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

Research output: Contribution to journalReview articlepeer-review


  • 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

Colleges, School and Institutes


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.

Bibliographic note

Copyright © 2020 Elsevier Ltd. All rights reserved.


Original languageEnglish
Pages (from-to)e350-e359
Number of pages10
JournalThe Lancet Oncology
Issue number7
Early online date11 Jun 2020
Publication statusPublished - Jul 2020


  • Betacoronavirus, Consensus, Coronavirus Infections/epidemiology, Head and Neck Neoplasms/diagnosis, Health Care Rationing, Humans, International Cooperation, Occupational Health, Pandemics/prevention & control, Patient Safety, Pneumonia, Viral/epidemiology, Practice Guidelines as Topic, Surgical Oncology/organization & administration

ASJC Scopus subject areas