Radiation Oncology/NSCLC/Guidelines

NSCLC Guidelines

see also: Palliative Lung Guidelines

National Comprehensive Cancer Network (NCCN)

• Clinical Practice Guidelines

National Cancer Institute (NCI)

• Health Professional PDQ

U.S. Preventive Services Task Force

• Screening recommendations (2004)

American College of Radiology (ACR)

• Hemoptysis
• Needle Biopsy in the Thorax
• Staging
• Postoperative Adjuvant Therapy
• Induction and Adjuvant Therapy for N2 Disease
• Nonsurgical Aggressive Therapy
• Nonsurgical Poor Performance or Palliative Care
• Follow-Up
• Screening for Pulmonary Metastases

American Brachytherapy Society (ABS)

• 2001 PMID 11301833 -- "Brachytherapy for carcinoma of the lung." (Nag S, Oncology (Williston Park). 2001 Mar;15(3):371-81.)

American College of Chest Physicians (ACCP)

• Chemoprevention
• Screening
• Diagnostic Surgical Pathology
• Evaluation of Pulmonary Nodules
• Treatment of Pulmonary Nodules
• Initial Evaluation of Signs and Symptoms
• Initial Diagnosis
• Physiologic Evaluation
• Noninvasive Staging
• Invasive Mediastinal Staging
• Bronchial Intraepithelial Neoplasia
• Treatment of Stage I and Stage II
• Treatment of Stage IIIA
• Treatment of Stage IIIB
• Treatment of Stage IV
• Special Treatment Issues (e.g. Pancoast, T4N0, solitary mets, etc)
• Bronchioloalveolar Lung Cancer
• Complementary Therapies
• Palliative Care
• Quality of Life, Bereavement
• Chronic Cough Due to Lung Tumors
• Pulmonary Rehabilitation

American Society of Clinical Oncology (ASCO)

• Adjuvant Chemotherapy and Adjuvant Radiotherapy for Resectable Stage I-IIIA (PDF)
• Chemotherapy for Stage IV (PDF)(PMID 19917871)

American Society for Radiation Oncology (ASTRO)

• 2015: Adjuvant PMID 25957185 -- "Adjuvant radiation therapy in locally advanced non-small cell lung cancer: Executive summary of an American Society for Radiation Oncology (ASTRO) evidence-based clinical practice guideline." (Rodrigues G, Pract Radiat Oncol. 2015 May-Jun;5(3):149-55.)
• 2015: Definitive RT / Loc Adv PMID 25957184 -- "Definitive radiation therapy in locally advanced non-small cell lung cancer: Executive summary of an American Society for Radiation Oncology (ASTRO) evidence-based clinical practice guideline." (Rodrigues G, Pract Radiat Oncol. 2015 May-Jun;5(3):141-8.)
• 2011: Palliative PMID 25740118 -- "Palliative thoracic radiotherapy in lung cancer: An American Society for Radiation Oncology evidence-based clinical practice guideline." (Rodrigues G, Pract Radiat Oncol. 2011 Apr-Jun;1(2):60-71.)

EORTC

• 2010 PMID 21079134 -- "European Organisation for Research and Treatment of Cancer recommendations for planning and delivery of high-dose, high-precision radiotherapy for lung cancer." (De Ruysscher D, J Clin Oncol. 2010 Dec 20;28(36):5301-10. Epub 2010 Nov 15.)

Cancer Care Ontario

• Cross-sectional Imaging
• Role of PET in Diagnosis; Evidence-Based Series
• Postoperative RT in Stage II-IIIA
• Postoperative Chemotherapy +/- RT in Completely Resected Lung Cancer
• Preoperative Chemotherapy +/- Postoperative RT in Technically Resectable Lung Cancer
• Management of Unresectable Stage III; Evidence-Based Series
• Altered Fractionation in Unresectable Lung Cancer
• Role of Brachytherapy in Palliation; Evidence-Based Series
• Role of Photodynamic Therapy
• Chemotherapy in Stage IV
• First-Line Chemotherapy in Stage IV
• Second-Line of Progressive Chemotherapy
• Role of Taxanes in Advanced Stage
• Use of Gemcitabine
• Use of EGFR Inhibitors

National Institute for Clinical Excellence (NICE)

• Full Guideline (2005)
• Photodynamic Therapy for Inorperable Endobronichial Cancer (2005)
• Pemetrexed (2007)
• Bevacizumab (2008))
• Erlotinib (2008)

Scottish Intercollegiate Guidelines Network (SIGN)

• Management of patients with lung cancer (2005)

British Thoracic Society

• Selection of Patients for Surgery (2001)

All-Ireland Lung Cancer Group

• Guidelines for Clinical Management (2004)