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Recommendations for head and neck surgical oncology practice in a setting of acute severe resource constraint during the COVID-19 pandemic : an international consensus

Mehanna, Hisham
Hardman, John C
Shenson, Jared A
Abou-Foul, Ahmad K
Topf, Michael C
AlFalasi, Mohammad
Chan, Jason Y K
Chaturvedi, Pankaj
Chow, Velda Ling Yu
Dietz, Andreas
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Affiliation
University of Birmingham; The Royal Marsden National Health Service Foundation Trust; Stanford University; Walsall Healthcare NHS Trust; United Arab Emirates University; The Chinese University of Hong Kong; Tata Memorial Hospital; University of Leipzig; University of Cape Town; University Hospital and University of Southern Denmark; Poznan University of Medical Sciences; Hokkaido University; Atilim University; National Cancer Centre and Singapore General Hospital; Yonsei University; Komfo Anokye Teaching Hospital; University of Sao Paulo; Zucker School of Medicine; Cochin Cancer Research Centre; University of Athens; University of Texas; Amsterdam University; St James's Hospital and The Royal Victoria Eye and Ear Hospital; University of Milan; National Taiwan University Hospital and College of Medicine; St Vincent's Hospital; HÎpital Européen Georges-Pompidou; University of Western Ontario; University of Queensland; Hospital Universitario Lucus Augusti; Emory University; University of Melbourne; Universidad de Antioquia-Hospital Universitario San Vicente Fundación; Radboud University Medical Center; University of Manchester; Harvard Medical School; Fudan University; University of California San Francisco; Chinese Academy of Medical Sciences and Peking Union Medical College; University Health Network, Toronto; Lausanne University Hospital
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2020-06-11
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Abstract
The speed and scale of the global COVID-19 pandemic has resulted in unprecedented pressures on health services worldwide, requiring new methods of service delivery during the health crisis. In the setting of severe resource constraint and high risk of infection to patients and clinicians, there is an urgent need to identify consensus statements on head and neck surgical oncology practice. We completed a modified Delphi consensus process of three rounds with 40 international experts in head and neck cancer surgical, radiation, and medical oncology, representing 35 international professional societies and national clinical trial groups. Endorsed by 39 societies and professional bodies, these consensus practice recommendations aim to decrease inconsistency of practice, reduce uncertainty in care, and provide reassurance for clinicians worldwide for head and neck surgical oncology in the context of the COVID-19 pandemic and in the setting of acute severe resource constraint and high risk of infection to patients and staff.
Citation
Mehanna H, Hardman JC, Shenson JA, Abou-Foul AK, Topf MC, AlFalasi M, Chan JYK, Chaturvedi P, Chow VLY, Dietz A, Fagan JJ, Godballe C, GolusiƄski W, Homma A, Hosal S, Iyer NG, Kerawala C, Koh YW, Konney A, Kowalski LP, Kraus D, Kuriakose MA, Kyrodimos E, Lai SY, Leemans CR, Lennon P, Licitra L, Lou PJ, Lyons B, Mirghani H, Nichols AC, Paleri V, Panizza BJ, Parente Arias P, Patel MR, Piazza C, Rischin D, Sanabria A, Takes RP, Thomson DJ, Uppaluri R, Wang Y, Yom SS, Zhu YM, Porceddu SV, de Almeida JR, Simon C, Holsinger FC. Recommendations for head and neck surgical oncology practice in a setting of acute severe resource constraint during the COVID-19 pandemic: an international consensus. Lancet Oncol. 2020 Jul;21(7):e350-e359.
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