International Adaptations of NCCN Clinical Practice Guidelines in Oncology

被引:41
作者
Carlson, Robert W. [1 ,2 ]
Larsen, Jonathan K. [1 ]
McClure, Joan [1 ]
Fitzgerald, Lyn [1 ]
Venook, Alan P. [3 ]
Benson, Al B., III [4 ]
Anderson, Benjamin O. [5 ]
机构
[1] Natl Comprehens Canc Network, Ft Washington, MD 19034 USA
[2] Fox Chase Canc Ctr, Philadelphia, PA 19111 USA
[3] UCSF, Helen Diller Family Comprehens Canc Ctr, San Francisco, CA USA
[4] Northwestern Univ, Robert H Lurie Comprehens Canc Ctr, Chicago, IL 60611 USA
[5] Univ Washington, Seattle Canc Care Alliance, Seattle, WA 98195 USA
来源
JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK | 2014年 / 12卷 / 05期
关键词
RESOURCE;
D O I
10.6004/jnccn.2014.0068
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) are evidence- and consensus-based clinical practice guidelines addressing malignancies that affect more than 97% of all patients with cancer in the United States. The NCCN Guidelines are used extensively in the United States and globally. Use of the guidelines outside the United States has driven the need to adapt the guidelines based on local, regional, or national resources. The NCCN Guidelines Panels created, vetted, and continually update the NCCN Guidelines based on published scientific data on cancer detection, diagnosis, and treatment efficacy. The guidelines are developed within the context of commonly available resources, methods of payment, societal and cultural expectations, and governmental regulations as they exist in the United States. Although many of the cancer management recommendations contained in the NCCN Guidelines apply broadly from a global perspective, not all do. Disparities in availability and access to health care exist among countries, within countries, and among different social groups in the same country, especially regarding resources for cancer prevention, early detection, and treatment. In addition, different drug approval and payment processes result in regional variation in availability of and access to cancer treatment, especially highly expensive agents and radiation therapy. Differences in cancer risk, predictive biomarker expression, and pharmacogenetics exist across ethnic and racial groups, and therefore across geographic locations. Cultural and societal expectations and requirements may also require modification of NCCN Guidelines for use outside the United States. This article describes the adaptation process, using the recent Latin American adaptation of the 2013 NCCN Guidelines for Colorectal Cancer as an example.
引用
收藏
页码:643 / 648
页数:6
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