The Journal of Laryngology & Otology,
Journal Year:
2022,
Volume and Issue:
136(11), P. 1118 - 1124
Published: April 21, 2022
Delay
in
the
diagnosis
of
head
and
neck
cancer
can
result
significant
excess
morbidity
mortality.
How
pandemic
has
affected
patient
presentation
Scotland
is
unknown.This
retrospective
cohort
study
compared
all
presentations
between
June
October
2019
with
same
period
following
peak
2020
West
Scotland,
a
region
populated
by
2.5
million
people.A
total
528
patients
met
our
inclusion
criteria.
Compared
2019,
were
more
likely
to
present
higher
American
Joint
Committee
on
Cancer
stage
(odds
ratio,
1.67
(95
per
cent
confidence
interval
=
1.20
2.31);
p
0.002),
longer
preceding
symptom
duration
2.03
1.44
2.87;
<
0.001)
have
an
emergency
2.53,
1.15
5.55;
0.017).Patients
are
presenting
later
advanced
coronavirus
disease
pandemic.
Journal of Otolaryngology - Head and Neck Surgery,
Journal Year:
2023,
Volume and Issue:
52(1)
Published: Jan. 1, 2023
The
COVID-19
pandemic
placed
considerable
strain
on
the
healthcare
system,
leading
to
re-allocation
of
resources
and
implementation
new
practice
guidelines.
objective
this
study
is
assess
impact
guideline
modifications
head
neck
cancer
(HNC)
care
at
two
tertiary
centers
in
Canada.A
retrospective
cohort
was
conducted.
HNC
patients
seen
before
after
onset
(pre-pandemic:
July
1st,
2019,
February
29th,
2020;
pandemic:
March
2020,
October
31st,
2020)
were
included.
pre-pandemic
cohorts
compared
according
patient
tumor
characteristics,
duration
workup,
treatment
type
duration.
Mean
differences
wait
times,
including
time
diagnosis,
board,
as
well
total
package
postoperative
hospital
stay
between
cohorts.
Univariate
multivariate
analyses
used
compare
characteristics
outcomes
cohorts.Pre-pandemic
(n
=
132)
133)
did
not
differ
significantly
sex,
age,
habits,
or
characteristics.
percentage
who
received
surgery
only,
chemo/radiotherapy
(CXRT)
plus
adjuvant
CXRT
Pandemic
experienced
a
significant
reduction
with
regards
date
first
by
service
until
start
([Formula:
see
text]
48.7
76.6
days
respectively;
p
.0001),
presentation
board
25.1
38
.001),
mean
for
only
3.7
9.0
.017),
80.2
112.7
.035).The
reduced
during
pre-pandemic.
This
transparent
model
patient-centered
operative-room
prioritization
can
serve
improving
resource
allocation
efficiency
emergency
non-emergency
scenarios.
International Journal of Oral and Maxillofacial Surgery,
Journal Year:
2024,
Volume and Issue:
53(8), P. 629 - 634
Published: Feb. 22, 2024
The
COVID-19
pandemic
placed
a
significant
burden
on
healthcare
resources,
limiting
care
to
emergent
and
essential
services
only.
objective
of
this
study
was
describe
the
effect
diagnosis
progression
oral
cancer
lesions
in
Montreal,
Canada.
A
retrospective
analysis
health
records
performed.
Patients
presenting
for
new
oncology
consultation
an
lesion
suspicious
between
March
2018
2022,
within
Department
Oral
Maxillofacial
Surgery
McGill
University
Health
Center,
were
included.
Data
collected
sociodemographic
characteristics,
risk
behaviors
participants,
delays,
tumor
clinical
management.
total
190
patients
included,
91
from
pre-pandemic
period
99
period.
demographic
characteristics
two
periods
comparable.
There
no
difference
patient,
professional,
or
treatment
delay
periods.
non-significant
increase
pathologic
size
during
pandemic,
but
staging
postoperative
outcomes
comparable
those
cohort.
results
indicate
that
pathways
efficiently
maintained
despite
shutdown
services.
Journal of Clinical Medicine,
Journal Year:
2025,
Volume and Issue:
14(5), P. 1424 - 1424
Published: Feb. 20, 2025
Background/Objectives:
The
COVID-19
pandemic
led
to
unprecedented
disruptions
cancer
care,
including
the
care
of
head
and
neck
cancer.
