Considerations for head and neck oncology practices during the coronavirus disease 2019 (COVID-19) pandemic: Wuhan and Toronto experience

doi:10.1002/hed.26205

Review

. 2020 Jun;42(6):1202-1208.

doi: 10.1002/hed.26205. Epub 2020 Apr 27.

Considerations for head and neck oncology practices during the coronavirus disease 2019 (COVID-19) pandemic: Wuhan and Toronto experience

Vincent Wu¹, Christopher W Noel^{1

2}, David Forner^{2

3}, Zhi-Jian Zhang⁴, Kevin M Higgins¹, Danny J Enepekides¹, John M Lee¹, Ian J Witterick¹, John J Kim⁵, John N Waldron⁵, Jonathan C Irish¹, Qing-Quan Hua⁴, Antoine Eskander^{1

2}

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
² Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
³ Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
⁴ Department of Otolaryngology-Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
⁵ Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network and Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada.

PMID: 32338807
PMCID: PMC7267482
DOI: 10.1002/hed.26205

Review

Considerations for head and neck oncology practices during the coronavirus disease 2019 (COVID-19) pandemic: Wuhan and Toronto experience

Vincent Wu et al. Head Neck. 2020 Jun.

. 2020 Jun;42(6):1202-1208.

doi: 10.1002/hed.26205. Epub 2020 Apr 27.

Authors

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
² Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
³ Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
⁴ Department of Otolaryngology-Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
⁵ Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network and Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada.

PMID: 32338807
PMCID: PMC7267482
DOI: 10.1002/hed.26205

Abstract

The practices of head and neck surgical oncologists must evolve to meet the unprecedented needs placed on our health care system by the Coronavirus disease 2019 (COVID-19) pandemic. Guidelines are emerging to help guide the provision of head and neck cancer care, though in practice, it can be challenging to operationalize such recommendations. Head and neck surgeons at Wuhan University faced significant challenges in providing care for their patients. Similar challenges were faced by the University of Toronto during the severe acute respiratory syndrome (SARS) pandemic in 2003. Herein, we outline our combined experience and key practical considerations for maintaining an oncology service in the midst of a pandemic.

Keywords: COVID-19; Coronavirus; PPE; guideline; head and neck cancer.

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Conflict of interest statement

The authors declare no potential conflict of interest.

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References

1. Coronavirus COVID‐19 Global Cases. Baltimore, MD: Center for Systems Science and Engineering (CSSE) at Johns Hopkins University; 2020. https://coronavirus.jhu.edu/map.html. Accessed April 8, 2020.
1. Weeks C. Between 30 and 70 Per Cent of Canadians Could Become Infected with Coronavirus, Patty Hajdu Says. Canada:The Globe and Mail; 2020. https://www.theglobeandmail.com/canada/article-between-30-and-70-per-cen.... Accessed April 8, 2020.
1. Singer PA, Benatar SR, Bernstein M, et al. Ethics and SARS: lessons from Toronto. BMJ. 2003;327(7427):1342‐1344. - PMC - PubMed
1. Booth CM, Matukas LM, Tomlinson GA, et al. Clinical features and short‐term outcomes of 144 patients with SARS in the greater Toronto area. JAMA. 2003;289(21):2801‐2809. - PubMed
1. Smith M. Cancer care in Toronto digs out of rubble of SARS crisis. Oncol Times. 2003;25(11):6‐7.

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[1] Coronavirus COVID‐19 Global Cases. Baltimore, MD: Center for Systems Science and Engineering (CSSE) at Johns Hopkins University; 2020. https://coronavirus.jhu.edu/map.html. Accessed April 8, 2020.

[2] Coronavirus COVID‐19 Global Cases. Baltimore, MD: Center for Systems Science and Engineering (CSSE) at Johns Hopkins University; 2020. https://coronavirus.jhu.edu/map.html. Accessed April 8, 2020.

[3] Weeks C. Between 30 and 70 Per Cent of Canadians Could Become Infected with Coronavirus, Patty Hajdu Says. Canada:The Globe and Mail; 2020. https://www.theglobeandmail.com/canada/article-between-30-and-70-per-cen.... Accessed April 8, 2020.

[4] Weeks C. Between 30 and 70 Per Cent of Canadians Could Become Infected with Coronavirus, Patty Hajdu Says. Canada:The Globe and Mail; 2020. https://www.theglobeandmail.com/canada/article-between-30-and-70-per-cen.... Accessed April 8, 2020.

[5] Singer PA, Benatar SR, Bernstein M, et al. Ethics and SARS: lessons from Toronto. BMJ. 2003;327(7427):1342‐1344. - PMC - PubMed

[6] Singer PA, Benatar SR, Bernstein M, et al. Ethics and SARS: lessons from Toronto. BMJ. 2003;327(7427):1342‐1344. - PMC - PubMed

[7] Booth CM, Matukas LM, Tomlinson GA, et al. Clinical features and short‐term outcomes of 144 patients with SARS in the greater Toronto area. JAMA. 2003;289(21):2801‐2809. - PubMed

[8] Booth CM, Matukas LM, Tomlinson GA, et al. Clinical features and short‐term outcomes of 144 patients with SARS in the greater Toronto area. JAMA. 2003;289(21):2801‐2809. - PubMed

[9] Smith M. Cancer care in Toronto digs out of rubble of SARS crisis. Oncol Times. 2003;25(11):6‐7.

[10] Smith M. Cancer care in Toronto digs out of rubble of SARS crisis. Oncol Times. 2003;25(11):6‐7.

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Considerations for head and neck oncology practices during the coronavirus disease 2019 (COVID-19) pandemic: Wuhan and Toronto experience

Affiliations

Considerations for head and neck oncology practices during the coronavirus disease 2019 (COVID-19) pandemic: Wuhan and Toronto experience

Authors

Affiliations

Abstract

Conflict of interest statement

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