Impact of the Novel Coronavirus 2019 (COVID-19) Pandemic on Head and Neck Cancer Care
Objective The study aimed to assess the impact of the coronavirus disease 2019 (COVID-19) pandemic on head and neck oncologic care at a tertiary care facility. Study Design This was a cross-sectional study conducted between March 18, 2020, and May 20, 2020. The primary planned outcome was the rate o...
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Published in | Otolaryngology-head and neck surgery Vol. 166; no. 1; pp. 93 - 100 |
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Main Authors | , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Los Angeles, CA
SAGE Publications
01.01.2022
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Abstract | Objective
The study aimed to assess the impact of the coronavirus disease 2019 (COVID-19) pandemic on head and neck oncologic care at a tertiary care facility.
Study Design
This was a cross-sectional study conducted between March 18, 2020, and May 20, 2020. The primary planned outcome was the rate of treatment modifications during the study period. Secondary outcome measures were tumor conference volume, operative volume, and outpatient patient procedure and clinic volumes.
Setting
This single-center study was conducted at a tertiary care academic hospital in a large metropolitan area.
Methods
The study included a consecutive sample of adult subjects who were presented at a head and neck interdepartmental tumor conference during the study period. Patients were compared to historical controls based on review of operative data, outpatient procedures, and clinic volumes.
Results
In total, 117 patients were presented during the review period in 2020, compared to 69 in 2019. There was an 8.4% treatment modification rate among cases presented at the tumor conference. There was a 61.3% (347 from 898) reduction in outpatient clinic visits and a 63.4% (84 from 230) reduction in procedural volume compared to the prior year. Similarly, the operative volume decreased by 27.0% (224 from 307) compared to the previous year.
Conclusion
Restrictions related to the COVID-19 pandemic resulted in limited treatment modifications. Transition to virtual tumor board format observed an increase in case presentations. While there were reductions in operative volume, there was a larger proportion of surgical cases for malignancy, reflecting the prioritization of oncologic care during the pandemic. |
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AbstractList | The study aimed to assess the impact of the coronavirus disease 2019 (COVID-19) pandemic on head and neck oncologic care at a tertiary care facility.
This was a cross-sectional study conducted between March 18, 2020, and May 20, 2020. The primary planned outcome was the rate of treatment modifications during the study period. Secondary outcome measures were tumor conference volume, operative volume, and outpatient patient procedure and clinic volumes.
This single-center study was conducted at a tertiary care academic hospital in a large metropolitan area.
The study included a consecutive sample of adult subjects who were presented at a head and neck interdepartmental tumor conference during the study period. Patients were compared to historical controls based on review of operative data, outpatient procedures, and clinic volumes.
In total, 117 patients were presented during the review period in 2020, compared to 69 in 2019. There was an 8.4% treatment modification rate among cases presented at the tumor conference. There was a 61.3% (347 from 898) reduction in outpatient clinic visits and a 63.4% (84 from 230) reduction in procedural volume compared to the prior year. Similarly, the operative volume decreased by 27.0% (224 from 307) compared to the previous year.
