Care guidelines provide a general template for quality, cost-effective management of the cancer patient. Such guidelines may be in relation to screening, genetic counseling, early diagnosis, and prevention strategies as well as treatment and follow up of the cancer patient. The Commission on Cancer does not endorse any specific guideline, but has elected to make guidelines from various national organizations available through this Web site for informational purposes only. Inclusion on this Web site does not constitute a guarantee or endorsement of these guidelines by the Commission on Cancer or the American College of Surgeons.
- ACOG Practice Bulletin 83: Management of Adnexal Masses, July, 2007
- ACOG Committee Opinion 280: The Role of the Generalist Obstetrician-Gynecologist in the Early Detection of Ovarian Cancer (2002)
- Position of the American Collegeof Obstetricians and Gynecologists Committee on Gynecologic Practice Regarding OvaCheckTM, February 25, 2004
- ACOG Patient Education Pamphlet P096: Cancer of the Ovary (2007) http://www.acog.org/publications/patient_education/bp096.cfm
Trophoblastic Disease:
Vulvar/Vaginal Cancer:
American College of Oncology Administrators - ACOA
The ACOA does not have established clinical guidelines. The association's population is mainly those in administrative/leadership positions and focuses on education and career development in the area of oncology.
American College of Physicians - ACP
- Mammography screening in women 40-49 years old
American College of Radiology - ACR
Practice Guidelines and Technical Standards
- Performance of Screening Mammography - Screening
- Performance of Diagnostic Mammography - Diagnosis
- Performance of Whole Breast Digital Mammography - Screening, Diagnosis
- Performance of Stereotactically Guided Breast Interventional Procedures - Diagnosis, Treatment
- Performance of Ultrasound-Guided Percutaneous Breast Interventional Procedures - Diagnosis, Treatment
- Breast Conservation Therapy in the Management of Invasive Breast Carcinoma (with ACS, SSO, and CAP) - Diagnosis, Treatment, Follow-up
- Management of Ductal Carcinoma In-Situ of the Breast (DCIS) (with ACS, SSO, and CAP) - Diagnosis, Treatment, Follow-up
- Performance of FDG-PET Scintigraphy in Oncology
- Performance of Tumor Scintigraphy (with Gamma Cameras) - Diagnosis
- Performance of Therapy with Unsealed Radiopharmaceutical Sources - Treatment
- Transperineal Permanent Brachytherapy of Prostate Cancer - Treatment
- Performance of Total Body Irradiation - Treatment
- Intensity Modulated Radiation Therapy (IMRT) - Treatment
- Performance of Stereotactic Radiosurgery - Treatment
Bone
- Bone Metastases - Treatment
- Pre-Irradiation Evaluation and Management of Brain Metastasis - Treatment
- Solitary Brain Metastasis - Treatment
- Multiple Brain Metastases - Treatment
- Follow-up and Retreatment of Brain Metastases - Treatment
Brain
- Pre-Irradiation Evaluation of Management of Brain Metastasis Treatment
- Solitary Brain Metastasis Treatment
- Multiple Brain Metastases Treatment
- Follow-up and Retreatment of Brain Metastases - Treatment
Breast
- Ductal Carcinoma in Situ and Microinvasive Disease - Treatment
- Postmastectomy Radiotherapy - Treatment
- Locally Advanced Breast Cancer - Treatment
- Local Regional Recurrence and Salvage Surgery - Treatment
- Conservative Surgery and Radiation in Stage I and II Carcinoma of the Breast - Treatment
Hodgkin's
- Staging Evaluation for Patients with Hodgkin's Disease - Other
- Pediatric Hodgkin's Disease - Treatment
- Stage III and IV Hodgkin's Disease - Follow-up
- Follow-up of Hodgkin's Disease - Treatment
- Unfavorable Hodgkin's Disease - Treatment
- Favorable Hodgkin's Disease - Treatment
- Recurrent Hodgkin's Disease - Treatment
Lung
- Staging of Non-Small Cell Lung Carcinoma - Other
- Postoperative Radiotherapy in Non-Small Cell Lung Cancer - Treatment
- Non-Small Cell Lung Cancer, Nonsurgical Aggressive Therapy - Treatment
- Neoadjuvant Therapy for Marginally Resectable Non-Small Cell Lung Carcinoma - Treatment
- Nonaggressive, Nonsurgical Treatment of Inoperable Non-Small Cell Lung Carcinoma - Treatment
- Follow-Up of Non-Small Cell Lung Carcinoma - Follow-up
Prostate
- Staging Evaluation of Patients with Adenocarcinoma of the Prostate - Staging
- Permanent Source Brachytherapy for Prostate Cancer - Treatment
- Locally Advanced (High Rick) Prostate Cancer - Treatment
- Node-Positive Prostate Cancer - Treatment
- Postradical Prostatectomy Irradiation in Carcinoma of the Prostate - Treatment
- Treatment Planning for Clinically Localized Prostate Cancer - Treatment
- Definitive External Beam Irradiation in Stage T1 and T2 Carcinoma of the - Treatment
Rectal/Anal
- Management of Resectable Rectal Cancer - Treatment
- Locally Unresectable Rectal Cancer - Treatment
- Rectal Cancer: Presentation with Metastatic and Locally Advanced Disease - Treatment
- Anal Cancer - Treatment
American College of Surgeons Oncology Group - ACOSOG
The ACOSOG does not have cancer care guidelines per se. They are primarily a research organization. They help report results that would constitute the contents of guidelines, but do not have guidelines as part of their charge.
