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. 2020 Aug;134(8):684-687.
doi: 10.1017/S0022215120001735. Epub 2020 Aug 6.

The impact of coronavirus disease 2019 on head and neck cancer services: a UK tertiary centre study

R Taylor  1 , E Omakobia  1 , S Sood  1 , R J Glore  1
Affiliations

The impact of coronavirus disease 2019 on head and neck cancer services: a UK tertiary centre study

R Taylor et al. J Laryngol Otol. 2020 Aug.

Abstract

Background: The coronavirus disease 2019 pandemic has necessitated almost exclusive National Health Service focus on emergency work and cancer care. There are concerns that increased hospital and community pressures will lead to decreased referrals and worse outcomes for head and neck cancer patients.

Method: This is a retrospective review of all cases referred for suspected head and neck cancer to our institution in January and April 2020.

Results: There was a 55 per cent decrease in referrals but diagnostic yield rose from 2.9 per cent in January to 8.06 per cent in April. In both months, 100 per cent of patients met the 31- and 62-day targets, with similar 14-day wait time success (97.83 per cent for January vs 98.33 per cent for April). Referrals for laryngopharyngeal reflux rose from 27.5 per cent to 41.9 per cent. Referrals for those aged over 60 years fell from 42 per cent to 26 per cent.

Conclusion: It is suggested that further research be conducted into the reasons why fewer patients were referred, particularly elderly patients, and why laryngopharyngeal reflux is so prevalent in fast-track referrals.

Keywords: COVID-19; Coronavirus; Head And Neck Neoplasms; Laryngopharyngeal Reflux; Retrospective Studies.

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Figures

Fig. 1.
Fig. 1.
Comparison of outcomes from first review for (a) January and (b) April 2020 referrals. F/T = fast-track; LPR = laryngopharyngeal reflux; NAD = no abnormality detected
Fig. 2.
Fig. 2.
Comparison of the proportion of referrals by age group in January and April 2020.
See this image and copyright information in PMC

References

    1. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395:497–506 - PMC - PubMed
    1. COVID-19 dashboard by the Center for Systems Science (CSSE) and Engineering at Johns Hopkins University (JHU). In: https://www.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd4029942... [13 June 2020]
    1. NHS England and NHS Improvement. Important and urgent – next steps on NHS response to COVID-19. In: https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/... [17 Mar 2020]
    1. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet 2020;395:1054–62 - PMC - PubMed
    1. Cancer Research UK. Head and neck cancers incidence statistics. In: www.cancerresearchuk.org/health-professional/cancer-statistics/statistic... [13 June 2020]

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