Restrictions related to the COVID-19 pandemic resulted in limited treatment modifications. Transition to virtual tumor board format observed an increase in case presentations. While there were reductions in operative volume, there was a larger proportion of surgical cases for malignancy, reflecting the prioritization of oncologic care during the pandemic. Objective The study aimed to assess the impact of the coronavirus disease 2019 (COVID‐19) pandemic on head and neck oncologic care at a tertiary care facility. Study Design This was a cross‐sectional study conducted between March 18, 2020, and May 20, 2020. The primary planned outcome was the rate of treatment modifications during the study period. Secondary outcome measures were tumor conference volume, operative volume, and outpatient patient procedure and clinic volumes. Setting This single‐center study was conducted at a tertiary care academic hospital in a large metropolitan area. Methods The study included a consecutive sample of adult subjects who were presented at a head and neck interdepartmental tumor conference during the study period. Patients were compared to historical controls based on review of operative data, outpatient procedures, and clinic volumes. Results In total, 117 patients were presented during the review period in 2020, compared to 69 in 2019. There was an 8.4% treatment modification rate among cases presented at the tumor conference. There was a 61.3% (347 from 898) reduction in outpatient clinic visits and a 63.4% (84 from 230) reduction in procedural volume compared to the prior year. Similarly, the operative volume decreased by 27.0% (224 from 307) compared to the previous year. Conclusion Restrictions related to the COVID‐19 pandemic resulted in limited treatment modifications. Transition to virtual tumor board format observed an increase in case presentations. While there were reductions in operative volume, there was a larger proportion of surgical cases for malignancy, reflecting the prioritization of oncologic care during the pandemic. Objective The study aimed to assess the impact of the coronavirus disease 2019 (COVID-19) pandemic on head and neck oncologic care at a tertiary care facility. Study Design This was a cross-sectional study conducted between March 18, 2020, and May 20, 2020. The primary planned outcome was the rate of treatment modifications during the study period. Secondary outcome measures were tumor conference volume, operative volume, and outpatient patient procedure and clinic volumes. Setting This single-center study was conducted at a tertiary care academic hospital in a large metropolitan area. Methods The study included a consecutive sample of adult subjects who were presented at a head and neck interdepartmental tumor conference during the study period. Patients were compared to historical controls based on review of operative data, outpatient procedures, and clinic volumes. Results In total, 117 patients were presented during the review period in 2020, compared to 69 in 2019. There was an 8.4% treatment modification rate among cases presented at the tumor conference. There was a 61.3% (347 from 898) reduction in outpatient clinic visits and a 63.4% (84 from 230) reduction in procedural volume compared to the prior year. Similarly, the operative volume decreased by 27.0% (224 from 307) compared to the previous year. Conclusion Restrictions related to the COVID-19 pandemic resulted in limited treatment modifications. Transition to virtual tumor board format observed an increase in case presentations. While there were reductions in operative volume, there was a larger proportion of surgical cases for malignancy, reflecting the prioritization of oncologic care during the pandemic. |
Author | Wolf, Jeffrey S. Mehra, Ranee Lubek, Joshua E. Ord, Robert A. Papadimitriou, John C. Cullen, Kevin J. Molitoris, Jason K. Dyalram, Donita Morales, Robert E. Hatten, Kyle M. Thompson, Joshua Adam Amin, Neha Witek, Matthew Taylor, Rodney J. Joy, Reju |
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Keywords | COVID-19 coronavirus head and neck cancer tumor conference |
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License | This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). Attribution |
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Notes | This article was presented at the AACR COVID‐19 and Cancer Virtual Conference as an oral presentation, April 21, 2020. |
