Winn R J, Botnick W, Dozier N
University of Texas, M.D., Anderson Cancer Center, Houston, USA.
Oncology (Williston Park). 1996 Nov;10(11 Suppl):23-8.
The National Comprehensive Cancer Network (NCCN) has begun a program for the development of comprehensive clinical practice guidelines for the management of the most common tumors. The NCCN guidelines reflect a process of consensus that relies on evaluation of the evidence and structured feedback. The guidelines are designed to reflect clinical decision-making, and attempt to deal with the complexity of managing cancer. The initial guidelines effort has yielded eight guidelines for adult cancers and three for pediatric cancers. The guidelines are set up in algorithm format. The NCCN members believe that clinical trials are always an appropriate form of patient management, and that the inclusion of a patient in a clinical trial is preferred at every decision point in the algorithm.
美国国立综合癌症网络（NCCN）已启动一项计划，旨在制定针对最常见肿瘤管理的综合临床实践指南。NCCN指南反映了一个基于证据评估和结构化反馈的共识过程。这些指南旨在反映临床决策，并试图应对癌症管理的复杂性。最初的指南工作已产生了八项成人癌症指南和三项儿童癌症指南。这些指南以算法形式制定。NCCN成员认为，临床试验始终是患者管理的一种合适形式，并且在算法的每个决策点，优先考虑将患者纳入临床试验。
