Chemotherapy in combination with radiotherapy for definitive-intent treatment of stage II-IVA nasopharyngeal carcinoma: CSCO and ASCO guideline Guidelines


Authors: Chen, Y. P.; Ismaila, N.; Chua, M. L. K.; Colevas, A. D.; Haddad, R.; Huang, S. H.; Wee, J. T. S.; Whitley, A. C.; Yi, J. L.; Yom, S. S.; Chan, A. T. C.; Hu, C. S.; Lang, J. Y.; Le, Q. T.; Lee, A. W. M.; Lee, N.; Lin, J. C.; Ma, B.; Morgan, T. J.; Shah, J.; Sun, Y.; Ma, J.
Title: Chemotherapy in combination with radiotherapy for definitive-intent treatment of stage II-IVA nasopharyngeal carcinoma: CSCO and ASCO guideline
Abstract: PURPOSE The aim of this joint guideline is to provide evidence-based recommendations to practicing physicians and other healthcare providers on definitive-intent chemoradiotherapy for patients with stage II-IVA nasopharyngeal carcinoma (NPC). METHODS The Chinese Society of Clinical Oncology (CSCO) and ASCO convened an expert panel of radiation oncology, medical oncology, surgery, and advocacy representatives. The literature search included systematic reviews, meta-analyses, and randomized controlled trials published from 1990 through 2020. Outcomes of interest included survival, distant and locoregional disease control, and quality of life. Expert panel members used this evidence and informal consensus to develop evidence-based guideline recommendations. RESULTS The literature search identified 108 relevant studies to inform the evidence base for this guideline. Five overarching clinical questions were addressed, which included subquestions on radiotherapy (RT), chemotherapy sequence, and concurrent, induction, and adjuvant chemotherapy options. RECOMMENDATIONS Evidence-based recommendations were developed to address aspects of care related to chemotherapy in combination with RT for the definitive-intent treatment of stage II to IVA NPC. © 2021 by American Society of Clinical Oncology
Journal Title: Journal of Clinical Oncology
Volume: 39
Issue: 7
ISSN: 0732-183X
Publisher: American Society of Clinical Oncology  
Date Published: 2021-03-01
Start Page: 840
End Page: 859
Language: English
DOI: 10.1200/jco.20.03237
PUBMED: 33405943
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 1 April 2021 -- Source: Scopus
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  1. Nancy Y. Lee
    871 Lee
  2. Jatin P Shah
    721 Shah