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References_xml | – volume: 163 start-page: 16 issue: 1 year: 2020 end-page: 24 article-title: Evidence-based guidelines for management of head and neck mucosal malignancies during the COVID-19 pandemic publication-title: Otolaryngol Head Neck Surg contributor: fullname: Sharma – volume: 69 start-page: 1198 issue: 35 year: 2020 end-page: 1203 article-title: Timing of state and territorial COVID-19 stay-at-home orders and changes in population movement—United States, March 1–May 31, 2020 publication-title: MMWR Morb Mortal Wkly Rep contributor: fullname: Tynan – volume: 162 start-page: 816 issue: 6 year: 2020 end-page: 817 article-title: Impact of the COVID-19 pandemic on the management of head and neck malignancies publication-title: Otolaryngol Head Neck Surg contributor: fullname: Brody – volume: 42 start-page: 1420 year: 2020 end-page: 1422 article-title: Surge after the surge: anticipating the increased volume and needs of patients with head and neck cancer after the peak in COVID-19 publication-title: Head Neck contributor: fullname: Sharma – volume: 18 start-page: 366 issue: 4 year: 2020 end-page: 369 article-title: Managing cancer care during the COVID-19 pandemic: agility and collaboration toward a common goal publication-title: JNCCN J Natl Compr Cancer Netw contributor: fullname: Hendrie – volume: 107 start-page: 104734 year: 2020 article-title: Emergency changes in international guidelines on treatment for head and neck cancer patients during the COVID-19 pandemic publication-title: Oral Oncol contributor: fullname: Marta – volume: 42 start-page: 1179 year: 2020 end-page: 1186 article-title: Changing practice patterns in head and neck oncologic surgery in the early COVID-19 era publication-title: Head Neck contributor: fullname: Yao – volume: 42 start-page: 1448 year: 2020 end-page: 1453 article-title: Changes in head and neck oncologic practice during the COVID-19 pandemic publication-title: Head Neck contributor: fullname: Shimunov – volume: 146 start-page: 579 issue: 6 year: 2020 article-title: Safety recommendations for evaluation and surgery of the head and neck during the COVID-19 pandemic publication-title: JAMA Otolaryngol Head Neck Surg contributor: fullname: Chinn – volume: 105 start-page: 104684 year: 2020 article-title: Head and neck oncology during the COVID-19 pandemic: reconsidering traditional treatment paradigms in light of new surgical and other multilevel risks publication-title: Oral Oncol contributor: fullname: Lee – volume: 42 start-page: 1214 year: 2020 end-page: 1217 article-title: Ethical framework for head and neck cancer care impacted by COVID-19 publication-title: Head Neck contributor: fullname: Campbell – volume: 172 start-page: 577 issue: 9 year: 2020 end-page: 582 article-title: The incubation period of coronavirus disease 2019 (CoVID-19) from publicly reported confirmed cases: estimation and application publication-title: Ann Intern Med contributor: fullname: Bi – volume: 55 start-page: 2000547 issue: 5 year: 2020 article-title: Comorbidity and its impact on 1,590 patients with Covid-19 in China: a nationwide analysis publication-title: Eur Respir J contributor: fullname: Zhao – volume: 324 start-page: 782 issue: 8 year: 2020 end-page: 793 article-title: Pathophysiology, transmission, diagnosis, and treatment of coronavirus disease 2019 (COVID-19): a review publication-title: JAMA contributor: fullname: Prescott – volume: 42 start-page: 1507 year: 2020 end-page: 1515 article-title: Penn Medicine Head and Neck Cancer Service Line COVID-19 management guidelines publication-title: Head Neck contributor: fullname: Lin – volume: 42 start-page: 1150 year: 2020 end-page: 1152 article-title: Head and neck cancer: high-risk population for COVID-19 publication-title: Head Neck contributor: fullname: Nguyen – volume: 25 start-page: 2000257 issue: 17 year: 2020 article-title: Estimating the generation interval for coronavirus disease (COVID-19) based on symptom onset data, March 2020 publication-title: Eurosurveillance contributor: fullname: Chen – volume: 42 start-page: 1423 year: 2020 end-page: 1447 article-title: Ethical surgical triage of patients with head and neck cancer during the COVID-19 pandemic publication-title: Head Neck contributor: fullname: Arnold – volume: 42 start-page: 1423 year: 2020 end-page: 1447 article-title: Ethical surgical triage of patients with head and neck cancer during the COVID‐19 pandemic publication-title: Head Neck – volume: 25 start-page: 2000257 issue: 17 year: 2020 article-title: Estimating the generation interval for coronavirus disease (COVID‐19) based on symptom onset data, March 2020 