TABLE 7-1 Selected, Publicly Available Oncology Guidelines, by Sponsoring Group




National Comprehensive Cancer Network

Path or algorithm guidelines for all common cancers

Evidence based, with consensus; when no consensus possible, options listed

Intended for mandatory use for all participating cancer centers

No date set for implementation

No set benchmarks for care

Adopted in the community for use outside of NCCN cancer centers

No data yet on compliance or outcomes

American Society of Clinical Oncology

Boundary guidelines for new technologies

Hematopoietic growth factors

Outcomes important enough to justify treatment


Surveillance of breast and colorectal cancer patients

Path or algorithm guidelines for specific diseases

Management of non-small cell lung cancer

Metastatic prostate cancer

Evidence based, with consensus demanded before approval

Adopted by the community but no data available on compliance or outcomes

Likely that all future guidelines will be boundary guidelines for new technologies, with overlap of ASCO and NCCN methods and topics

Society for Surgical Oncology

Path guidelines for management of common surgical problems

Consensus panels

American Urology Association

Path guidelines for common urology problems

Consensus based on evidence

University of California (UC) Cancer Care Consortium (UC and PONA, Inc.)

Path guidelines for most solid tumors

PONA did systematic reviews, consulted with UC faculty for consensus


SOURCE: Smith and Hillner, 1998.

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