id
stringlengths
40
40
source
stringclasses
9 values
title
stringlengths
2
345
clean_text
stringlengths
35
1.63M
raw_text
stringlengths
4
1.63M
url
stringlengths
4
498
overview
stringlengths
0
10k
7a73f9287841533eeb11c025026322a23d519f2c
cco
None
# QUESTIONS Diagnosis/Staging What benefit to clinical management does positron emission tomography (PET) or positron emission tomography/computed tomography (PET/CT) contribute to the diagnosis or staging of head and neck cancer? What benefit to clinical management does PET or PET/CT contribute to the assessment of tr...
# QUESTIONS Diagnosis/Staging What benefit to clinical management does positron emission tomography (PET) or positron emission tomography/computed tomography (PET/CT) contribute to the diagnosis or staging of head and neck cancer? What benefit to clinical management does PET or PET/CT contribute to the assessment of tr...
None
None
0ca6b1adf1e6c001dc70cd13be35a1e8a4c14839
cco
None
# GUIDELINE OBJECTIVES To update clinical guidance on the use of multigene profiling assays in individuals with earlystage invasive breast cancer. # TARGET POPULATION Individuals diagnosed with early-stage invasive breast cancer for whom further information is needed for prognosis and treatment decision making. In thi...
This report is copyrighted by Ontario Health (Cancer Care Ontario); the report and the illustrations herein may not be reproduced without the express written permission of Ontario Health (Cancer Care Ontario). Ontario Health (Cancer Care Ontario) reserves the right at any time, and at its sole discretion, to change or ...
None
None
68984194848f42b555d2a3c9077ac7a1e53f976b
cco
None
# GUIDELINE OBJECTIVES To make recommendations with respect to the use of T2-weighted magnetic resonance imaging (MRI) ± functional sequences in the pre-treatment local staging of patients with newly diagnosed prostate cancer. - MRI refers to T2-weighted MRI. - Functional sequences include dynamic contrast-enhanced ima...
This report is copyrighted by Cancer Care Ontario; the report and the illustrations herein may not be reproduced without the express written permission of Cancer Care Ontario. Cancer Care Ontario reserves the right at any time, and at its sole discretion, to change or revoke this authorization. Disclaimer Care has been...
None
None
c80ad0d5ba1eee75e1702847d361abd6ce4bc7b0
cco
None
Evidence-Based Series 4-5 is CURRENT as of November 2022. In June 2016 a literature search and review determined that the recommendations were still valid and not causing harm but all relevant aspects of the topic were not covered by the original guideline. This document was identified for an UPDATE but it is anticipat...
Evidence-Based Series 4-5 is CURRENT as of November 2022. In June 2016 a literature search and review determined that the recommendations were still valid and not causing harm but all relevant aspects of the topic were not covered by the original guideline. This document was identified for an UPDATE but it is anticipat...
None
None
7a09ab0610ecc9990db3362ca0b00a37a016acb4
cco
None
# GUIDELINE OBJECTIVES To make recommendations with respect to the role of adjuvant systemic chemotherapy in stage II and III colon cancer patients who have undergone complete resection with curative intent. # TARGET POPULATION The target population consists of adult patients with stage II and III colon cancer who hav...
# GUIDELINE OBJECTIVES To make recommendations with respect to the role of adjuvant systemic chemotherapy in stage II and III colon cancer patients who have undergone complete resection with curative intent. # TARGET POPULATION The target population consists of adult patients with stage II and III colon cancer who hav...
None
None
8dc99ba0e643ca9733145769790691870c07fb3b
cco
None
# Section 1: Recommendations Section 2: Recommendations and Key Evidence Section 3: Guideline Methods Overview Section 4: Systematic Review Section 5: Internal and External Review For information about this document, please contact Alex Sun, the lead author, through the PEBC via: Phone: 905-527-4322 ext. 42822 Fax: 905...
# Section 1: Recommendations Section 2: Recommendations and Key Evidence Section 3: Guideline Methods Overview Section 4: Systematic Review Section 5: Internal and External Review For information about this document, please contact Alex Sun, the lead author, through the PEBC via: Phone: 905-527-4322 ext. 42822 Fax: 905...
None
None
3fc88a47cdb08da328a10eddd380c8ffc6415303
cco
None
These guideline recommendations have been ENDORSED, which means that the recommendations are still current and relevant for decision making.# GUIDELINE OBJECTIVE How should patients presenting to family physicians and other primary care providers (PCPs) with signs and/or symptoms of prostate cancer, including incidenta...
These guideline recommendations have been ENDORSED, which means that the recommendations are still current and relevant for decision making.# GUIDELINE OBJECTIVE How should patients presenting to family physicians and other primary care providers (PCPs) with signs and/or symptoms of prostate cancer, including incidenta...
None
None
5b1aedafa44e59813f737012f097d77bc96dd71b
cco
None
To jointly update the Cancer Care Ontario guideline on brachytherapy for patients with prostate cancer to account for new evidence.An Update Panel conducted a targeted systematic literature review and identified more recent randomized controlled trials comparing dose-escalated external beam radiation therapy (EBRT) wit...
To jointly update the Cancer Care Ontario guideline on brachytherapy for patients with prostate cancer to account for new evidence.An Update Panel conducted a targeted systematic literature review and identified more recent randomized controlled trials comparing dose-escalated external beam radiation therapy (EBRT) wit...
None
None
2f0b7d32a0fed28287602ada73d594179dd16882
cco
None
In Canada in 2010, an estimated 2600 new cases of ovarian cancer will be diagnosed and, of those cases, 1750 women will die, making ovarian cancer the seventh most prevalent form of cancer in Canadian women and their fifth leading cause of cancer death (1). Women with ovarian cancer typically have subtle, non-specific ...
A # INTRODUCTION In Canada in 2010, an estimated 2600 new cases of ovarian cancer will be diagnosed and, of those cases, 1750 women will die, making ovarian cancer the seventh most prevalent form of cancer in Canadian women and their fifth leading cause of cancer death (1). Women with ovarian cancer typically have sub...
None
None
43f3fad5ab04c54218779ea3e2a205987f8f58e1
cco
None
To determine the risk of cutaneous malignant melanoma (herein referred to as melanoma) associated with use of indoor tanning devices, including impact of age at first use and frequency of use on the relative risk of developing melanoma. # TARGET POPULATION All users of indoor tanning beds are the target population of ...
An assessment conducted in November 2022 deferred the review of Evidencebased Series (EBS) 8-8. This means that the document remains current until it is assessed again next year. The PEBC has a formal and standardized process to ensure the currency of each document (PEBC Assessment & Review Protocol).# GUIDELINE OBJECT...
None
None
b250c4a022911b4bcf8e58ffe0b039aa580f9931
cco
None
# RECOMMENDATIONS, KEY EVIDENCE, AND JUSTIFICATION RECOMMENDATION 1 DNMT3A mutation testing should be included as a biomarker test in cytogenetically normal AML patients. # Summary of Key Evidence for Recommendation Four (8,10,13,15) of the eight studies (8)(9)(10)(11)(12)(13)(14)(15) included in the systematic review...
# RECOMMENDATIONS, KEY EVIDENCE, AND JUSTIFICATION RECOMMENDATION 1 DNMT3A mutation testing should be included as a biomarker test in cytogenetically normal AML patients. # Summary of Key Evidence for Recommendation Four (8,10,13,15) of the eight studies (8)(9)(10)(11)(12)(13)(14)(15) included in the systematic review...
None
None
6b2a60ca471b09eb9492fd946c4ac35e74b5b717
cco
None
# TARGET POPULATION All adult MM patients considered for treatment that includes blood or marrow transplantation. # RECOMMENDATIONS AND SUPPORTING EVIDENCE Autologous SCT is the recommended treatment option for patients with newly diagnosed MM, as part of the initial treatment plan. # Supporting evidence Evidence inc...
# TARGET POPULATION All adult MM patients considered for treatment that includes blood or marrow transplantation. # RECOMMENDATIONS AND SUPPORTING EVIDENCE Autologous SCT is the recommended treatment option for patients with newly diagnosed MM, as part of the initial treatment plan. # Supporting evidence Evidence inc...
