Changes in head and neck oncologic practice during the COVID-19 pandemic

Head Neck. 2020 Jul;42(7):1448-1453. doi: 10.1002/hed.26233. Epub 2020 Jun 11.

Abstract

Introduction: The COVID-19 pandemic has raised controversies regarding safe and effective care of patients with head and neck cancer. It is unknown how much the pandemic has changed surgeon practice.

Methods: A questionnaire was distributed to head and neck surgeons assessing opinions related to treatment and concerns for the safety of patients, self, family, and staff.

Results: A total of 88 head and neck surgeons responded during the study period. Surgeons continued to recommend primary surgical treatment for oral cavity cancers. Respondents were more likely to consider nonsurgical therapy for patients with early glottic cancers and HPV-mediated oropharynx cancer. Surgeons were least likely to be concerned for their own health and safety and had the greatest concern for their resident trainees.

Conclusions: This study highlights differences in the willingness of head and neck surgeons to delay surgery or alter plans during times when hospital resources are scarce and risk is high.

Keywords: COVID-19; SARS-CoV-2; coronavirus; head and neck cancer; treatment delays; wellness.

MeSH terms

  • COVID-19
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / prevention & control
  • Elective Surgical Procedures / statistics & numerical data*
  • Female
  • Head and Neck Neoplasms / epidemiology
  • Head and Neck Neoplasms / pathology
  • Head and Neck Neoplasms / surgery*
  • Humans
  • Infection Control / organization & administration
  • Male
  • Occupational Health
  • Pandemics / prevention & control
  • Pandemics / statistics & numerical data*
  • Patient Safety
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / prevention & control
  • Practice Patterns, Physicians' / trends
  • Risk Management
  • Surgeons / statistics & numerical data
  • Surgical Oncology / organization & administration*
  • Surveys and Questionnaires*
  • Time-to-Treatment / statistics & numerical data
  • United States