Conclusion
While COVID-19 pandemic may eventually dissipate, health care
disparities will likely persist. The COVID-19 pandemic has provided us
with a lens, opportunity, and rationale for renewed dedication to
investigating the causes of and solutions for racial/ethnic disparities
in access and outcomes for patients with HNC. Although many factors
contribute to racial/ethnic disparities in morbidity and mortality in
patients with HNC, healthcare delivery should not be one of them.
References
1. Wadhera RK, Wadhera P, Gaba Pet al. Variation in COVID-19
Hospitalizations and Deaths Across New York City Boroughs. JAMA 2020.
2. Owen WF, Jr., Carmona R, Pomeroy C. Failing Another National Stress
Test on Health Disparities. JAMA 2020.
3. Williams DR, Cooper LA. COVID-19 and Health Equity-A New Kind of
”Herd Immunity”. JAMA 2020.
4. Webb Hooper M, Napoles AM, Perez-Stable EJ. COVID-19 and
Racial/Ethnic Disparities. JAMA 2020.
5. Cleveland Manchanda E, Couillard C, Sivashanker K. Inequity in Crisis
Standards of Care. N Engl J Med 2020.
6. Figueroa JF, Frakt AB, Jha AK. Addressing Social Determinants of
Health: Time for a Polysocial Risk Score. JAMA 2020.
7. Molina MA, Cheung MC, Perez EAet al. African American and poor
patients have a dramatically worse prognosis for head and neck cancer:
an examination of 20,915 patients. Cancer 2008; 113:2797-2806.
8. Gourin CG, Podolsky RH. Racial disparities in patients with head and
neck squamous cell carcinoma. Laryngoscope 2006; 116:1093-1106.
9. Goodwin WJ, Thomas GR, Parker DFet al. Unequal burden of head and
neck cancer in the United States. Head Neck 2008; 30:358-371.
10. Mahal BA, Inverso G, Aizer AA, Bruce Donoff R, Chuang SK. Impact of
African-American race on presentation, treatment, and survival of head
and neck cancer. Oral Oncol 2014; 50:1177-1181.
11. Naghavi AO, Echevarria MI, Strom TJet al. Treatment delays, race,
and outcomes in head and neck cancer. Cancer Epidemiol 2016; 45:18-25.
12. Liao DZ, Schlecht NF, Rosenblatt Get al. Association of Delayed Time
to Treatment Initiation With Overall Survival and Recurrence Among
Patients With Head and Neck Squamous Cell Carcinoma in an Underserved
Urban Population. JAMA Otolaryngol Head Neck Surg 2019.
13. Graboyes EM, Garrett-Mayer E, Ellis MAet al. Effect of time to
initiation of postoperative radiation therapy on survival in surgically
managed head and neck cancer. Cancer 2017; 123:4841-4850.
14. Guttmann DM, Kobie J, Grover Set al. National disparities in
treatment package time for resected locally advanced head and neck
cancer and impact on overall survival. Head Neck 2018; 40:1147-1155.
15. Naghavi AO, Echevarria MI, Grass GDet al. Having Medicaid insurance
negatively impacts outcomes in patients with head and neck malignancies.
Cancer 2016.
16. Pronovost PJ, Goeschel CA. Viewing health care delivery as science:
challenges, benefits, and policy implications. Health Serv Res 2010;
45:1508-1522.
17. Khariwala SS, Weinreich HM, McCoul EDet al. Leveraging
COVID-19-Inspired Changes to Advance Otolaryngology-Here to Stay. JAMA
Otolaryngol Head Neck Surg 2020.
18. Graboyes E, Kompelli A, Neskey Det al. Association of Treatment
Delays with Survival for Patients with Head and Neck Cancer. JAMA
Otolaryngol Head Neck Surg 2019; 145:166-177.
19. Ho AS, Kim S, Tighiouart Met al. Quantitative survival impact of
composite treatment delays in head and neck cancer. Cancer 2018;
124:3154-3162.
20. Kasle DA, Torabi SJ, Savoca EL, Judson BL, Manes RP. Outpatient
Otolaryngology in the Era of COVID-19: A Data-Driven Analysis of
Practice Patterns. Otolaryngol Head Neck Surg 2020:194599820928987.
21. Prasad A, Carey RM, Rajasekaran K. Head and neck virtual medicine in
a pandemic era: Lessons from COVID-19. Head Neck 2020.
22. Yancy CW. COVID-19 and African Americans. JAMA 2020.
23. Latulippe K, Hamel C, Giroux D. Social Health Inequalities and
eHealth: A Literature Review With Qualitative Synthesis of Theoretical
and Empirical Studies. J Med Internet Res 2017; 19:e136.
24. Smedley BD, Stith AY, AR N. Unequal Treatment: Confronting Racial
and Ethnic Disparities in Health Care. In: Care IoMCoUaERaEDiH, ed.
Washington, DC: National Academies Press, 2003.
25. Abel EA, Shimada SL, Wang Ket al. Dual Use of a Patient Portal and
Clinical Video Telehealth by Veterans with Mental Health Diagnoses:
Retrospective, Cross-Sectional Analysis. J Med Internet Res 2018;
20:e11350.
26. Megwalu UC, Lee JY. Health Literacy Assessment in an Otolaryngology
Clinic Population. Otolaryngol Head Neck Surg 2016; 155:969-973.
27. Tartak JC, H. K. U.S. Must Avoid Building Racial Bias Into
COVID-19 Emergency Guidance : National Public Radio, 2020.
28. Prachand VN, Milner R, Angelos Pet al. Medically Necessary,
Time-Sensitive Procedures: Scoring System to Ethically and Efficiently
Manage Resource Scarcity and Provider Risk During the COVID-19 Pandemic.
J Am Coll Surg 2020.
29. Balakrishnan K, Arjmand EM. The Impact of Cognitive and Implicit
Bias on Patient Safety and Quality. Otolaryngol Clin North Am 2019;
52:35-46.
30. Jan T, Clement S. Hispanics are almost twice as likely as whites to
have lost their jobs amid pandemic, poll finds The Washington
Post , 2020.
31. Sineshaw HM, Ellis MA, Yabroff KRet al. Association of Medicaid
Expansion Under the Affordable Care Act With Stage at Diagnosis and Time
to Treatment Initiation for Patients With Head and Neck Squamous Cell
Carcinoma. JAMA Otolaryngol Head Neck Surg 2020.
32. Cannon RB, Shepherd HM, McCrary Het al. Association of the Patient
Protection and Affordable Care Act With Insurance Coverage for Head and
Neck Cancer in the SEER Database. JAMA Otolaryngol Head Neck Surg 2018;
144:1052-1057.
33. Wu V, Noel CW, Forner Det al. Considerations for head and neck
oncology practices during the coronavirus disease 2019 (COVID-19)
pandemic: Wuhan and Toronto experience. Head Neck 2020.
34. Metzl JM, Hansen H. Structural competency: theorizing a new medical
engagement with stigma and inequality. Soc Sci Med 2014; 103:126-133.
35. Marmot M. Social determinants of health inequalities. Lancet 2005;
365:1099-1104.
36. Emanuel EJ, Persad G, Upshur Ret al. Fair Allocation of Scarce
Medical Resources in the Time of Covid-19. N Engl J Med 2020;
382:2049-2055.
37. Clinical management of COVID-19: Interim Guidance. Accessed May 21
2020.