None
None
4f223ab5b4cea812a4f4320ab695245e0741a229
cco
None
# GUIDELINE OBJECTIVES # INTENDED USERS This guideline is intended for provincial policy makers, primary care physicians, nurse practitioners, radiologists, respirologists, thoracic surgeons, thoracic oncologists, and any health professionals involved with patients who may be at risk for developing lung cancer. # REC...
# Lung cancer is the most common cause of cancer death in Ontario. Contributing to the high mortality rate is a lack of an effective evidence-based screening method. Utilizing the two tests commonly used to screen for lung cancer, chest radiography (CXR) and sputum cytology, has not demonstrated a reduction in mortali...
None
None
d9499ab9e25d048bd6e9a2a68a15b4aa59db8ee0
cco
None
# INTENDED PURPOSE - This recommendation report is primarily intended to guide the Ontario PET Steering Committee in their decision making concerning indications for the use of PET imaging. - This recommendation report may also be useful in informing clinical decision making regarding the appropriate role of PET imagin...
# INTENDED PURPOSE • This recommendation report is primarily intended to guide the Ontario PET Steering Committee in their decision making concerning indications for the use of PET imaging. • This recommendation report may also be useful in informing clinical decision making regarding the appropriate role of PET imagin...
None
None
11cd569b02196a7ab19210a3c06501587a6bb163
cco
None
For further information about this report, please contact the authors through the PEBC via: Phone: 905-527-4322 ext. 42822 Fax: 905 526-6775 E-mail: ccopgi@mcmaster.ca For information about the PEBC and the most current version of all reports, please visit the CCO Web site at / or contact the PEBC office at: Phone: 905...
An assessment conducted in January 2023 deferred the review of Evidence-based Series (EBS) 17-8. This means that the document remains current until it is assessed again next year. The PEBC has a formal and standardized process to ensure the currency of each document (PEBC Assessment & Review Protocol) EBS 17-8 is compr...
None
None
3d3b6b164e90596e73ac2873298acbcf4f64a111
cco
None
- Does the addition of chemotherapy (CT) to radiotherapy (RT) improve outcome for patients with squamous cell cancer of the anal canal? 2. What are the optimal CT drugs for the treatment of patients with squamous cell cancer of the anal canal? 3. Does the use of induction CT before concurrent CT and RT improve outcome ...
An assessment conducted in December 2022 deferred the review of Evidence-based Series (EBS) 2-8 Version 2. This means that the document remains current until it is assessed again next year. The PEBC has a formal and standardized process to ensure the currency of each document (PEBC Assessment & Review Protocol) EBS 2-8...
None
None
0ee4f9b150e2ee25bf2c3e2c65eef16adf490054
cco
None
# Section 1: Recommendations # RECOMMENDATIONS Recommendation 1: General Measures Committee Responsible for Policy and Procedures for Hazardous Drugs It is strongly recommended that all institutions administering hazardous drugs form such a committee. It is also strongly recommended that this committee include, but no...
This report is copyrighted by Ontario Health (Cancer Care Ontario); the report and the illustrations herein may not be reproduced without the express written permission of Ontario Health (Cancer Care Ontario). Ontario Health (Cancer Care Ontario) reserves the right at any time, and at its sole discretion, to change or ...
None
None
2c855194bfd97aeca9af688924f1d86ab80b1f75
cco
None
# INTENDED PURPOSE - This recommendation report is primarily intended to guide the Ontario PET Steering Committee in their decision making concerning indications for the use of PET imaging. This recommendation report may also be useful in informing clinical decision making regarding the appropriate role of PET imaging...
# INTENDED PURPOSE  This recommendation report is primarily intended to guide the Ontario PET Steering Committee in their decision making concerning indications for the use of PET imaging.  This recommendation report may also be useful in informing clinical decision making regarding the appropriate role of PET imagin...
None
None
951a7fa7bae478229637320c7b3d6ddfad215acb
cco
None
New data and old data integrated in new Full Report Updated web publication. # Not Applicable # Table of Contents # INTENDED USERS This guideline is targeted for clinicians involved in the delivery of systemic treatment for cancer patients. # RECOMMENDATIONS AND KEY EVIDENCE Recommendation 1a First-line therapy w...
# New data and old data integrated in new Full Report Updated web publication. # Not Applicable # Table of Contents # INTENDED USERS This guideline is targeted for clinicians involved in the delivery of systemic treatment for cancer patients. # RECOMMENDATIONS AND KEY EVIDENCE Recommendation 1a First-line therap...
None
None
41c94c3f9e3a0766f9dcfb06ee079b475c217f92
cco
None
# Cancer Care Ontario Sequence Variants in Hereditary Cancers Guideline: An Endorsement of the 2015 Standards and Guidelines for the Interpretation of Sequence Variants: A Joint Consensus Recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology # Section 1: Gu...
Care has been taken in the preparation of the information contained in this report. Nevertheless, any person seeking to consult the report or apply its recommendations is expected to use independent medical judgment in the context of individual clinical circumstances or to seek out the supervision of a qualified clinic...
None
None
bf6e1eb522a4eab7be7fe352db156d156c5caa04
cco
None
# INTENDED PURPOSE - This recommendation report is primarily intended to guide the Ontario PET Steering Committee in their decision making concerning indications for the use of PET imaging. - This recommendation report may also be useful to inform clinical decision making regarding the appropriate role of PET imaging a...
# What benefit to clinical management does PET or PET/CT contribute when recurrence of esophageal cancer is suspected but not proven? What benefit to clinical management does PET or PET/CT contribute to restaging at the time of documented recurrence for esophageal cancer? What is the role of PET when a solitary metast...
None
None
3d87ae87006f0ff0d02d47b78c08164b456228e5
cco
None
# GUIDELINE OBJECTIVES To update the 2015 guideline of the Program in Evidence-Based Care (PEBC) Ontario Health (Cancer Care Ontario) to provide guidance for managing surveillance of patients with stage I, II, III, or resectable IV melanoma who are clinically disease-free after treatment with curative intent (following...
This report is copyrighted by Ontario Health (Cancer Care Ontario); the report and the illustrations herein may not be reproduced without the express written permission of Ontario Health (Cancer Care Ontario). Ontario Health (Cancer Care Ontario) reserves the right at any time, and at its sole discretion, to change or ...
None
None
83a0ef38d11edb694a86312a5a0f539396042e66
cco
None
Evidence-based Series 4-9 Version 2 A Quality Initiative of the Program in Evidence-based Care (PEBC), Cancer Care Ontario (CCO) Follow-up after Primary Therapy for Endometrial Cancer Members of the Gynecology Cancer Disease Site Group An assessment conducted in November 2022 deferred the review of Evidence-Based Serie...
Evidence-based Series 4-9 Version 2 A Quality Initiative of the Program in Evidence-based Care (PEBC), Cancer Care Ontario (CCO) Follow-up after Primary Therapy for Endometrial Cancer Members of the Gynecology Cancer Disease Site Group An assessment conducted in November 2022 deferred the review of Evidence-Based Serie...
None
None
5307e95fdc2d3f5f8c1d826dacd25771d2fbc51e
cco
None
Questions 1. Should primary care providers routinely perform total-body skin examination on members of the general population to screen for melanoma, basal cell carcinoma, and squamous cell carcinoma of the skin? 2. Should primary care providers routinely counsel members of the general population to perform skin self-e...
# Questions 1. Should primary care providers routinely perform total-body skin examination on members of the general population to screen for melanoma, basal cell carcinoma, and squamous cell carcinoma of the skin? 2. Should primary care providers routinely counsel members of the general population to perform skin sel...
None
None
241c41c2bfa1135b8f27b65ee979fcd375ceb1d4
cco
None
Neuroendocrine tumours (NETs) constitute a heterogeneous group of neoplasms: they include epithelial neuroendocrine carcinomas originating in multiple sites throughout the body as well as tumours of modified neurons arising in sympathetic or parasympathetic ganglia and the adrenal medulla (1,2). The latter express tyro...