American Head and Neck Society AHNS
Practice Guidelines
- Head & Neck Surgery General Guidelines
- Head & Neck Chemotherapy General Guidelines
- Head & Neck Imaging General Guidelines
- Head & Neck Radiotherapy General Guidelines
Upper Aerodigestive Tract
- Oral Cavity
- Lip Cancer
- Oropharynx
- Larynx, Supraglottic
- Larynx, Glottic
- Hypopharynx
- Nasopharynx
- Neck Metastases Unknown Primary
- Nasal Cavity and Ethmoid Sinuses
- Maxillary Sinus
Major Salivary Glands
- Parotid
- Submandibular Gland
Thyroid
- Thyroid - Differentiated Carcinoma
- Thyroid - Medullary Carcinoma
- Thyroid - Anaplastic Carcinoma
Tumors
- Ear and Temporal Bone
- Head and Neck - Cutaneous Melanoma
- Head and Neck - Sarcoma
- Parapharyngeal Space Tumors
- Skull Base Neoplasms
American Hospital Association - AHA
The AHA does not have or promote specific cancer care guidelines for its members. Each hospital is expected to manage this area individually and be in compliance with accreditation and regulatory organizations. The hospital cancer programs are reviewed and approved by the American College of Surgeons Commission on Cancer. The AHA supports this process and its requirements regarding use of cancer care guidelines.
American Joint Committee on Cancer - AJCC
American Medical Association - AMA
The AMA-convened Physician Consortium for Performance Improvement (Consortium), together with the American Society for Therapeutic Radiology and Oncology (ASTRO) and American Society of Clinical Oncology (ASCO), are leading a multi-stakeholder effort to develop physician-level, evidence-based performance measures for oncology. These performance measures are based on well established clinical guidelines from such organizations as the National Comprehensive Cancer Network (NCCN), ASCO, and the American College of Radiology (ACR). The final version of the ASTRO/ASCO/Consortium Oncology measures will be posted on the Consortium website: www.physicianconsortium.org
American Pediatric Surgical Association - APSA
- Surgical Guidelines for Children's Oncology Group (COG) Protocols
American Psychosocial Oncology Society - APOS
- NCCN Guidelines on Distress Management (National Comprehensive Cancer Network)
- Australian Medical Research Council for Psychosocial Care of Cancer Patients
American Society of Breast Surgeons ASBS
- Use of Magnetic Resonance Imaging in Breast Oncology
- Management of Fibroadenomas of the Breast
- Revised Consensus Statement on Guidelines for Performance of Sentinel
- Lymphadenectomy for Breast Cancer
- Consensus Statement for Accelerated Partial Breast Irradiation
- Ductal Lavage and Cell-Based Risk Assessment
- Position Statement on Ablative and Percutaneous Treatment of Breast Cancer
- Position Statement on Image-Guided Percutaneous Biopsy of Palpable Breast Lesions
American Society of Clinical Oncology ASCO
Other Practice Tools Available at ASCO Website
Quality Oncology Practice Initiative: Information about the Quality Oncology Practice Initiative (QOPI TM )
ASCO-NCCN Quality Measures: Evidence-based breast and colorectal cancer quality measures developed by ASCO and the National Comprehensive Cancer Network
Chemotherapy Treatment Summary: Facilitating coordination as patients transition among various cancer specialists, other treating clinicians, and other settings of care
NICCQ: Read background information on the ASCO National Initiative on Cancer Care Quality (NICCQ) and find links to related publications
Cancer Quality Alliance: A collaboration of diverse stakeholders to improve cancer care quality
