%0 Journal Article
%A Asbun, Horacio J
%A Abu Hilal, Mohammad
%A Kunzler, Filipe
%A Asbun, Domenech
%A Bonjer, Jaap
%A Conlon, Kevin
%A Demartines, Nicolas
%A Feldman, Liane S
%A Morales-Conde, Salvador
%A Pietrabissa, Andrea
%A Pryor, Aurora D
%A Schlachta, Christopher M
%A Sylla, Patricia
%A Targarona, Eduardo M
%A Agra, Yolanda
%A Besselink, Marc G
%A Callery, Mark
%A Cleary, Sean P
%A De La Cruz, Luis
%A Eckert, Philippe
%A Evans, Chad
%A Han, Ho-Seong
%A Jones, Daniel B
%A Gan, Tong Joo
%A Koch, Daniel
%A Lillemoe, Keith D
%A Lomanto, Davide
%A Marks, Jeffrey
%A Matthews, Brent
%A Mellinger, John
%A Melvin, William Scott
%A Moreno-Paquentin, Eduardo
%A Navarrete, Claudio
%A Pawlik, Timothy M
%A Pessaux, Patrick
%A Ricciardi, Walter
%A Schwaitzberg, Steven
%A Shah, Paresh
%A Szokol, Joseph
%A Talamini, Mark
%A Torres, Ricardo
%A Triboldi, Alessandro
%A Udomsawaengsup, Suthep
%A Valsecchi, Federica
%A Vauthey, Jean-Nicolas
%A Wallace, Michael
%A Wexner, Steven D
%A Zinner, Michael
%A Francis, Nader
%T International Delphi Expert Consensus on Safe Return to Surgical and Endoscopic Practice: From the Coronavirus Global Surgical Collaborative.
%D 2021
%U http://hdl.handle.net/10668/17232
%X The aim of this work is to formulate recommendations based on global expert consensus to guide the surgical community on the safe resumption of surgical and endoscopic activities. The COVID-19 pandemic has caused marked disruptions in the delivery of surgical care worldwide. A thoughtful, structured approach to resuming surgical services is necessary as the impact of COVID-19 becomes better controlled. The Coronavirus Global Surgical Collaborative sought to formulate, through rigorous scientific methodology, consensus-based recommendations in collaboration with a multidisciplinary group of international experts and policymakers. Recommendations were developed following a Delphi process. Domain topics were formulated and subsequently subdivided into questions pertinent to different aspects of surgical care in the COVID-19 crisis. Forty-four experts from 15 countries across 4 continents drafted statements based on the specific questions. Anonymous Delphi voting on the statements was performed in 2 rounds, as well as in a telepresence meeting. One hundred statements were formulated across 10 domains. The statements addressed terminology, impact on procedural services, patient/staff safety, managing a backlog of surgeries, methods to restart and sustain surgical services, education, and research. Eighty-three of the statements were approved during the first round of Delphi voting, and 11 during the second round. A final telepresence meeting and discussion yielded acceptance of 5 other statements. The Delphi process resulted in 99 recommendations. These consensus statements provide expert guidance, based on scientific methodology, for the safe resumption of surgical activities during the COVID-19 pandemic.
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