This # INTRODUCTION Neuroendocrine tumours (NETs) constitute a heterogeneous group of neoplasms: they include epithelial neuroendocrine carcinomas originating in multiple sites throughout the body as well as tumours of modified neurons arising in sympathetic or parasympathetic ganglia and the adrenal medulla (1,2). Th...
None
None
cc55bc1f02ab6adf2c07db61fbd9a22560939fa1
cco
None
Given the potential toxicities associated with alemtuzumab, and given the limited nature of the clinical trials testing its use in broad populations of patients with CLL, the use of alemtuzumab in patients with important co-morbidities may be associated with excessive risks. Currently, there are no published randomized...
 Given the potential toxicities associated with alemtuzumab, and given the limited nature of the clinical trials testing its use in broad populations of patients with CLL, the use of alemtuzumab in patients with important co-morbidities may be associated with excessive risks. Currently, there are no published randomi...
None
None
b698253c2071f1ecb719b6f948c5c21e4d94a190
cco
None
# QUESTIONS Overall Question In patients presenting to primary care services with signs and/or symptoms of lung cancer, what should the referral process include? The following questions are the factors considered in answering the overall question: # TARGET POPULATION Patients presenting in primary care settings compr...
# Referral of Suspected Lung Cancer by Family Physicians and Other Primary Care Providers: Guideline Recommendations The 2011 recommendations have been ENDORSED, which means that the recommendations are still current and relevant for decision making. Please see Section 4: Document Assessment and Review for a summary of...
None
None
5c9b601991ece1e84103c5070a573dd41bb53a61
cco
None
Although the incidence and mortality of gastric cancer has been steadily decreasing in Canadian men and women, this disease remains a global health problem, accounting for 10% of all new cancer cases and 12% of all cancer deaths worldwide (1). In Canada, the annual percent change in age-standardized incidence between 1...
The # INTRODUCTION Although the incidence and mortality of gastric cancer has been steadily decreasing in Canadian men and women, this disease remains a global health problem, accounting for 10% of all new cancer cases and 12% of all cancer deaths worldwide (1). In Canada, the annual percent change in age-standardized...
None
None
7f3f6dc41c569927d37018a6d8d5350889ac831f
cco
None
To improve the quality and consistency of the management of depression for patients with cancer in Ontario.Adult patients with cancer who are diagnosed with a major depressive disorder based on a structured diagnostic interview, or who have a suspected depressive disorder based on meeting a threshold on a validated dep...
To improve the quality and consistency of the management of depression for patients with cancer in Ontario.Adult patients with cancer who are diagnosed with a major depressive disorder based on a structured diagnostic interview, or who have a suspected depressive disorder based on meeting a threshold on a validated dep...
None
None
0344bcf6da381ed8b046d268476e2e80fa49d4a5
cco
None
# GUIDELINE OBJECTIVES The primary objective of this guideline is to develop recommendations related to the frequency by which prostate-specific antigen (PSA) levels should be tested in men after curative-intent treatment for prostate cancer and to define the most appropriate diagnostic testing if biochemical (BC) recu...
# Guideline 26-4: Section 1 # Follow-up Care and Psychosocial Needs of Survivors of Prostate Cancer: Recommendations Summary Note To Users Of This Summary This Recommendations Summary may be useful as a quick reference to this guideline. Users are advised to consult the Complete Guideline Report for more information a...
None
None
afe7ad2c3d196197b31ff182f3a12073a2a1c934
cco
None
What benefit to clinical management does 18 F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) contribute to the initial diagnosis or staging of lymphoma?What benefit to clinical management does FDG PET/CT contribute after conventional imaging is performed, in patients with suspected o...
What benefit to clinical management does 18 F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) contribute to the initial diagnosis or staging of lymphoma?What benefit to clinical management does FDG PET/CT contribute after conventional imaging is performed, in patients with suspected o...
None
None
392e56d54ce2a5a1e08100df71486f9aafb188d5
cco
None
There are various definitions for palliative care, but most people would agree that "it focuses on care that addresses both physical and non-physical symptoms. It can be delivered throughout the course of the disease. It involves a team of healthcare providers and supports patients as well as their families." This evi...
This # INTRODUCTION There are various definitions for palliative care, but most people would agree that "it focuses on care that addresses both physical and non-physical symptoms. It can be delivered throughout the course of the disease. It involves a team of healthcare providers and supports patients as well as their...
None
None
745dd61eb05abaf28da5239c7d5c77a13d1cb8ed
cco
None
# GUIDELINE OBJECTIVES The objective of this guideline is to update a previous guideline on chemotherapy options for women with recurrent, metastatic, or persistent cervical cancer. The primary outcomes of interest are overall survival rate and quality of life. Other outcomes of interest include response rate, progress...
November 2020 placed Evidence-based Series (EBS) 4-20 Version 2 IN REVIEW. This means that it is undergoing a review for currency and relevance. It is still appropriate for this document to be available while this updating process unfolds. The PEBC has a formal and standardized process to ensure the currency of each do...
None
None
fdfed17344a33fa4464ed468835e72c47daafd65
cco
None
What benefit to clinical management does positron emission tomography (PET) or positron emission tomography/computed tomography (PET/CT) contribute to the diagnosis or staging of melanoma? What benefit to clinical management does PET or PET/CT contribute to the assessment of treatment response for melanoma? What bene...
# QUESTIONS  What benefit to clinical management does positron emission tomography (PET) or positron emission tomography/computed tomography (PET/CT) contribute to the diagnosis or staging of melanoma?  What benefit to clinical management does PET or PET/CT contribute to the assessment of treatment response for melan...
None
None
b5fa1369af7db2058839f4086fe7e7829dabcd11
cco
None
Peer review publication. # TARGET POPULATION - Patients of any age diagnosed with localized Ewing's sarcoma of bone who have completed neoadjuvant chemotherapy for the first objective - Patients of any age diagnosed with localized Ewing's sarcoma of bone who will undergo surgical management following neoadjuvant chemo...
This report is copyrighted by Cancer Care Ontario; the report and the illustrations herein may not be reproduced without the express written permission of Cancer Care Ontario. Cancer Care Ontario reserves the right at any time, and at its sole discretion, to change or revoke this authorization.Care has been taken in th...
None
None
0e738700904901102a9b807c7e6d67d00e5880b7
cco
None
These recommendations apply to adult patients (≥18 years old) with unresectable metastatic colorectal cancer. The cytotoxic agents covered in this guideline include initial fluoropyrimidine (5-FU or capecitabine) either alone or in combination, irinotecan and oxaliplatin. # INTENDED USERS This guideline is intended fo...
An assessment conducted in December 2022 deferred the review of Evidencebased Series (EBS) 2-5. This means that the document remains current until it is assessed again next year. The PEBC has a formal and standardized process to ensure the currency of each document (PEBC Assessment & Review Protocol) Evidence-Based Ser...
None
None
be2ea4dacc2da384edfe68c69a12645e73c601bc
cco
None
# Acute Myeloid Leukemia (AML) What is the role of SCT in the treatment of AML? # TARGET POPULATION All adult patients with MDS or AML being considered for treatment that includes either blood or bone marrow transplantation. # RECOMMENDATIONS AND SUPPORTING EVIDENCE MYELODYSPLASTIC SYNDROME (MDS) Allogeneic transplan...
# Acute Myeloid Leukemia (AML) What is the role of SCT in the treatment of AML? # TARGET POPULATION All adult patients with MDS or AML being considered for treatment that includes either blood or bone marrow transplantation. # RECOMMENDATIONS AND SUPPORTING EVIDENCE MYELODYSPLASTIC SYNDROME (MDS) Allogeneic transplan...
None
None
4f2e3436434fd84bbd4dcfe76d2b8a92a791a450
cco
None
# GUIDELINE OBJECTIVES The objective of this guideline is to determine the most effective therapy for patients with thymic epithelial tumours. # TARGET POPULATION The target population are adult patients with thymic epithelial tumours, including thymoma, thymic carcinoma, and thymic neuroendocrine tumours (NETs). # I...
