Department of Oncology, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.
J Natl Compr Canc Netw. 2010 Jul;8 Suppl 3:S8-S15. doi: 10.6004/jnccn.2010.0126.
Published data from the Middle East and North Africa (MENA) region indicate suboptimal quality of cancer care, while the World Health Organization predicts an increase in cancer cases in developing countries. Major advances in breast cancer management mandate the development of guidelines to improve the quality and efficacy of oncology practice in the MENA region. A Breast Cancer Regional Guidelines Committee was organized and activated, comprising experts from various regional cancer institutions. The multidisciplinary team included 12 medical oncologists, 3 radiation oncologists, 2 radiologists, 2 surgeons, and 1 pathologist. The committee members agreed on adapting the current NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) on Breast Cancer for use in the MENA region to achieve common practice standards for treating patients. The members suggested several modifications to the guidelines, especially those related to risk factor profiles. United States-based NCCN experts reviewed these recommendations before final approval. The MENA-NCCN Breast Cancer Guidelines modification process was the first initiative in the development of common practice guidelines in the region. This project may serve as a foundation for the development of evidence-based practice standards, and improve collaborative projects and initiatives.
来自中东和北非（MENA）地区的已发表数据表明，癌症治疗的质量不尽如人意，而世界卫生组织预计发展中国家的癌症病例将会增加。乳腺癌管理的重大进展要求制定指南，以提高 MENA 地区肿瘤学实践的质量和效果。成立了一个乳腺癌区域指南委员会，并使其投入运作，该委员会由来自各个区域癌症机构的专家组成。多学科团队包括 12 名肿瘤内科医生、3 名放射肿瘤学家、2 名放射科医生、2 名外科医生和 1 名病理学家。委员会成员一致同意适应当前的 NCCN 肿瘤学临床实践指南（NCCN 指南）中的乳腺癌部分，以便在 MENA 地区实现治疗患者的共同实践标准。成员们对指南提出了一些修改建议，特别是与危险因素特征相关的建议。基于美国的 NCCN 专家在最终批准前审查了这些建议。MENA-NCCN 乳腺癌指南的修改过程是该地区制定共同实践指南的首个举措。该项目可以作为制定基于证据的实践标准的基础，并促进合作项目和举措。