publication-title: Eurosurveillance – volume: 42 start-page: 1179 year: 2020 end-page: 1186 article-title: Changing practice patterns in head and neck oncologic surgery in the early COVID‐19 era publication-title: Head Neck – volume: 69 start-page: 1198 issue: 35 year: 2020 end-page: 1203 article-title: Timing of state and territorial COVID‐19 stay‐at‐home orders and changes in population movement—United States, March 1–May 31, 2020 publication-title: MMWR Morb Mortal Wkly Rep – volume: 42 start-page: 1420 year: 2020 end-page: 1422 article-title: Surge after the surge: anticipating the increased volume and needs of patients with head and neck cancer after the peak in COVID‐19 publication-title: Head Neck – volume: 42 start-page: 1214 year: 2020 end-page: 1217 article-title: Ethical framework for head and neck cancer care impacted by COVID‐19 publication-title: Head Neck – volume: 42 start-page: 1448 year: 2020 end-page: 1453 article-title: Changes in head and neck oncologic practice during the COVID‐19 pandemic publication-title: Head Neck – volume: 172 start-page: 577 issue: 9 year: 2020 end-page: 582 article-title: The incubation period of coronavirus disease 2019 (CoVID‐19) from publicly reported confirmed cases: estimation and application publication-title: Ann Intern Med – volume: 163 start-page: 16 issue: 1 year: 2020 end-page: 24 article-title: Evidence‐based guidelines for management of head and neck mucosal malignancies during the COVID‐19 pandemic publication-title: Otolaryngol Head Neck Surg – volume: 162 start-page: 816 issue: 6 year: 2020 end-page: 817 article-title: Impact of the COVID‐19 pandemic on the management of head and neck malignancies publication-title: Otolaryngol Head Neck Surg – volume: 105 start-page: 104684 year: 2020 article-title: Head and neck oncology during the COVID‐19 pandemic: reconsidering traditional treatment paradigms in light of new surgical and other multilevel risks publication-title: Oral Oncol – volume: 55 start-page: 2000547 issue: 5 year: 2020 article-title: Comorbidity and its impact on 1,590 patients with Covid‐19 in China: a nationwide analysis publication-title: Eur Respir J – volume: 146 start-page: 579 issue: 6 year: 2020 article-title: Safety recommendations for evaluation and surgery of the head and neck during the COVID‐19 pandemic publication-title: JAMA Otolaryngol Head Neck Surg – volume: 18 start-page: 366 issue: 4 year: 2020 end-page: 369 article-title: Managing cancer care during the COVID‐19 pandemic: agility and collaboration toward a common goal publication-title: JNCCN J Natl Compr Cancer Netw – volume: 324 start-page: 782 issue: 8 year: 2020 end-page: 793 article-title: Pathophysiology, transmission, diagnosis, and treatment of coronavirus disease 2019 (COVID‐19): a review publication-title: JAMA – volume: 42 start-page: 1507 year: 2020 end-page: 1515 article-title: Penn Medicine Head and Neck Cancer Service Line COVID‐19 management guidelines publication-title: Head Neck – volume: 107 start-page: 104734 year: 2020 article-title: Emergency changes in international guidelines on treatment for head and neck cancer patients during the COVID‐19 pandemic publication-title: Oral Oncol – volume: 42 start-page: 1150 year: 2020 end-page: 1152 article-title: Head and neck cancer: high‐risk population for 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The study aimed to assess the impact of the coronavirus disease 2019 (COVID-19) pandemic on head and neck oncologic care at a tertiary care facility.... Objective The study aimed to assess the impact of the coronavirus disease 2019 (COVID‐19) pandemic on head and neck oncologic care at a tertiary care facility.... The study aimed to assess the impact of the coronavirus disease 2019 (COVID-19) pandemic on head and neck oncologic care at a tertiary care facility. This was... |
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SubjectTerms | Aged Baltimore Clinical Protocols coronavirus COVID-19 Female head and neck cancer Head and Neck Neoplasms - surgery Head and Neck Neoplasms - therapy Health Services Accessibility - statistics & numerical data Humans Male Middle Aged Practice Patterns, Physicians' - statistics & numerical data Practice Patterns, Physicians' - trends Prospective Studies Surgical Oncology - statistics & numerical data Tertiary Care Centers Time-to-Treatment tumor conference |
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Title | Impact of the Novel Coronavirus 2019 (COVID-19) Pandemic on Head and Neck Cancer Care |
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