This report is copyrighted by Ontario Health (Cancer Care Ontario); the report and the illustrations herein may not be reproduced without the express written permission of Ontario Health (Cancer Care Ontario). Ontario Health (Cancer Care Ontario) reserves the right at any time, and at its sole discretion, to change or ...
None
None
b3f1c73372c37477df2bf2f3844342b222452a82
cco
None
Is there a role for high dose rate endobronchial brachytherapy (HDREB) in the palliation of respiratory symptoms in patients with non-small cell lung cancer? 2. If so, what is the optimal dose of HDREB in this setting? # Target Population The recommendations apply to adult patients with symptomatic endobronchial disea...
# Is there a role for high dose rate endobronchial brachytherapy (HDREB) in the palliation of respiratory symptoms in patients with non-small cell lung cancer? 2. If so, what is the optimal dose of HDREB in this setting? # Target Population The recommendations apply to adult patients with symptomatic endobronchial di...
None
None
6c1b8544bd4fd9f87723d5e8501fc79094398e98
cco
None
# GUIDELINE OBJECTIVES To make recommendations regarding the use of adjuvant systemic therapy in adult patients with completely resected cutaneous or mucosal melanoma with a high risk of recurrence. # TARGET POPULATION Adult patients with cutaneous or mucosal melanoma with high risk of recurrence who are rendered dise...
Care has been taken in the preparation of the information contained in this report. Nevertheless, any person seeking to consult the report or apply its recommendations is expected to use independent medical judgment in the context of individual clinical circumstances or to seek out the supervision of a qualified clinic...
None
None
686cf69c5d6eb035217f20723bb5a41c945d9dc7
cco
None
# Questions Considered Does treatment with imatinib mesylate (Gleevec TM have palliative benefit, in terms of tumour response, disease progression, survival or quality of life, for patients with unresectable or metastatic gastrointestinal stromal tumours (GIST) expressing the KIT tyrosine kinase receptor (identified by...
 The diagnostic criteria for GIST have evolved in recent years. Specifically the discovery of the immunohistochemical marker for DOG 1 has led to its inclusion in the pathological work up of suspected GISTs. DOG-1 may also be expressed in GISTs that are c-kit negative (1-3)  c-kit negative GISTs have been demonstrate...
None
None
9d58acce0cecf01b70c88fa2d90f7e157620e190
cco
None
The 2012 recommendations have been ENDORSED. This means that the recommendations are still current and relevant for decision making. Please see Section 3: Document Assessment and Review for a summary of updated evidence published between 2010 and 2019, and for details on how this Recommendation Report was ENDORSED. # ...
An assessment conducted in February 2023 deferred the review of Recommendation Report SCT-2 Version 2. This means that the document remains current until it is assessed again next year. The PEBC has a formal and standardized process to ensure the currency of each document (PEBC Assessment & Review Protocol) Recommendat...
None
None
cef9f597247657d720a773e5e571bda396a2d7e8
cco
None
In patients with early (T1) glottic cancer, what is the role of endolaryngeal surgery (with or without laser) versus radiation therapy, in terms of survival, locoregional control, laryngeal preservation rates and voice outcomes? # TARGET POPULATION The target population of this guideline is adult patients with previou...
An assessment conducted in November 2021 placed Guideline 5-2 IN REVIEW. This means that it is undergoing a review for currency and relevance. It is still appropriate for this document to be available while this updating process unfolds. The PEBC has a formal and standardized process to ensure the currency of each docu...
None
None
93a582036a625437a37888c84aa3a47544d43930
cco
None
This document describes the OH (CCO)-Lung Cancer Disease Site Group endorsement of the recommendations for the treatment of patients with clinical stage III N2 non-small cell lung cancer from © NICE Lung cancer: diagnosis and management. The original publication is available at www.nice.org.uk/guidance/ng122. The reco...
This document describes the OH (CCO)-Lung Cancer Disease Site Group endorsement of the recommendations for the treatment of patients with clinical stage III N2 non-small cell lung cancer from © NICE Lung cancer: diagnosis and management. The original publication is available at www.nice.org.uk/guidance/ng122. The reco...
None
None
de26c293d2799fd9a276816e47c1b59af15a7a40
cco
None
Anthracyclines have been established to be superior to some non-anthracycline chemotherapy regimens (Table 2 in Evidence Summary). Studies included in the EBCTCG 2012 meta-analysis (1) indicate that in general, anthracycline-based regimens are superior to non-anthracycline non-taxane regimens, provided that an optimal...
 Anthracyclines have been established to be superior to some non-anthracycline chemotherapy regimens (Table 2 in Evidence Summary).  Studies included in the EBCTCG 2012 meta-analysis (1) indicate that in general, anthracycline-based regimens are superior to non-anthracycline non-taxane regimens, provided that an opti...
None
None
b914e6b71fdc75fdd9699f8d9e801d9b179b4aaa
cco
None
Evidence-based Series (EBS) 5-3 is ARCHIVED. The guidance for the organization of care has been updated; see 5-3ORG Version 2. The guidance for the clinical management of Head and Neck cancer patients is no longer current and should not be used to inform clinical decisions, but may still be useful for academic or other...
Evidence-based Series (EBS) 5-3 is ARCHIVED. The guidance for the organization of care has been updated; see 5-3ORG Version 2. The guidance for the clinical management of Head and Neck cancer patients is no longer current and should not be used to inform clinical decisions, but may still be useful for academic or other...
None
None
21c096cb3d28108578f0eaab6504d0a6402a51ce
cco
None
Series 2-11 Version 4 REQUIRES UPDATING. It is still appropriate for this document to be available while this updating process unfolds. The PEBC has a formal and standardized process to ensure the currency of each document (PEBC Assessment & Review Protocol). EBS 2-11v4 is comprised of 4 sections.# Guideline Report His...
Series 2-11 Version 4 REQUIRES UPDATING. It is still appropriate for this document to be available while this updating process unfolds. The PEBC has a formal and standardized process to ensure the currency of each document (PEBC Assessment & Review Protocol). EBS 2-11v4 is comprised of 4 sections.# Guideline Report His...
None
None
f0f29e1e11ad077264b6a7ff9a16c04df3b12fff
cco
None
To update, in collaboration with Cancer Care Ontario (CCO), key recommendations of the American Society of Clinical Oncology (ASCO) guideline on the role of bone-modifying agents (BMAs) in metastatic breast cancer. This focused update addressed the new data on intervals between dosing and the role of BMAs in control of...
To update, in collaboration with Cancer Care Ontario (CCO), key recommendations of the American Society of Clinical Oncology (ASCO) guideline on the role of bone-modifying agents (BMAs) in metastatic breast cancer. This focused update addressed the new data on intervals between dosing and the role of BMAs in control of...
None
None
be361e860309fb3df832baab4b0b6d5f3620eaf6
cco
None
# GUIDELINE OBJECTIVES To evaluate the appropriateness of, and make recommendations on, routine testing for human papillomavirus (HPV) status in adult patients with primary, or neck nodal metastatic, squamous cell carcinoma (SCC) of the head and neck. # TARGET POPULATION Adult patients with squamous cell carcinomas ar...
# Guideline Recommendations The 2013 guideline recommendations have been ENDORSED, which means that the recommendations are still current and relevant for decision making. Please see Section 4: Document Assessment and Review for a summary of updated evidence published between 2013 and 2019, and for details on how this...
None
None
1512e376a0bacb0aa98f7fb2fade55b89f981b0a
cco
None
# GUIDELINE OBJECTIVE This guideline was written to provide guidance on the most appropriate follow-up strategy for patients with cervical cancer who are clinically disease-free after receiving primary treatment. This guideline is an update of a previous version, which was published in 2009. The update was initiated wh...
An assessment conducted in November 2022 placed Guideline 4-16 Version 2 IN REVIEW. This means that it is undergoing a review for currency and relevance. It is still appropriate for this document to be available while this updating process unfolds. The PEBC has a formal and standardized process to ensure the currency o...
