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

• Published in: Journal of laryngology and otology 2020-08, Vol.134 (8), p.684-687
• Main Authors: Taylor, R, Omakobia, E, Sood, S, Glore, R J
• Format: Article
• Language: English
• Subjects: Age groups; Aged; Aged, 80 and over; Betacoronavirus - isolation & purification; Case-Control Studies; Coronaviridae; Coronavirus Infections - epidemiology; Coronavirus Infections - transmission; Coronavirus Infections - virology; Coronaviruses; COVID-19; Demographics; Female; Head & neck cancer; Head and Neck Neoplasms - diagnostic imaging; Head and Neck Neoplasms - epidemiology; Health care; Humans; Laryngopharyngeal Reflux - diagnosis; Laryngopharyngeal Reflux - epidemiology; Magnetic Resonance Imaging - methods; Main; Main Articles; Male; Males; Medical diagnosis; Medical referrals; Middle Aged; Pandemics; Patients; Pneumonia, Viral - epidemiology; Pneumonia, Viral - transmission; Pneumonia, Viral - virology; Prevalence; Referral and Consultation - statistics & numerical data; Retrospective Studies; SARS-CoV-2; Severe acute respiratory syndrome coronavirus 2; State Medicine - organization & administration; Tertiary Care Centers - statistics & numerical data; Thyroid gland; Ultrasonic imaging; Ultrasonography - methods; United Kingdom - epidemiology
• ISSN: 0022-2151; 1748-5460
• DOI: 10.1017/S0022215120001735

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