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.
|Journal||The Lancet Oncology|
|Publication status||Published - 2020 Jul|
Bibliographical noteFunding Information:
The Policy Review was funded by the National Institute of Health Research, UK. Editorial note: the Lancet Group takes a neutral position with respect to territorial claims in published maps and institutional affiliations.
In total, 35 international and national head and neck oncology organisations were invited to participate by the steering committee, which was composed of the members of the HNCIG Surgical Committee. The invited organisations included all 20 clinical trial groups of the HNCIG, who were invited to nominate a surgical representative to be part of the consensus panel. Member groups were the Canadian Cancer Trials Group, Cancer Trials Ireland, the Danish Head and Neck Cancer Group, the Dutch Head and Neck Society, the Eastern Cooperative Oncology Group and the American College of Radiology Imaging Network, the European Organisation for Research and Treatment of Cancer, the French Head and Neck Cancer Group, Fudan University Shanghai Cancer Center, the German Interdisciplinary Working Group for Head and Neck Tumors, the Hellenic Cooperative Oncology Group, Hong Kong Nasopharyngeal Carcinoma Study Group, the Japanese Clinical Oncology Group and The Head and Neck Cancer Study Group, the National Cancer Centre Singapore, the National Cancer Research Institute UK, the North West Italian Oncology Group, NRG Oncology-Head and Neck Cancer Committee, the Spanish Head and Neck Cancer Cooperative Group, Taiwan Cooperative Oncology Group, Tata Memorial Centre, and Trans-Tasman Radiation Oncology Group.
The Policy Review was funded by the National Institute of Health Research, UK.
© 2020 Elsevier Ltd
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