None
None
ea2a8f7588acfbf9377a7f8a7e945f4ce166b052
cco
None
# GUIDELINE OBJECTIVES To make recommendations with respect to: 1. a) The use of multiparametric magnetic resonance imaging (MPMRI) in patients with an elevated risk of clinically significant prostate cancer (CSPCa) who are biopsy naïve, b) The use of MPMRI-targeted biopsy plus transrectal ultrasound systematic biopsy ...
An assessment conducted in January 2023 deferred the review of Guideline 27-2 Version 2. This means that the document remains current until it is assessed again next year. The PEBC has a formal and standardized process to ensure the currency of each document. (PEBC Assessment & Review Protocol) Guideline 27-2 Version 2...
None
None
d052ff05f9ba60b3fba53bbd15732fbad373d31d
cco
None
# TARGET POPULATION Adult and paediatric patients who have received an allogeneic transplant and are experiencing graft-versus-host disease. # RECOMMENDATIONS AND JUSTIFICATION # Extra-corporeal Photopheresis (ECP) in the Management of Graft-Versus-Host Disease (GVHD) - ECP is an acceptable therapy for the treatment ...
# TARGET POPULATION Adult and paediatric patients who have received an allogeneic transplant and are experiencing graft-versus-host disease. # RECOMMENDATIONS AND JUSTIFICATION # Extra-corporeal Photopheresis (ECP) in the Management of Graft-Versus-Host Disease (GVHD) • ECP is an acceptable therapy for the treatment ...
None
None
06e4a7097e28f855d23e6fcfaf246e6edbb58a45
cco
None
# Guideline Report History # Target Population These recommendations apply to women with newly diagnosed stage I ovarian cancer. - The stage of ovarian cancer is an important prognostic factor that influences survival and the choice of therapy. The quality of the surgical staging is a key determinant of treatment reco...
# Guideline Report History # Target Population These recommendations apply to women with newly diagnosed stage I ovarian cancer. # Recommendations • The stage of ovarian cancer is an important prognostic factor that influences survival and the choice of therapy. The quality of the surgical staging is a key determinan...
None
None
e22daf935ae7d73d6102add25804ccb16fe50e40
cco
None
# GUIDELINE OBJECTIVES The guideline objective was to make evidence-based recommendations about APN roles (i.e., CNS, NP) for optimizing patient, provider, and health system outcomes across the cancer journey. Based on this objective, this guidance document address two specific questions: (1) For which patient populati...
An assessment conducted in November 2022 deferred the review of Evidence-Based Series (EBS) 16-4. This means that the document remains current until it is assessed again next year. The PEBC has a formal and standardized process to ensure the currency of each document (PEBC Assessment & Review Protocol) EBS 16-4 is comp...
None
None
d0c6fa9eb734a9aca2083d0c8e3df5271c01a595
cco
None
Questions What is the optimal surgical management of ductal carcinoma in situ (DCIS) of the breast? Should breast irradiation be offered to women with DCIS, following breast-conserving surgery (defined as excision of the tumour with microscopically clear resection margins)? Are there patients who could be spared brea...
The PEBC is supported by Cancer Care Ontario (CCO) and the Ontario Ministry of Health and Long-Term Care. All work produced by the PEBC is editorially independent from its funding agencies. Copyright This evidence-based series is copyrighted by Cancer Care Ontario; the series and the illustrations herein may not be rep...
None
None
8d51bc24821c3d5102f772a7fa61de7510b2a99c
cco
None
# INTENDED PURPOSE This recommendation report is primarily intended to guide the Ontario PET Steering Committee in their decision making concerning indications for the use of PET imaging. This recommendation report may also be useful in informing clinical decision making regarding the appropriate role of PET imaging an...
# INTENDED PURPOSE This recommendation report is primarily intended to guide the Ontario PET Steering Committee in their decision making concerning indications for the use of PET imaging. This recommendation report may also be useful in informing clinical decision making regarding the appropriate role of PET imaging an...
None
None
8c29b4ffee8337b61c376ef6336ebdc34526f667
cco
None
GUIDELINE OBJECTIVES 1. To determine whether sentinel lymph node biopsy (SLNB) can safely and effectively identify women with node-negative, early-stage vulvar cancer and can be used as an alternative to inguinofemoral lymph node dissection (IFLD). 2. To provide guidance with respect to the appropriate techniques and p...
# GUIDELINE OBJECTIVES 1. To determine whether sentinel lymph node biopsy (SLNB) can safely and effectively identify women with node-negative, early-stage vulvar cancer and can be used as an alternative to inguinofemoral lymph node dissection (IFLD). 2. To provide guidance with respect to the appropriate techniques an...
None
None
44dcd45a46c5f7d2672fd9f5d467711048246afb
cco
None
# Evidence-Based Series #2-4 Version 3: Preoperative Therapy Preoperative chemoradiotherapy (CRT) is preferred, compared to preoperative RT (standard fractionation: longer course: 45-50.4Gy in 25-28 fractions) alone, to decrease local recurrence. Preoperative CRT is preferred, compared with a postoperative approach, ...
# Evidence-Based Series #2-4 Version 3: Section # RECOMMENDATIONS Preoperative Therapy  Preoperative chemoradiotherapy (CRT) is preferred, compared to preoperative RT (standard fractionation: longer course: 45-50.4Gy in 25-28 fractions) alone, to decrease local recurrence.  Preoperative CRT is preferred, compared wi...
None
None
2bc7f8f2a1ffdd0595665c643fc6eac271dd2d3b
cco
None
# GUIDELINE OBJECTIVES The objectives of the guideline are to make recommendations regarding the addition of neoadjuvant/concurrent/adjuvant chemotherapy to chemoradiotherapy in the management of locally advanced squamous cell or undifferentiated nasopharyngeal cancer (NPC) and to identify the optimal chemotherapeutic ...
This report is copyrighted by Ontario Health (Cancer Care Ontario); the report and the illustrations herein may not be reproduced without the express written permission of Ontario Health (Cancer Care Ontario). Ontario Health (Cancer Care Ontario) reserves the right at any time, and at its sole discretion, to change or ...
None
None
cfcb8ab63da1f86bf6a7b08ae858de62fa698f64
cco
None
# Section 1: Recommendations Summary …………………………………………… 1 Section 2: Guideline …………………………………………………………………………… 3 Section 3: Section 4: Section 5: Guideline Methods Overview …………………………………………… 9 Evidence Review.………………………………………………………………. 12 Internal and External Review ………………………………………... 56 For information about this documen...
# Section 1: Recommendations Summary …………………………………………… 1 Section 2: Guideline …………………………………………………………………………… 3 Section 3: Section 4: Section 5: Guideline Methods Overview …………………………………………… 9 Evidence Review.………………………………………………………………. 12 Internal and External Review ………………………………………... 56 For information about this documen...
None
None
0bc3ca94ead921fd7d69542177c6068426746dfb
cco
None
Lung cancers are the leading cause of cancerrelated deaths for men and women throughout the world. In the United States, approximately 224,000 new lung cancers are expected in 2016, and more than 158,000 individuals are expected to die as a result of the disease. 1 Five-year survival rates range from 67% for T1N0 disea...
Author # INTRODUCTION Lung cancers are the leading cause of cancerrelated deaths for men and women throughout the world. In the United States, approximately 224,000 new lung cancers are expected in 2016, and more than 158,000 individuals are expected to die as a result of the disease. 1 Five-year survival rates range ...
None
None
8b697ad8f7efee5e3672260c94e42ad7aa0a0807
cco
None
New evidence added to Section 1 and new data found in Section 4 Updated web publication 2012 recommendations ENDORSED Update of version 2 August 2018 NA MSLT-II trial added to Section 1 only Updated web publication Recommendation 1b updated with the data from the MSLT-II trial. For details see Appendix 3# - What is th...
New evidence added to Section 1 and new data found in Section 4 Updated web publication 2012 recommendations ENDORSED Update of version 2 August 2018 NA MSLT-II trial added to Section 1 only Updated web publication Recommendation 1b updated with the data from the MSLT-II trial. For details see Appendix 3# - What is th...
