Pathak Nabin, Sapkota Simit, Wangge Grace, Siddiqui Adeel, Shrestha Sunil
Drug Information Unit and Pharmacovigilance Cell, Department of Pharmacy, Hetauda Hospital, Madan Bhandari Academy of Health Sciences, Hetauda, Nepal.
Department of Pharmacy and Clinical Pharmacology, Madan Bhandari Academy of Health Sciences, Hetauda, Nepal.
J Oncol Pharm Pract. 2025 Jun;31(4):679-683. doi: 10.1177/10781552251330241. Epub 2025 Mar 28.
Limited studies discuss the updated definition and essential components of oncology stewardship. In this paper, we aim to present a revised definition of oncology stewardship emphasizing its broader application across multiple cancer therapies, including systemic chemotherapy, immunotherapy, targeted treatments and newer therapies associated with cancer care. We outline essential elements required for its implementation, which may vary between high-income and low-middle-income countries depending on available resources. Regardless of the setting, key components include adherence to evidence-based clinical practice guidelines, continuous quality improvement, cost-effectiveness strategies, a multidisciplinary team approach, and prioritization of patient-centered care.