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

Hisham Mehanna*, John C. Hardman, Jared A. Shenson, Ahmad K. Abou-Foul, Michael C. Topf, Mohammad AlFalasi, Jason Y.K. Chan, Pankaj Chaturvedi, Velda Ling Yu Chow, Andreas Dietz, Johannes J. Fagan, Christian Godballe, Wojciech Golusiński, Akihiro Homma, Sefik Hosal, N. Gopalakrishna Iyer, Cyrus Kerawala, Yoon Woo Koh, Anna Konney, Luiz P. KowalskiDennis Kraus, Moni A. Kuriakose, Efthymios Kyrodimos, Stephen Y. Lai, C. Rene Leemans, Paul Lennon, Lisa Licitra, Pei Jen Lou, Bernard Lyons, Haitham Mirghani, Anthonny C. Nichols, Vinidh Paleri, Benedict J. Panizza, Pablo Parente Arias, Mihir R. Patel, Cesare Piazza, Danny Rischin, Alvaro Sanabria, Robert P. Takes, David J. Thomson, Ravindra Uppaluri, Yu Wang, Sue S. Yom, Yi ming Zhu, Sandro V. Porceddu, John R. de Almeida, Chrisian Simon, F. Christopher Holsinger

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review


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.

Original languageEnglish
Pages (from-to)e350-e359
JournalThe Lancet Oncology
Issue number7
Publication statusPublished - Jul 2020

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