None
None
6c1bf28905b56d0fb8374ba39696205288ef3032
cco
None
October 2015 placed Evidence-based Series (EBS) 2-12 Version 2 in the EDUCATION AND INFORMATION section. This means that the recommendations will no longer be maintained but may still be useful for academic or other information purposes. The PEBC has a formal and standardize process to ensure the currency of each docum...
October 2015 placed Evidence-based Series (EBS) 2-12 Version 2 in the EDUCATION AND INFORMATION section. This means that the recommendations will no longer be maintained but may still be useful for academic or other information purposes. The PEBC has a formal and standardize process to ensure the currency of each docum...
None
None
8aa8f3c2655638947aba3fd064d399f2b6272858
cco
None
A practice guideline report on adjuvant RT following prostatectomy in patients with pT3 or margin-positive prostate cancer was originally completed by the Program in Evidence-Based Care Genitourinary Disease Site Group (PEBC GU DSG) in February 2008. The systematic review, as originally published in February 2008, can ...
These # INTRODUCTION A practice guideline report on adjuvant RT following prostatectomy in patients with pT3 or margin-positive prostate cancer was originally completed by the Program in Evidence-Based Care Genitourinary Disease Site Group (PEBC GU DSG) in February 2008. The systematic review, as originally published ...
None
None
49ed880ef0445db46caa9f68a466308b07914a68
cco
None
# Guideline Document History # Qualifying Statement -Added to the 2017 Endorsement: The recommendations for pathology were updated to align with the most recent CAP protocol released in February 2017 (2), based on the International Society of Urological Pathology (ISUP) consensus conferences in 2009 (3-8) and 2014 (9,...
# Guideline Document History GUIDELINE # Qualifying Statement -Added to the 2017 Endorsement: The recommendations for pathology were updated to align with the most recent CAP protocol released in February 2017 (2), based on the International Society of Urological Pathology (ISUP) consensus conferences in 2009 (3-8) an...
None
None
a7dc89781112ae995210e98beb24314cc644fb44
cco
None
PDT is a local treatment. It utilizes the local, selective, cytotoxic reaction produced by photosensitizers when activated by red nonthermal laser light of a specific wavelength. This cytotoxic effect is achieved through the generation of free radicals, the production of singlet oxygen via energy transfer from light to...
These # INTRODUCTION PDT is a local treatment. It utilizes the local, selective, cytotoxic reaction produced by photosensitizers when activated by red nonthermal laser light of a specific wavelength. This cytotoxic effect is achieved through the generation of free radicals, the production of singlet oxygen via energy ...
None
None
a6749df174b95cd4c95728ca3e94287a550cef0d
cco
None
What is the optimal post-orchidectomy management strategy for stage I testicular seminoma? Outcomes of interest include cancer-specific survival, long-term toxicity (including second malignancy), and quality of life. # TARGET POPULATION Adult patients with stage I testicular seminoma. # RECOMMENDATIONS AND KEY EVIDEN...
# QUESTION What is the optimal post-orchidectomy management strategy for stage I testicular seminoma? Outcomes of interest include cancer-specific survival, long-term toxicity (including second malignancy), and quality of life. # TARGET POPULATION Adult patients with stage I testicular seminoma. # RECOMMENDATIONS AND...
None
None
214357bc91fea9508a8b58a4c2ca3a986144c867
cco
None
Guideline Questions a) What is the optimal chemotherapy for patients with multiple myeloma? b) In terms of survival, is peripheral blood stem cell or autologous bone marrow transplantation better than conventional chemotherapy? c) What is the relative efficacy of autologous and allogeneic transplantation? d) What speci...
Guideline Questions a) What is the optimal chemotherapy for patients with multiple myeloma? b) In terms of survival, is peripheral blood stem cell or autologous bone marrow transplantation better than conventional chemotherapy? c) What is the relative efficacy of autologous and allogeneic transplantation? d) What speci...
None
None
02a75f43fbb622bf4313e9292423cfbe30e0c46c
cco
None
# A. INTRODUCTION Guideline Objective The objective of this guideline is to provide the basis for a quality assurance program for all colonoscopy procedures done in the province of Ontario, including those conducted as part of the fecal occult blood test (FOBT)-based colorectal cancer (CRC) screening program. This guid...
# A. INTRODUCTION Guideline Objective The objective of this guideline is to provide the basis for a quality assurance program for all colonoscopy procedures done in the province of Ontario, including those conducted as part of the fecal occult blood test (FOBT)-based colorectal cancer (CRC) screening program. This guid...
None
None
dff6a9c83874c1c5146da4502ed42e530de41f12
cco
None
Questions JUDGEMENTS The GDG considered this topic a low priority for health economic analysis. The Working Group members agreed that the feasibility of PCI for this population has been well established. # Appendix 1: Affiliations and Conflict of Interest Declarations In accordance with the PEBC Conflict of Interest P...
Care has been taken in the preparation of the information contained in this report. Nevertheless, any person seeking to consult the report or apply its recommendations is expected to use independent medical judgment in the context of individual clinical circumstances or to seek out the supervision of a qualified clinic...
None
None
a2d7e432bbbc21cf4f34e771f0de3a0258e4dfec
cco
None
For information about the PEBC and the most current version of all reports, please visit the CCO website at / or contact the PEBC office at: Phone: 905-527-4322 ext. 42822 Fax: 905 526-6775 E-mail: ccopgi@mcmaster.ca # Bone Health and Bone-Targeted Therapies for Prostate Cancer Recommendations This is a quick referenc...
Care has been taken in the preparation of the information contained in this report. Nevertheless, any person seeking to consult the report or apply its recommendations is expected to use independent medical judgment in the context of individual clinical circumstances or to seek out the supervision of a qualified clinic...
None
None
68702a0a1bf98af60908294fd393240bfeef7137
cco
None
# RECOMMENDATIONS (The recommendations were slightly modified with respect to risk category 5 during the 2017 ENDORSEMENT) MRI in addition to mammography is recommended for women in target population risk categories 1, 2, 3, and 5 above. The evidence is insufficient to recommend MRI screening for patients in risk categ...
# RECOMMENDATIONS (The recommendations were slightly modified with respect to risk category 5 during the 2017 ENDORSEMENT) MRI in addition to mammography is recommended for women in target population risk categories 1, 2, 3, and 5 above. The evidence is insufficient to recommend MRI screening for patients in risk categ...
None
None
2871e44cbe0808ce98543c7741d28d544646d95b
cco
None
December 2018 placed Evidence-Based Series (EBS) 26-3 IN REVIEW. This means that it is undergoing a review for currency and relevance. It is still appropriate for this document to be available while this updating process unfolds. The PEBC has a formal and standardized process to ensure the currency of each document (PE...
December 2018 placed Evidence-Based Series (EBS) 26-3 IN REVIEW. This means that it is undergoing a review for currency and relevance. It is still appropriate for this document to be available while this updating process unfolds. The PEBC has a formal and standardized process to ensure the currency of each document (PE...
None
None
565ac1a533ff3f66d0485f909a8cb4aa96b2ed90
cco
None
# GUIDELINE OBJECTIVES This guideline aims: -To describe the role of active surveillance (AS) as a management strategy for patients with localized prostate cancer. -To identify patients with prostate cancer that would most benefit from AS. -To develop an evidence-based protocol for AS in localized prostate cancer and t...
# GUIDELINE OBJECTIVES This guideline aims: -To describe the role of active surveillance (AS) as a management strategy for patients with localized prostate cancer. -To identify patients with prostate cancer that would most benefit from AS. -To develop an evidence-based protocol for AS in localized prostate cancer and t...
None
None
05898a8d8f713aa6b3692b84eb0df7a6f7211ff5
cco
None
For information about this document, please contact Dr. Eric Winquist, the lead author, through the PEBC via: Phone: 905-527-4322 ext. 42822 Fax: 905 526-6775 E-mail: ccopgi@mcmaster.ca For information about the PEBC and the most current version of all reports, please visit the CCO website at / or contact the PEBC offi...
