NCCN resource-stratified and harmonized guidelines: A paradigm for optimizing global cancer care

Cancer. 2020 May 15:126 Suppl 10:2416-2423. doi: 10.1002/cncr.32880.

Abstract

Clinical practice guidelines in oncology lead to improved outcomes in care. However, the most frequently used guidelines are developed for highly resourced systems. Recognizing the significant and increasing burden of cancer in low- and middle-income countries, the National Comprehensive Cancer Network (NCCN) has developed resource-stratified framework and harmonization processes that allow the NCCN Guidelines to be tailored and optimized for specific geographical areas, resource levels, and settings. The critical need for local expertise and involvement in successful development and uptake is emphasized, and the promise of this collaboration for advancement in oncology programs is illustrated.

Keywords: clinical practice guidelines; global cancer care; harmonization; relevance; resource stratification.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Developing Countries
  • Global Health
  • Humans
  • Neoplasms / therapy*
  • Practice Guidelines as Topic / standards*
  • Socioeconomic Factors
  • Standard of Care / standards*