Health Information Technology: Information about Health Information Technology including Electronic Health Records (EHRs), resources, publications, government initiatives
American Society of Colon and Rectal Surgeons ASCRS
- Practice Parameters for Colon Cancer
- Treatment of Rectal Carcinoma
- Laparoscopic Protectomy for Curable Cancer
- Consensus Statement of Definitions for Anorectal Physiology and Rectal Cancer
- Identification and Testing of Patients at risk for Dominantly Inherited Colorectal Cancer
- Treatment of Patients With Dominantly Inherited Colorectal Cancer (Familial Adenomatous Polyposis and Hereditary Nonpolyposis Colorectal Cancer)
- Surveillance and Follow-Up of Patients With Colon and Rectal Cancer
- Colorectal Cancer Screening and Surveillance: Clinical Guidelines and Rationale -- Update Based on New Evidence
- Colorectal Cancer Screening and Surveillance / Recommendations of U.S. Multisociety Task Force on Colorectal Cancer
- Laparoscopic Colectomy for Curable Cancer
- Laparoscopic Proctectomy for Curable Cancer
Society for Therapeutic Radiology and Oncology ASTRO
- Consensus Statements on Radiation Therapy of Prostate Cancer: Guidelines for Prostate Re-Biopsy After Radiation and for Radiation Therapy With Rising Prostate-Specific Antigen Levels After Radical Prostatectomy
- Practice Guideline for Radioembolization with Microsphere Brachytherapy Device (RMBD) for Treatment of Liver Malignancies (Collaborative with ACR)
- Practice Guideline for the Performance of Image-Guided Radiation Therapy (Collaborative with ACR)
- Post-Mastectomy Radiation Therapy (Collaborative with ASCO)
- Biochemical Failure Following Radiotherapy with or without Hormonal Therapy in Men with Clinically Localized Prostate Cancer
- Prostate Re-Biopsy after Radiation Therapy with Rising Prostate-Specific Antigen Levels after Radical Prostatectomy
- Practice Guideline for Transperineal Permanent Brachytherapy of Prostate Cancer (Collaborative with ACR)
- Practice Guideline for 3D External Beam Radiation Planning and conformal Therapy (Collaborative with ACR)
- Practice Guideline for the Performance of Total Body Irradiation (Collaborative with ACR)
- Practice Guideline for Intensity-Modulated Radiation Therapy (IMRT) (Collaborative with ACR)
- Practice Guideline for the Performance of Stereotactic Radiosurgery (Collaborative with ACR)
- Practice Guideline for the Performance of Stereotactic Body Radiation Therapy (Collaborative with ACR)
- Practice Guideline for the Performance of Therapy with Unsealed Radiopharmaceutical Sources (Collaborative with ACR)
- Diagnosis and Management of Lung Cancer: ACCP Evidence-Based Clinical Practice Guidelines (2nd Edition) (Collaborative with ACCP)
American Urological Association AUA
- Premature Ejaculation
- Management of BPH
- Management of Priapism
- Antibiotic Prophylaxis for Urological Patients with Total Joint Replacements
- Optimal Evaluation of the Infertile Male
- Evaluation of the Azoospermic Male
- Management of Obstructive Azoospermia
- Varicocele and Infertility
- Microscopic Hematuria
- Prostate-specific Antigen
- Bladder Cancer
- Vesicoureteral Reflux in Children
- Ureteral Calculi
- Female Stress Urinary Incontinence
- Erectile Dysfunction
- Prostate Cancer
- Staghorn Calculi
Association of Community Cancer Centers - ACCC
- Cancer Program Guidelines
Association of Oncology Social Work AOSW
- Standard of Practice in Oncology Social Work - Screening, Treatment, Follow-up
Canadian Society of Surgical Oncology - CSSO
- The CSSO does not have CSSO-specific guidelines per se.