# For information about this document, please contact Dr. Eric Winquist, the lead author, through the PEBC via: Phone: 905-527-4322 ext. 42822 Fax: 905 526-6775 E-mail: ccopgi@mcmaster.ca For information about the PEBC and the most current version of all reports, please visit the CCO website at http://www.cancercare.o...
None
None
5af930a1cf161ffa36d740d22021619c7eaa6409
cco
None
Questions 1. What treatment provides the optimum disease control and survival in older patients (at least 60 years of age) with newly diagnosed, advanced-stage, aggressive histology lymphoma? 2. What are the toxicities associated with these treatments? 3. What are the roles of granulocyte-colony stimulating factor or g...
Questions 1. What treatment provides the optimum disease control and survival in older patients (at least 60 years of age) with newly diagnosed, advanced-stage, aggressive histology lymphoma? 2. What are the toxicities associated with these treatments? 3. What are the roles of granulocyte-colony stimulating factor or g...
None
None
bc922ee0adc578f1f7f44626319486ffad189290
cco
None
To provide an updated guideline on the use of rituximab in lymphoma and chronic lymphocytic leukemia (CLL).# For information about this document, please contact Dr. Tom Kouroukis or Dr. Matthew Cheung through the PEBC via: Phone: 905-527-4322 ext. 42822 Fax: 905-526-6775 E-mail: ccopgi@mcmaster.ca: For information abo...
To provide an updated guideline on the use of rituximab in lymphoma and chronic lymphocytic leukemia (CLL).# For information about this document, please contact Dr. Tom Kouroukis or Dr. Matthew Cheung through the PEBC via: Phone: 905-527-4322 ext. 42822 Fax: 905-526-6775 E-mail: ccopgi@mcmaster.ca: For information abo...
None
None
ecfb7ee9fd0e75064a2f2c2ebb62193850375ca6
cco
None
Version 2 IN REVIEW. This means that it is undergoing a review for currency and relevance. It is still appropriate for this document to be available while this updating process unfolds. The PEBC has a formal and standardized process to ensure the currency of each document.# Guideline Report History # Target Population...
Version 2 IN REVIEW. This means that it is undergoing a review for currency and relevance. It is still appropriate for this document to be available while this updating process unfolds. The PEBC has a formal and standardized process to ensure the currency of each document.# Guideline Report History # Target Population...
None
None
f94f984e338d56e3b9ccbcda0f388de7fec3cf66
cco
None
The 2014 guideline recommendations have been ENDORSED, which means that the recommendations are still current and relevant for decision making. Please see Section 4: Document Assessment and Review for a summary of updated evidence published between 2013 and 2022, and for details on how this guideline was ENDORSED. What...
# The 2014 guideline recommendations have been ENDORSED, which means that the recommendations are still current and relevant for decision making. Please see Section 4: Document Assessment and Review for a summary of updated evidence published between 2013 and 2022, and for details on how this guideline was ENDORSED. ...
None
None
138cbf85437d72e5c66b6e0f4955b9ba1654786d
cco
None
The Ontario Cervical Screening Program (OCSP) is currently being relaunched to incorporate an organized call and recall component. This relaunch has necessitated a review of evidence related to the research questions listed above and an update of the relevant portions of the Program in Evidence-based Care (PEBC) May 20...
An assessment conducted in April 2016 placed Evidence-based Series (EBS) 15-9 IN REVIEW. This means that it is undergoing a review for currency and relevance. The PEBC has determined that it is still appropriate for this document to continue to be available while this updating process unfolds. The PEBC has a formal and...
None
None
67f77727b81d260821298340fee029dfa0c19881
cco
None
2b. In female patients with locally advanced breast cancer does locoregional irradiation result in higher survival and lower recurrence rates compared with breast/chest wall irradiation alone? 2c. In female patients with locally advanced breast cancer and pathologically complete response to neoadjuvant therapy is radio...
# 2b. In female patients with locally advanced breast cancer does locoregional irradiation result in higher survival and lower recurrence rates compared with breast/chest wall irradiation alone? 2c. In female patients with locally advanced breast cancer and pathologically complete response to neoadjuvant therapy is ra...
None
None
caa53d1af1fdf745c71870f383c13c96d6c8d112
cco
None
Recommendation Report SCT-6: Section 1 # Stem Cell Transplantation in the Treatment of Acute Lymphoblastic Leukemia: Recommendations OBJECTIVES 1. To establish the indications for allogeneic stem cell transplantation (allo-SCT) in the management of acute lymphoblastic leukemia (ALL) in adults 2. To identify the role o...
Care has been taken in the preparation of the information contained in this report. Nonetheless, any person seeking to apply or consult the report is expected to use independent medical judgment in the context of individual clinical circumstances or seek out the supervision of a qualified clinician. Cancer Care Ontario...
None
None
13d0f084bbe6051daa2dd1e53903505526115f7c
cco
None
# GUIDELINE OBJECTIVES - To provide clinical guidance with respect to suitability for breast reconstruction, timing of reconstruction, and optimal reconstruction techniques. - To make recommendations that will inform decisions at the policy and administration level aimed at improving the quality of life of women with b...
Increased risk for Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) exists with the use of textured breast implants. See the Health Canada recalls and alerts webpage for more information https://healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2019/70045a-eng.php An assessment conducted in Janua...
None
None
34cea62983d0bee2013d8f35a9dda2de373e9ee5
cco
None
# INTENDED PURPOSE To summarize the available evidence regarding provider tools for ACP or GoCD. # INTENDED USERS Healthcare providers who engage in ACP or GoCD with their patients or should engage in ACP or GoCD with their patients and administrators who wish to provide ACP or GoCD training to providers within their ...
Care has been taken in the preparation of the information contained in this report. Nonetheless, any person seeking to apply or consult the report is expected to use independent medical judgment in the context of individual clinical circumstances or seek out the supervision of a qualified clinician. Cancer Care Ontario...
None
None
6f06f30a38e8b3326960e5203cd2a48226aaebf0
cco
None
# GUIDELINE OBJECTIVES To recommend systemic therapy options for women with recurrent epithelial ovarian cancer including fallopian tube and primary peritoneal cancers. # TARGET POPULATION The target population comprises women with recurrent epithelial ovarian cancer who have previously received platinum-based chemoth...
and the Gynecologic Cancer Disease Site Group An assessment conducted in November 2022 deferred the review of Guideline 4-3 Version 4. This means that the document remains current until it is assessed again next year. The PEBC has a formal and standardized process to ensure the currency of each document (PEBC Assessmen...
None
None
4c8c8270ece395b2f9e878cda469666e547b3eba
cco
None
Guideline Questions 1. What are the chemotherapeutic and hormonal therapy options for women with advanced or recurrent endometrial cancer (excluding sarcomas and squamous cell carcinomas)? 2. What are the chemotherapeutic options for women with advanced or recurrent uterine papillary serous carcinoma? # Target Populat...
# SUMMARY Guideline Questions 1. What are the chemotherapeutic and hormonal therapy options for women with advanced or recurrent endometrial cancer (excluding sarcomas and squamous cell carcinomas)? 2. What are the chemotherapeutic options for women with advanced or recurrent uterine papillary serous carcinoma? # Targ...
None
None
b126b8639e28a38c3f8e1291b8c420ba28ccbb06
cco
None
# GUIDELINE OBJECTIVES To provide guidance on the optimal systemic therapies for the treatment of advanced gastric and gastro-esophageal junction (GEJ) carcinoma. Optimal systemic therapies were defined as those that provided improved overall survival and improved quality of life. # TARGET POPULATION Adult patients (a...
Care has been taken in the preparation of the information contained in this report. Nevertheless, any person seeking to consult the report or apply its recommendations is expected to use independent medical judgment in the context of individual clinical circumstances or to seek out the supervision of a qualified clinic...
None
None
9b123907b87bdbf96d37534b03913cc29f3d6da1
cdc
None
The purpose of the memorandum is to exchange information and expertise in the area of occupational safety and health. One product of this agreement is the development of documents to provide the scientific basis for establishing recommended occupational exposure limits. These limits will be developed separately by the ...
