and family/caregivers, whereas another panel member raised the possibility of reframing this information in an algorithm on shared decision-making. It was suggested that the current content provided important guidance on appropriate triggers for
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Maria Dans, Thomas Smith, Anthony Back, Justin N. Baker, Jessica R. Bauman, Anna C. Beck, Susan Block, Toby Campbell, Amy A. Case, Shalini Dalal, Howard Edwards, Thomas R. Fitch, Jennifer Kapo, Jean S. Kutner, Elizabeth Kvale, Charles Miller, Sumathi Misra, William Mitchell, Diane G. Portman, David Spiegel, Linda Sutton, Eytan Szmuilowicz, Jennifer Temel, Roma Tickoo, Susan G. Urba, Elizabeth Weinstein, Finly Zachariah, Mary Anne Bergman, and Jillian L. Scavone
Mark A. Helvie and Therese B. Bevers
mammography should be counseled regarding potential benefits, risks, and limitations, and shared decision-making is encouraged. Breast cancer is a major worldwide health problem. In the United States, 12.5%, or 1 in 8 women, will develop breast cancer during
Leslie A. Fecher, Shrinivas Bishu, Robert J. Fontana, Salim S. Hayek, and Bryan J. Schneider
are generally low and include significant bleeding in 1% to 2.8% of cases, pneumothorax in 4%, and hypoxia/bronchospasm in 9%. 27 Shared decision-making with patients is essential to review the risks/benefits value of this procedure for pulmonary
Matthew E. Nielsen, Bruce J. Trock, and Patrick C. Walsh
pathological features alone or initial observation with salvage RT in the event of biochemical recurrence remains a complex and controversial question that should be addressed with shared decision-making. The authors have disclosed that they have no
Emma Gargus, Rebecca Deans, Antoinette Anazodo, and Teresa K. Woodruff
lower breast cancer risk than premenopausal survivors (HR, 0.47; 95% CI, 0.23–0.94), indicating that exogenous hormones do not fully mirror the role of endogenous hormones in the development of breast cancer. 83 Using shared decision-making, providers
NCCN Guidelines Insights: Genetic/Familial High-Risk Assessment: Colorectal, Version 2.2019
Featured Updates to the NCCN Guidelines
Samir Gupta, Dawn Provenzale, Xavier Llor, Amy L. Halverson, William Grady, Daniel C. Chung, Sigurdis Haraldsdottir, Arnold J. Markowitz, Thomas P. Slavin Jr, Heather Hampel, CGC, Reid M. Ness, Jennifer M. Weiss, Dennis J. Ahnen, Lee-may Chen, Gregory Cooper, Dayna S. Early, Francis M. Giardiello, Michael J. Hall, Stanley R. Hamilton, Priyanka Kanth, Jason B. Klapman, Audrey J. Lazenby, Patrick M. Lynch, Robert J. Mayer, June Mikkelson, CGC, Shajan Peter, Scott E. Regenbogen, Mary A. Dwyer, CGC, and Ndiya Ogba
assessment identifies factors associated with increased risk. The 2019 update included a section on principles of cancer risk assessment and counseling for individuals with potentially increased risk, which can guide shared decision-making regarding the need
Elizabeth A. Nardi, Lisa Korin Lentz, Katherine Winckworth-Prejsnar, Amy P. Abernethy, and Robert W. Carlson
not acting in isolation. 22 In turn, this can help with shared decision-making, leading to patients making informed choices. Technology, it seems, should be a trust broker and accelerator. 23 Disparate data sources, such as EHRs, administrative and
Timothy J. Wilt and Philipp Dahm
decision making on cancer screening—a systematic review . Washington, DC : Department of Veterans Affairs (US) ; 2014 . 34. Carlsson S Assel M Sjoberg D . Influence of blood prostate specific antigen levels at age 60 on benefits and harms of
Therese B. Bevers, John H. Ward, Banu K. Arun, Graham A. Colditz, Kenneth H. Cowan, Mary B. Daly, Judy E. Garber, Mary L. Gemignani, William J. Gradishar, Judith A. Jordan, Larissa A. Korde, Nicole Kounalakis, Helen Krontiras, Shicha Kumar, Allison Kurian, Christine Laronga, Rachel M. Layman, Loretta S. Loftus, Martin C. Mahoney, Sofia D. Merajver, Ingrid M. Meszoely, Joanne Mortimer, Lisa Newman, Elizabeth Pritchard, Sandhya Pruthi, Victoria Seewaldt, Michelle C. Specht, Kala Visvanathan, Anne Wallace, Mary Ann Bergman, and Rashmi Kumar
Survival estimates generated from this model can facilitate shared decision-making regarding choice of a risk reduction approach (see Table 2; available online, in these guidelines, at NCCN.org ). A prospective multicenter study reported the benefit of
NCCN Guidelines® Insights: Older Adult Oncology, Version 1.2021
Featured Updates to the NCCN Guidelines
Efrat Dotan, Louise C. Walter, Ilene S. Browner, Katherine Clifton, Harvey Jay Cohen, Martine Extermann, Cary Gross, Sumati Gupta, Genevieve Hollis, Joleen Hubbard, Reshma Jagsi, Nancy L. Keating, Elizabeth Kessler, Thuy Koll, Beatriz Korc-Grodzicki, June M. McKoy, Sumi Misra, Dominic Moon, Tracey O’Connor, Cynthia Owusu, Ashley Rosko, Marcia Russell, Mina Sedrak, Fareeha Siddiqui, Amy Stella, Derek L. Stirewalt, Ishwaria M. Subbiah, William P. Tew, Grant R. Williams, Liz Hollinger, Giby V. George, and Hema Sundar
, and allowing for a shared decision-making with the patient and/or caregiver. Although typically a thorough CGA is performed by a geriatric trained clinician, many of the tools can be applied to routine practice and conducted by providers without any
