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. Kowalski; Dennis 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

doi:10.1016/S1470-2045(20)30334-X

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

Department of Otorhinolaryngology

Research output: Contribution to journal › Review article › peer-review

74 Citations (Scopus)

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.

Original language	English
Pages (from-to)	e350-e359
Journal	The Lancet Oncology
Volume	21
Issue number	7
DOIs	https://doi.org/10.1016/S1470-2045(20)30334-X
Publication status	Published - 2020 Jul

Bibliographical note

Funding 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.

Funding Information:
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.

Funding Information:
The Policy Review was funded by the National Institute of Health Research, UK.

Publisher Copyright:
© 2020 Elsevier Ltd

All Science Journal Classification (ASJC) codes

Oncology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/S1470-2045(20)30334-X

Cite this

Mehanna, H., Hardman, J. C., Shenson, J. A., Abou-Foul, A. K., Topf, M. C., AlFalasi, M., Chan, J. Y. K., Chaturvedi, P., Chow, V. L. Y., Dietz, A., Fagan, J. J., Godballe, C., Golusiński, W., Homma, A., Hosal, S., Iyer, N. G., Kerawala, C., Koh, Y. W., Konney, A., ... Holsinger, F. C. (2020). Recommendations for head and neck surgical oncology practice in a setting of acute severe resource constraint during the COVID-19 pandemic: an international consensus. The Lancet Oncology, 21(7), e350-e359. https://doi.org/10.1016/S1470-2045(20)30334-X

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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",

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.",

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

note = "Funding 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. Funding Information: 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. Funding Information: The Policy Review was funded by the National Institute of Health Research, UK. Publisher Copyright: {\textcopyright} 2020 Elsevier Ltd",

year = "2020",

month = jul,

doi = "10.1016/S1470-2045(20)30334-X",

language = "English",

volume = "21",

pages = "e350--e359",

journal = "The Lancet Oncology",

issn = "1470-2045",

publisher = "Lancet Publishing Group",

number = "7",

}

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, Golusiński, 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 2020, 'Recommendations for head and neck surgical oncology practice in a setting of acute severe resource constraint during the COVID-19 pandemic: an international consensus', The Lancet Oncology, vol. 21, no. 7, pp. e350-e359. https://doi.org/10.1016/S1470-2045(20)30334-X

TY - JOUR

T1 - Recommendations for head and neck surgical oncology practice in a setting of acute severe resource constraint during the COVID-19 pandemic

T2 - an international consensus

AU - Mehanna, Hisham

AU - Hardman, John C.

AU - Shenson, Jared A.

AU - Abou-Foul, Ahmad K.

AU - Topf, Michael C.

AU - AlFalasi, Mohammad

AU - Chan, Jason Y.K.

AU - Chaturvedi, Pankaj

AU - Chow, Velda Ling Yu

AU - Dietz, Andreas

AU - Fagan, Johannes J.

AU - Godballe, Christian

AU - Golusiński, Wojciech

AU - Homma, Akihiro

AU - Hosal, Sefik

AU - Iyer, N. Gopalakrishna

AU - Kerawala, Cyrus

AU - Koh, Yoon Woo

AU - Konney, Anna

AU - Kowalski, Luiz P.

AU - Kraus, Dennis

AU - Kuriakose, Moni A.

AU - Kyrodimos, Efthymios

AU - Lai, Stephen Y.

AU - Leemans, C. Rene

AU - Lennon, Paul

AU - Licitra, Lisa

AU - Lou, Pei Jen

AU - Lyons, Bernard

AU - Mirghani, Haitham

AU - Nichols, Anthonny C.

AU - Paleri, Vinidh

AU - Panizza, Benedict J.

AU - Parente Arias, Pablo

AU - Patel, Mihir R.

AU - Piazza, Cesare

AU - Rischin, Danny

AU - Sanabria, Alvaro

AU - Takes, Robert P.

AU - Thomson, David J.

AU - Uppaluri, Ravindra

AU - Wang, Yu

AU - Yom, Sue S.

AU - Zhu, Yi ming

AU - Porceddu, Sandro V.

AU - de Almeida, John R.

AU - Simon, Chrisian

AU - Holsinger, F. Christopher

N1 - Funding 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. Funding Information: 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. Funding Information: The Policy Review was funded by the National Institute of Health Research, UK. Publisher Copyright: © 2020 Elsevier Ltd

PY - 2020/7

Y1 - 2020/7

N2 - 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.

AB - 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.

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U2 - 10.1016/S1470-2045(20)30334-X

DO - 10.1016/S1470-2045(20)30334-X

M3 - Review article

C2 - 32534633

AN - SCOPUS:85086936214

SN - 1470-2045

VL - 21

SP - e350-e359

JO - The Lancet Oncology

JF - The Lancet Oncology

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ER -

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

Abstract

Bibliographical note

All Science Journal Classification (ASJC) codes

UN SDGs

Access to Document

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