The purpose of the memorandum is to exchange information and expertise in the area of occupational safety and health. One product of this agreement is the development of documents to provide the scientific basis for establishing recommended occupational exposure limits. These limits will be developed separately by the ...
None
None
8cd99385e65cdabd7c31e3781bee417d1b323cc1
cdc
None
# Table of Contents List of Tables, Figures , and Boxes # Summary Preexposure Prophylaxis for HIV Prevention in the United States -2013: A Clinical Practice Guideline provides comprehensive information for the use of daily oral antiretroviral preexposure prophylaxis (PrEP) to reduce the risk of acquiring HIV infection...
# Table of Contents List of Tables, Figures , and Boxes # Summary Preexposure Prophylaxis for HIV Prevention in the United States -2013: A Clinical Practice Guideline provides comprehensive information for the use of daily oral antiretroviral preexposure prophylaxis (PrEP) to reduce the risk of acquiring HIV infection...
None
None
e2fd70c208f35255409a4062bbf04740830c4cd0
cdc
None
This report is being published as a courtesy to both the National Association of State Public Health Veterinarians, Inc., and to the MMWR readership. Its publication does not imply endorsement by CDC.# Copies also can be accessed at the CDC website at and the American Veterinary Medical Association website at . # Com...
This report is being published as a courtesy to both the National Association of State Public Health Veterinarians, Inc., and to the MMWR readership. Its publication does not imply endorsement by CDC.# Copies also can be accessed at the CDC website at <http://www.cdc.gov/ncidod> and the American Veterinary Medical Ass...
None
None
1e634bfa4a7adce3e3f5037b78378c7b41a6d5c3
cdc
None
Chairman/Criteria Group NIOH In an Italian factory for production of n-butyl phthalate, isobutyl phthalate, and DEHP, G ilioli et al (36) measured to tal phthalate exposure 3 concentrations between 1 and 60 mg/m with an average air concentration 3 (not stated whether arithmetic or geometric) around 5 mg/m . Nielsen et ...
Chairman/Criteria Group NIOH In an Italian factory for production of n-butyl phthalate, isobutyl phthalate, and DEHP, G ilioli et al (36) measured to tal phthalate exposure 3 concentrations between 1 and 60 mg/m with an average air concentration 3 (not stated whether arithmetic or geometric) around 5 mg/m . Nielsen et ...
None
None
6df275fac6fb02413f202f9fe4917a5233556819
cdc
None
In 2010, the Advisory Committee on Immunization Practices (ACIP) first recommended annual influenza vaccination for all persons aged ≥6 months in the United States (1). Annual influenza vaccination of all persons aged ≥6 months continues to be recommended. This document 1) describes influenza vaccine virus strains incl...
# In 2010, the Advisory Committee on Immunization Practices (ACIP) first recommended annual influenza vaccination for all persons aged ≥6 months in the United States (1). Annual influenza vaccination of all persons aged ≥6 months continues to be recommended. This document 1) describes influenza vaccine virus strains i...
None
None
e69c9fcd34da13e6c948998ac570276a92b3b5bf
cdc
None
# CRITERIA DOCUMENT: RECOMMENDATIONS FOR AN OCCUPATIONAL EXPOSURE STANDARD FOR INORGANIC LEAD recommends that employee exposure to inorganic lead in the workplace be controlled by adherence to the following sections. The standard is designed to protect the health and safety of workers for an 8-hour day, 40-hour week ov...
# CRITERIA DOCUMENT: RECOMMENDATIONS FOR AN OCCUPATIONAL EXPOSURE STANDARD FOR INORGANIC LEAD recommends that employee exposure to inorganic lead in the workplace be controlled by adherence to the following sections. The standard is designed to protect the health and safety of workers for an 8-hour day, 40-hour week ov...
None
None
c967d2e72d0f4b341d0a71f00b751aa6dc027003
cdc
None
This manual introduces the reader to the principles and practical tools of crisis and emergency risk communication (CERC). Principles in this manual adapt (1) writings of classical rhetoricians; (2) a wealth of modern crisis, issues management, communication theory, and psychological theory; and (3) lessons learned fro...
This manual introduces the reader to the principles and practical tools of crisis and emergency risk communication (CERC). Principles in this manual adapt (1) writings of classical rhetoricians; (2) a wealth of modern crisis, issues management, communication theory, and psychological theory; and (3) lessons learned fro...
None
None
e2cb194bc47c7ab1919dae7545c59fea1fc9340a
cdc
None
depar depar depar depar department of health and human ser tment of health and human ser tment of health and human ser tment of health and human ser tment of health and human services vices vices vices vices# acute renal failure, acute respiratory distress syndrome, and disseminated intravascular coagulation. He requir...
depar depar depar depar department of health and human ser tment of health and human ser tment of health and human ser tment of health and human ser tment of health and human services vices vices vices vices# acute renal failure, acute respiratory distress syndrome, and disseminated intravascular coagulation. He requi...
None
None
b0fb2c2654cff75ee89635f8f3a567b6d3598ec8
cdc
None
# I. RECOMMENDATIONS FOR A STANDARD FOR WORK IN HOT ENVIRONMENTS The National Institute for Occupational Safety and Health (NIOSH) recommends that employee exposure to heat in the workplace be controlled by requiring compliance with the work practice standard set forth in the following sections. Adherence to the precau...
# I. RECOMMENDATIONS FOR A STANDARD FOR WORK IN HOT ENVIRONMENTS The National Institute for Occupational Safety and Health (NIOSH) recommends that employee exposure to heat in the workplace be controlled by requiring compliance with the work practice standard set forth in the following sections. Adherence to the precau...
None
None
a04988834597e9ed31e25c40fbd8f6ce7917d4b1
cdc
None
Scopolamine Poisoning -Continued Heroin is mixed ("cut") frequently with other substances primarily to increase its weight for retail sale (e.g., mannitol and starch) and to add pharmacologic effects (e.g., dextromethorphan and lidocaine). During 1995 and 1996, health departments and poison-control centers in New York ...
Scopolamine Poisoning -Continued Heroin is mixed ("cut") frequently with other substances primarily to increase its weight for retail sale (e.g., mannitol and starch) and to add pharmacologic effects (e.g., dextromethorphan and lidocaine). During 1995 and 1996, health departments and poison-control centers in New York ...
None
None
926d07600e3135c49adf06dcb1d1893c4ff3816d
cdc
None
Routine vaccination of children is an effective way to reduce hepatitis A incidence in the United States. Since licensure of hepatitis A vaccine during 1995-1996, the hepatitis A childhood immunization strategy has been implemented incrementally, starting with the recommendation of the Advisory Committee on Immunizatio...
Routine vaccination of children is an effective way to reduce hepatitis A incidence in the United States. Since licensure of hepatitis A vaccine during 1995-1996, the hepatitis A childhood immunization strategy has been implemented incrementally, starting with the recommendation of the Advisory Committee on Immunizatio...
None
None
67bb54a24ecaef2340b2541520a823c4684e3622
cdc
None
As the nation's prevention agency, CDC strives to accomplish its vision of "Healthy People in a Healthy World...Through Prevention." For women, this involves working to better understand the health issues that have an adverse impact on women, disproportionately affect women, occur only in women, or have an impact on in...
As the nation's prevention agency, CDC strives to accomplish its vision of "Healthy People in a Healthy World...Through Prevention." For women, this involves working to better understand the health issues that have an adverse impact on women, disproportionately affect women, occur only in women, or have an impact on in...
None
None
9694b3bf518b96437fd2b3ea2a3d88b0c53d6afd
cdc
None
Healthy eating patterns in childhood and adolescence promote optimal childhood health, growth, and intellectual development; prevent immediate health problems, such as iron deficiency anemia, obesity, eating disorders, and dental caries; and may prevent long-term health problems, such as coronary heart disease, cancer,...
Healthy eating patterns in childhood and adolescence promote optimal childhood health, growth, and intellectual development; prevent immediate health problems, such as iron deficiency anemia, obesity, eating disorders, and dental caries; and may prevent long-term health problems, such as coronary heart disease, cancer,...
None
None