College of American Pathologists - CAP
Breast
Central Nervous System
- Brain/Spinal Cord (Under Revision)
Digestive System
- Ampulla of Vater
- Anus
- Appendix
- Colon and Rectum
- Esophagus
- Extrahepatic Bile Ducts
- Gallbladder
- Liver (Including Intrahepatic Bile Ducts)
- Pancreas (Endocrine)
- Pancreas (Exocrine)
- Small Intestine
- Stomach
Genitourinary
- Kidney
- Prostate Gland
- Testis
- Urinary Bladder, Renal Pelvis, Ureter
Gynecologic
- Endometrium
- Fallopian Tube
- Ovary
- Trophoblastic Tumors
- Uterine Cervix
- Vagina
- Vulva
Head and Neck
- Thyroid Gland
- Upper Aerodigestive Tract (Including Salivary Glands)
Hematologic System
- Bone Marrow
- Gastrointestinal Lymphomas
- Hodgkin Lymphoma
- Non-Hodgkin Lymphoma
Ophthalmic
- Retinoblastoma
- Uveal Melanoma
Pediatric
- Hepatoblastoma
- Neuroblastoma
- PNET/Ewing Sarcoma
- Rhabdomyosarcoma
- Wilms Tumor
Skin
- Carcinoma of the Skin
- Melanoma of the Skin
Thorax
- Heart
- Lung
- Thoracic Mesothelium
- Thymoma
Other
- Adrenal Gland
- Peritoneum
- Soft Tissue and Bone
National Cancer Institute NCI
The NCI does not produce cancer care guidelines, but instead examines evidence and provides information using a number of mechanisms. The NIH Office of Medical Applications of Research conducts evidence-based assessments of medical practice and state-of-the-science using systematic reviews of the state of medical practice or science. From these assessments Consensus Development Statements and State of the Science Statements are produced based on the strength of the evidence. Consensus Development Statements have been produced for breast, cervical, colorectal and ovarian cancer.
A second method is for providing information is the Physicians Data Query (PDQ) that provides summary statements based on monthly reviews of the literature in a number of areas related to cancer including treatment. Information is provided for health care professionals as well as patients. The web site and cancers sites can be found at the following website: http://www.cancer.gov/cancertopics/pdq/cancerdatabase
National Comprehensive Cancer Network NCCN
Treatment
- Acute Myeloid Leukemia
- Bladder Cancer
- Bladder Cancer
- Upper Tract Tumors
- Urothelial Carcinoma of the Prostate
- Bone Cancer
- Chondrosarcoma
- Ewing’s Sarcoma
- Osteosarcoma
- Breast Cancer
- Noninvasive
- Invasive
- Phyllodes Tumor
- Paget’s Disease
- Breast Cancer During Pregnancy
- Central Nervous System Cancers
- Adult Intracranial Ependymoma
- Limited (1-3) Metastatic Lesions
- Multiple (>3) Metastatic Lesions
- Principles of Brain Tumor Therapy
- Anaplastic Astrocytoma/Anaplastic Oligodendroglioma/Glioblastoma Multiforme
- Adult Low-Grade Infiltrative Supratentorial Astrocytoma/Oligodendroglioma
- Carcinomatous Lymphomatous Meningitis
- Nonimmunosuppressed Primary CNS Lymphoma
- Metastatic Spine Tumors
- Cervical Cancer
- Chronic Myelogenous Leukemia
- Colon/Rectal Cancer
- Colon Cancer
- Rectal Cancer
- Anal Cancer
- Esophageal Cancer
- Gastric Cancer
- Head and Neck Cancers
- Cancer of the Lip
- Cancer of the Oral Cavity
- Cancer of the Oropharynx
- Cancer of the Hypopharynx
- Occult Primary
- Cancer of the Glottic Larynx
- Cancer of the Supraglottic Larynx
- Cancer of the Nasopharynx
- Advanced Head and Neck Cancer
- Ethmoid Sinus Tumors
- Maxillary Sinus Tumors
- Salivary Gland Tumors
- Hepatobiliary Cancers
- Hepatocellular Carcinoma
- Gallbladder Cancer
- Intrahepatic Cholangiocarcinoma
- Extrahepatic Cholangiocarcinoma
- Hodgkin Disease/Lymphoma
- Kidney Cancer
- Melanoma
- Myelodysplastic Syndromes
- Multiple Myeloma
- Multiple Myeloma
- Systemic Light Chain Amyloidosis
- Waldenstrom’s Macroglobulinemia
- Neuroendocrine Tumors
- Multiple Endocrine Neoplasia, Type 1
- Multiple Endocrine Neoplasia, Type 2
- Carcinoid Tumors
- Islet Cell Tumors
- Pheochromocytoma
- Poorly Differentiated/Small Cell/Atypical Lung Carcinoids
- Non-Hodgkin's Lymphoma
- Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
- Follicular Lymphoma
- Marginal Zone Lymphoma
