@article{3104265, title = "Recommendations for head and neck surgical oncology practice in a setting of acute severe resource constraint during the COVID-19 pandemic: an international consensus", author = "Mehanna, H. and Hardman, J.C. and Shenson, J.A. and Abou-Foul, A.K. and Topf, M.C. and AlFalasi, M. and Chan, J.Y.K. and Chaturvedi, P. and Chow, V.L.Y. and Dietz, A. and Fagan, J.J. and Godballe, C. and Golusiński, W. and Homma, A. and Hosal, S. and Iyer, N.G. and Kerawala, C. and Koh, Y.W. and Konney, A. and Kowalski, L.P. and Kraus, D. and Kuriakose, M.A. and Kyrodimos, E. and Lai, S.Y. and Leemans, C.R. and Lennon, P. and Licitra, L. and Lou, P.-J. and Lyons, B. and Mirghani, H. and Nichols, A.C. and Paleri, V. and Panizza, B.J. and Parente Arias, P. and Patel, M.R. and Piazza, C. and Rischin, D. and Sanabria, A. and Takes, R.P. and Thomson, D.J. and Uppaluri, R. and Wang, Y. and Yom, S.S. and Zhu, Y.-M. and Porceddu, S.V. and de Almeida, J.R. and Simon, C. and Holsinger, F.C.", journal = "The lancet oncology", year = "2020", volume = "21", number = "7", pages = "e350-e359", publisher = "The Lancet Publishing Group", doi = "10.1016/S1470-2045(20)30334-X", keywords = "clinical practice; clinician; consensus; coronavirus disease 2019; Delphi study; human; medical expert; medical society; pandemic; patient care; priority journal; Review; surgical oncology; uncertainty; Betacoronavirus; Coronavirus infection; head and neck tumor; health care organization; international cooperation; occupational health; organization and management; pandemic; pathology; patient safety; practice guideline; surgical oncology; virus pneumonia, Betacoronavirus; Consensus; Coronavirus Infections; Head and Neck Neoplasms; Health Care Rationing; Humans; International Cooperation; Occupational Health; Pandemics; Patient Safety; Pneumonia, Viral; Practice Guidelines as Topic; Surgical Oncology", 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. © 2020 Elsevier Ltd" }