Total Laryngectomy Volume During the COVID-19 Pandemic: Looking for Evidence of Stage Migration | Head and Neck Cancer | JN Learning | AMA Ed Hub [Skip to Content]
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Total Laryngectomy Volume During the COVID-19 PandemicLooking for Evidence of Stage Migration

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

Responding to the coronavirus disease 2019 (COVID-19) pandemic necessitated resource redistribution and disrupted health care access. Several groups offered recommendations to safeguard head and neck oncologic care in this setting.13 Patients with advanced head and neck cancers were prioritized. In cases of clinical equipoise, nonsurgical treatment modalities were preferred.4,5

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Article Information

Accepted for Publication: July 4, 2021.

Published Online: August 19, 2021. doi:10.1001/jamaoto.2021.2019

Corresponding Author: Antoine Eskander, MD, ScM, Sunnybrook Health Sciences Centre, 2075 Bayview Ave, room T2 047, Toronto, ON M4N 3M5, Canada (antoine.eskander@mail.utoronto.ca).

Author Contributions: Dr Eskander had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Drs Sutradhar and Eskander were co–senior authors.

Concept and design: Noel, Sutradhar, Eskander.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Noel, Sutradhar.

Critical revision of the manuscript for important intellectual content: All authors.

Statistical analysis: All authors.

Obtained funding: Sutradhar, Eskander.

Administrative, technical, or material support: Eskander.

Supervision: Sutradhar, Eskander.

Conflict of Interest Disclosures: Dr Noel receives salary support through a Canadian Institutes of Health Research doctoral award, an Ontario Ministry of Health Clinician Investigator Award, an Ontario Graduate Scholarship, a Raymond Ng Doctoral Award, the Chapnik, Freeman Friedberg Clinician Scientist Award, and the Levinsky Waratah Hold’EM for Life Oncology Fellowship.

Funding/Support: This work was supported by a Sunnybrook Research Institute and Sunnybrook Foundation COVID-19 Response Grant. This study was supported by the ICES, which is funded by an annual grant from the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Role of the Funder/Sponsor: The ICES had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

Disclaimer: The opinions, results, and conclusions reported in this article are those of the authors and are independent from the funding sources. The analyses, conclusions, opinions, and statements reported in this article are those of the authors and do not necessarily reflect those of Cancer Care Ontario (CCO) or Canadian Institute for Health Information (CIHI). No endorsement by the ICES or the MOHLTC or CCO or CIHI is intended or should be inferred.

Additional Contributions: We thank Immigration, Refugees and Citizenship Canada (IRCC) for providing access to the database used in this study.

Additional Information: Parts of this material are based on data and information provided by CCO and the CIHI.

References
1.
Mehanna  H , Hardman  JC , Shenson  JA ,  et al.  Recommendations for head and neck surgical oncology practice in a setting of acute severe resource constraint during the COVID-19 pandemic: an international consensus.   Lancet Oncol. 2020;21(7):e350-e359. doi:10.1016/S1470-2045(20)30334-XPubMedGoogle ScholarCrossref
2.
de Almeida  JR , Noel  CW , Forner  D ,  et al.  Development and validation of a surgical prioritization and ranking tool and navigation aid for head and neck cancer (SPARTAN-HN) in a scarce resource setting: response to the COVID-19 pandemic.   Cancer. 2020;126(22):4895-4904. doi:10.1002/cncr.33114PubMedGoogle ScholarCrossref
3.
Thomson  DJ , Palma  D , Guckenberger  M ,  et al.  Practice recommendations for risk-adapted head and neck cancer radiation therapy during the COVID-19 pandemic: an ASTRO-ESTRO consensus statement.   Int J Rad Onc Biol Phys. 2020;107(4):618-627.Google ScholarCrossref
4.
COVIDSurg Collaborative.  Head and neck cancer surgery during the COVID-19 pandemic: an international, multicenter, observational cohort study.   Cancer. 2021;127(14):2476-2488.PubMedGoogle ScholarCrossref
5.
Wu  V , Noel  CW , Forner  D ,  et al.  Considerations for head and neck oncology practices during the coronavirus disease 2019 (COVID-19) pandemic: Wuhan and Toronto experience.   Head Neck. 2020;42(6):1202-1208. doi:10.1002/hed.26205PubMedGoogle ScholarCrossref
6.
Eskander  A , Goldstein  DP , Irish  JC .  Health services research and regionalization of care—from policy to practice: the Ontario experience in head and neck cancer.   Curr Oncol Rep. 2016;18(3):19. doi:10.1007/s11912-016-0500-6PubMedGoogle ScholarCrossref
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