Given
necessity
timely
treatment
for
mucosal
cancers,
it
is
important
understand
how
affected
diagnosis,
presentation,
Methods:
National
Cancer
Database
was
queried
patients
with
primary
number
annual
diagnoses
days
between
diagnosis
start
end
any
were
tracked
over
time
from
2004
2020.
Chi-square
tests
used
compare
differences
in
patient
clinical
demographic
characteristics
2019
2020
provide
most
direct
comparison.
Multivariable
linear
regression
logic
analyses
also
three
quality
measures
2020:
treatment,
surgery
postoperative
radiation,
radiation.
Results:
decreased
(9.1%)
during
early
stages
pandemic,
a
larger
decrease
(12.4%)
among
receiving
surgery.
On
multivariable
analysis
comparing
2019,
shorter
(2.3
days;
95%
CI,
1.69
2.85
days),
radiation
less
likely
be
delayed
(OR,
0.91
greater
than
42
surgery;
0.85
0.97).
However,
who
black,
female,
older,
or
uninsured
more
experience
delays.
Conclusions:
Overall,
there
no
delays
surgical
pandemic.
vulnerable
groups,
such
as
uninsured,
at
higher
risk
experiencing
Frontiers in Oncology,
Journal Year:
2023,
Volume and Issue:
13
Published: Sept. 20, 2023
During
the
first
wave
of
COVID-19
pandemic
in
2020,
non-essential
health
services
were
suspended
Belgium,
and
public
was
ordered
to
socially
isolate.
Underdiagnosis
cancer
during
this
period
reported
worldwide.
Certain
risk
factors
for
head
neck
(HNC)
overlap
with
those
incidence
mortality,
making
underdiagnosis
subsequent
stage
shift
potentially
rapidly
progressing
a
major
concern.
We
aimed
analyze
incidence,
clinical
at
presentation,
survival
patients
diagnosed
HNC
2020
considering
recent
temporal
trends.Using
population-based
data
from
Belgian
Cancer
Registry
(BCR),
we
extrapolated
2017-2019
trends
stage,
1-year
relative
(1yRS)
create
an
expected
value
compared
observed
value.There
9.5%
fewer
HNCs
predicted
incidence.
larger
males
(-11.8%),
aged
50-64
(-11.2%)
65-79
(-11.1%),
oral
cavity
(-17.6%).
Shifts
more
advanced
stages
larynx
oropharynx
tumors
(male)
80+.
A
2.4
percentage
point
decline
1yRS
observed,
increasing
(2017-2019).The
led
HNC,
resulting
shifts
presentation
certain
subgroups.
can
be
not
yet
end
2020.
suffered
higher
than
mortality.
Journal of Cancer Research and Clinical Oncology,
Journal Year:
2023,
Volume and Issue:
149(13), P. 12081 - 12087
Published: July 8, 2023
Abstract
Purpose
Given
the
concerns
about
effects
of
COVID-19
pandemic
on
cancer
care,
we
analyzed
treatment
quality
head
and
neck
center
Regensburg
before
throughout
2
years
pandemic.
We
included
data
3
to
reflect
extended
period
as
new
developments
continued
influence
its
course.
Methods
This
retrospective
review
all
patients
diagnosed
with
in
2019,
2020,
2021
who
had
not
started
elsewhere
prior
being
referred
center.
compared
tumor
characteristics
times
therapy
2019
(n
=
253),
during
2020
206),
a
phase
partial
normalization
persistent
situation
247).
Results
Our
revealed
no
decrease
diagnoses
or
drift
stages
toward
more
advanced
stages.
There
was
an
increased
percentage
confirmed
at
from
(57.3%)
(68.0%)
(65.6%)
confirmation
other
institutions
(2019,
42.7%;
32.0%;
2021,
34.4%;
P
0.041).
Surgery
radiotherapy
were
performed
same
frequency.
The
median
days
between
diagnosis
surgery
decreased
(19.5
days;
0.049)
(20.0
0.026)
comparison
(23
days).
affected.
Conclusion
indicate
consistent
oncological
performance
for
waves
thereafter
without
shift
