVip North East London coronavirus disease 2019 protocol for diagnostics in two-week wait head and neck cancer patients ????J Laryngol Otol http://www.kidney.de/pget.php?&tw=1&pmid=32613916 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32613916 #FOAvip English Wikipedia <ref>{{Cite pmid|32613916}}</ref> North East London coronavirus disease 2019 protocol for diagnostics in two-week wait head and neck cancer patients #MMPMID32613916 Warner E; Scholfield DW; Adams A; Richards P; Ali S; Ahmed J; Ghufoor K J Laryngol Otol 2020[Aug]; 134 (8): 680-683 PMID32613916show ga BACKGROUND: The coronavirus disease 2019 pandemic requires urgent modification to existing head and neck cancer diagnosis and management practices. A protocol was established that utilises risk stratification, early investigation prior to clinical review and a reduction in aerosol generating procedures to lessen the risk of coronavirus disease 2019 spread. METHODS: Two-week wait referrals were stratified into low, intermediate and high risk. Low risk patients were referred back to primary care with advice; intermediate and high risk patients underwent investigation. Clinical encounters and aerosol generating procedures were minimised. A combined diagnostic and therapeutic surgical approach was undertaken where possible. RESULTS: Forty-one patients were used to assess feasibility. Thirty-one per cent were low risk, 35 per cent were intermediate and 33 per cent were high risk. Thirty-three per cent were discharged with no imaging. CONCLUSION: Implementing this protocol reduces the future burden on tertiary services, by empowering primary care physicians to re-refer low risk patients. The protocol is applicable across the UK and avoids diagnostic delay. |Aerosols[MESH] |Betacoronavirus/isolation & purification[MESH] |Biopsy, Fine-Needle/instrumentation[MESH] |COVID-19[MESH] |Clinical Protocols[MESH] |Coronavirus Infections/epidemiology/*transmission/virology[MESH] |Delayed Diagnosis/prevention & control[MESH] |Feasibility Studies[MESH] |Head and Neck Neoplasms/*diagnostic imaging/*pathology/surgery[MESH] |Humans[MESH] |London/epidemiology[MESH] |Otorhinolaryngologic Surgical Procedures/*statistics & numerical data[MESH] |Pandemics[MESH] |Pneumonia, Viral/epidemiology/*transmission/virology[MESH] |Positron Emission Tomography Computed Tomography/methods[MESH] |Referral and Consultation[MESH] |Risk Assessment[MESH] |SARS-CoV-2[MESH] |Thyroid Neoplasms/diagnostic imaging/pathology/surgery[MESH]North East London coronavirus disease 2019 protocol for diagnostics in(epmc).pdf DeepDyve Pubget Overpricing