Proceedings of the 2nd Global Health and Innovation in conjunction with 6th ORL Head and Neck Oncology Conference (ORLHN 2021)

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Jakarta Head and Neck Oncology Surgery Priority Score (Ja-HOP)

Authors
Indra Parmaditya Pamungkas1, 2, *, Marlinda Adham1, 2, Bambang Hermani1, 2, Ika Dewi Mayangsari1, 2, Ferucha Moulanda1, 2
1Division of Oncology, Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Universitas Indonesia/Cipto Mangunkusumo Hospital, Jakarta, Indonesia
2Faculty of Medicine, University of Lambung Mangkurat / Ulin Hospital Banjarmasin, Indonesia
*Corresponding author. Email: Indraparmaditya@gmail.com
Corresponding Author
Indra Parmaditya Pamungkas
Available Online 21 February 2022.
DOI
10.2991/ahsr.k.220206.029How to use a DOI?
Keywords
Head and Neck Oncologic; Surgery; Priority Score
Abstract

COVID-19 Pandemic has made a major change in the health care system including oncologic services. Elective surgery was mostly delayed to preserve resources and decreased COVID-19 transmission. Head and neck oncologic surgery will often be classified as “urgent” surgery and need special management in the current policy restrictions. We provide a score-based system for prioritizing head and neck surgery during the pandemic in the Indonesia setting. Several categories of considerations are made as a priority including tumors type and staging, outcomes following the delay in head and neck cancer therapy, airway, the population affected, patient location, and risk of transmission during otolaryngologic surgery. All categories were translated into a 3-point based specific subcategory score system with a maximum score is 27 and applied to each surgery candidate. The system also included a timeframe in which the physician should reconsider medical treatment if surgery were still not feasible. We applied the Ja-HOP score in our institution and compare patient treatment characteristics before and after implementation. 14 patients (10 curatives, 4 diagnostics) have elective surgery in June 2020 versus 18 patients (15 curatives, 2 diagnostics, 1 follow-up) in May 2021 after implementation. 11 patients have identified high Ja-HOP score (>20), 2 patients were converted to medical and palliative treatment after being assessed with Ja-HOP because of an advanced case. Ja-HOP Score is useful as an objective tool for managing surgical head and neck oncologic patients in our setting. This system will most beneficial for patients and decrease surgeon subjectivity that is prone to the conventional method.

Copyright
© 2022 The Authors. Published by Atlantis Press International B.V.
Open Access
This is an open access article under the CC BY-NC license.

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Volume Title
Proceedings of the 2nd Global Health and Innovation in conjunction with 6th ORL Head and Neck Oncology Conference (ORLHN 2021)
Series
Advances in Health Sciences Research
Publication Date
21 February 2022
ISBN
978-94-6239-540-4
ISSN
2468-5739
DOI
10.2991/ahsr.k.220206.029How to use a DOI?
Copyright
© 2022 The Authors. Published by Atlantis Press International B.V.
Open Access
This is an open access article under the CC BY-NC license.

Cite this article

risenwbib
TY  - CONF
AU  - Indra Parmaditya Pamungkas
AU  - Marlinda Adham
AU  - Bambang Hermani
AU  - Ika Dewi Mayangsari
AU  - Ferucha Moulanda
PY  - 2022
DA  - 2022/02/21
TI  - Jakarta Head and Neck Oncology Surgery Priority Score (Ja-HOP)
BT  - Proceedings of the 2nd Global Health and Innovation in conjunction with 6th ORL Head and Neck Oncology Conference (ORLHN 2021)
PB  - Atlantis Press
SP  - 147
EP  - 151
SN  - 2468-5739
UR  - https://doi.org/10.2991/ahsr.k.220206.029
DO  - 10.2991/ahsr.k.220206.029
ID  - Pamungkas2022
ER  -