{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T17:33:51Z","timestamp":1772645631766,"version":"3.50.1"},"reference-count":7,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2020,8,6]],"date-time":"2020-08-06T00:00:00Z","timestamp":1596672000000},"content-version":"unspecified","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215120001735_sec_a1\"><jats:title>Background<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120001735_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>This is a retrospective review of all cases referred for suspected head and neck cancer to our institution in January and April 2020.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120001735_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>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 <jats:italic>vs<\/jats:italic> 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.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120001735_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215120001735","type":"journal-article","created":{"date-parts":[[2020,8,6]],"date-time":"2020-08-06T05:34:15Z","timestamp":1596692055000},"page":"684-687","source":"Crossref","is-referenced-by-count":20,"title":["The impact of coronavirus disease 2019 on head and neck cancer services: a UK tertiary centre study"],"prefix":"10.1017","volume":"134","author":[{"given":"R","family":"Taylor","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Omakobia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Sood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R J","family":"Glore","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,8,6]]},"reference":[{"key":"S0022215120001735_ref3","unstructured":"3 NHS England and NHS Improvement. Important and urgent \u2013 next steps on NHS response to COVID-19. In: https:\/\/www.england.nhs.uk\/coronavirus\/wp-content\/uploads\/sites\/52\/2020\/03\/urgent-next-steps-on-nhs-response-to-covid-19-letter-simon-stevens.pdf [17 Mar 2020]"},{"key":"S0022215120001735_ref2","unstructured":"2 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#\/bda7594740fd40299423467b48e9ecf6 [13 June 2020]"},{"key":"S0022215120001735_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30183-5"},{"key":"S0022215120001735_ref5","unstructured":"5 Cancer Research UK. Head and neck cancers incidence statistics. In: www.cancerresearchuk.org\/health-professional\/cancer-statistics\/statistics-by-cancer-type\/head-and-neck-cancers\/incidence [13 June 2020]"},{"key":"S0022215120001735_ref7","doi-asserted-by":"publisher","DOI":"10.1308\/147363512X13311314196212"},{"key":"S0022215120001735_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)30566-3"},{"key":"S0022215120001735_ref6","first-page":"380","article-title":"Head and neck cancer risk calculator (HaNC-RC)-V.2","volume":"45","author":"Tikka","year":"2020","journal-title":"Adjustments and addition of symptoms and social history factors. Clin Otolaryngol"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215120001735","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,9]],"date-time":"2021-03-09T11:51:00Z","timestamp":1615290660000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215120001735\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":7,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["S0022215120001735"],"URL":"https:\/\/doi.org\/10.1017\/s0022215120001735","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8]]}}}