- Mantle Cell Lymphoma
- Diffuse Large B-Cell Lymphoma
- Burkitt's Lymphoma
- Lymphoblastic Lymphoma
- AIDS-Related B-Cell Lymphoma
- Peripheral T-Cell Lymphoma
- Mycosis Fungoides/Sezary Syndrome
- Non-Small Cell Lung Cancer
- Occult Primary Cancer
- Ovarian Cancer
- Epithelial Ovarian Cancer
- Borderline Epithelial Ovarian Cancer (Low Malignant Potential)
- Less Common Ovarian Histologies
- Pancreatic Adenocarcinoma
- Prostate Cancer
- Soft Tissue Sarcoma
- Soft-tissue Extremity
- Retroperitoneal
- Desmoid
- Intra-Abdominal Sarcoma
- Non-Melanoma Skin Cancers
- Basal and Squamous Cell Skin Cancers
- Dermatofibrosarcoma Protuberans
- Merkel Cell Carcinoma
- Small Cell Lung Cancer
- Small Cell Lung Cancer
- Lung Neuroendocrine Tumors
- Testicular Cancer
- Thyroid Cancer
- Nodule Evaluation
- Papillary Carcinoma
- Follicular Carcinoma
- Hurthle Cell Neoplasm
- Medullary Carcinoma
- Anaplastic Carcinoma
- Uterine Cancers
- Endometrial Cancer
- Uterine Sarcoma
Detection, Prevention, and Risk Reduction of Cancer
- Breast Cancer Risk Reduction
- Breast Cancer Screening and Diagnosis
- Cervical Cancer Screening
- Colorectal Cancer Screening
- Genetics/Familial High Risk Assessment
- Breast and/or Ovarian Genetic Assessment
- Hereditary Breast and/or Ovarian Cancer
- Li-Fraumeni Syndrome
- Cowden Syndrome
- Prostate Cancer Early Detection
Supportive Care
- Adult Cancer Pain
- Antiemesis
- Cancer- and Treatment-Related Anemia
- Cancer-Related Fatigue
- Distress Management
- Myeloid Growth Factors
- Palliative Care
- Pediatric Cancer Pain
- Prevention and Treatment of Cancer-Related Infections
- Senior Adult Oncology
- Venous Thromboembolic Disease
National Society of Genetic Counselors - NSGC
Genetic Cancer Risk Assessment and Counseling: Recommendations of the National Society of Genetic Counselors
Risk Assessment and Genetic Counseling for Hereditary Breast and Ovarian Cancer: Recommendations of the National Society of Genetic Counselors
North American Association of Central Cancer Registries - NAACCR
The NAACCR does not publish or provide cancer care guidelines. NAACCR is a professional organization that develops and promotes uniform data standards for cancer registration; provides education and training; certifies population-based registries; aggregates and publishes data from central cancer registries; and promotes the use of cancer surveillance data and systems for cancer control and epidemiologic research, public health programs, and patient care to reduce the burden of cancer in North America.
Oncology Nursing Society ONS
- Chemotherapy and Biotherapy Guidelines and Recommendations for Practice - Treatment
- Access Device Guidelines: Recommendations for Nursing Practice and Education - Treatment
- Safe Handling of Hazardous Drugs - Treatment
- Genetics in Oncology Practice: Cancer Risk Assessment - Screening, Prevention, Diagnosis, Treatment, Follow-up
- Manual for Radiation Oncology Nursing Practice and Education - Treatment, Follow-up
Society of Gynecologic Oncologists - SGO
Two guidelines are currently under development.
Society of Nuclear Medicine - SNM
Society of Surgical Oncology SSO
Society of Thoracic Surgeons STS
- Video assisted thoracic surgery guidelines for practice, training and procedure development
- Recommendations for Standards of Monitoring and Alarms during Cardiopulmonary Bypass from a joint working party of the Society of Cardiothoracic Surgeons, The Association of Cardiothoracic Anaesthetists and the Society of perfusionists
- International guidelines for anticoagulation following heart valve replacement
- Recommendations on the workload of cardiothoracic surgeons
- European Society of Cardiology Taskforce Report: The legal implications of medical guidelines
- European Society of Cardiology guidelines on driving and heart disease
- Draft guidelines on the surgical resection of oesophageal cancer
- ESC Guidelines on diagnosis and management of acute pulmonary embolism
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Revised February 27, 2008