Impact of the COVID-19 Pandemic on the Surgical Management of Head and Neck Non-Melanoma Skin Cancers in a Maxillofacial Center of Cluj-Napoca.

Impact of the COVID-19 Pandemic on the Surgical Management of Head and Neck Non-Melanoma Skin Cancers in a Maxillofacial Center of Cluj-Napoca.

Publication date: Jul 04, 2024

Background: The COVID-19 era has been a bleak period for both cancer and non-cancer patients, with delayed non-emergency treatments, such as for non-melanoma skin cancer (NMSC). This study aimed to evaluate how the treatment of NMSC patients was influenced by the management of the COVID-19 pandemic in an Eastern European Maxillofacial Surgery center. Materials and Methods: A total of 176 patients with a histopathological diagnosis of head and neck NMSC who were surgically treated in Cluj-Napoca Emergency County Hospital between 2016 and 2022 were included in this study, and divided into two samples, pre-pandemic (2016-2019) and COVID-19 (2020-2022) periods. Results: The pandemic presented with a decrease of 46. 15% in patients’ hospitalization, with wealthy and educated patients being prevalent. Even if the waiting time for surgery was increased, the stage of cancer and preference method for reconstruction did not differ. Despite the lower addressability of NMSC patients during the pandemic, there were no changes in surgical treatment. Conclusions: During COVID-19, the number of patients was reduced, with a longer waiting time for surgery, but without any changes in tumor stage and treatment preferences. However, the benefit of removing a cancer tumor is higher compared to the risk of developing COVID-19 infection during hospitalization.

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Concepts Keywords
Cancer COVID-19 pandemic
Management non-melanoma skin cancer
Napoca skin cancer
Wealthy

Semantics

Type Source Name
disease MESH COVID-19 Pandemic
disease MESH Melanoma
pathway KEGG Melanoma
disease MESH Skin Cancers
disease MESH cancer
disease MESH emergency
disease VO time
disease MESH infection
drug DRUGBANK Coenzyme M
disease MESH neck cancer
drug DRUGBANK Nonoxynol-9
disease MESH carcinoma
disease MESH squamous carcinoma
disease MESH actinic keratosis
disease MESH Bowen’s disease
disease MESH keratoacanthoma
disease MESH scars
drug DRUGBANK Gold
drug DRUGBANK Imiquimod
drug DRUGBANK Vismodegib
disease MESH morbidity
disease MESH syndrome
disease IDO symptom
disease VO protocol
disease MESH chronic illness
drug DRUGBANK Acetylsalicylic acid
disease VO USA
disease VO population
drug DRUGBANK Methyprylon
disease VO head and neck cancer

Original Article

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