National Comprehensive Cancer Network

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Now available! NCCN Framework for Resource Stratification of NCCN Guidelines

The National Comprehensive Cancer Network® (NCCN®) has published the NCCN Framework for Resource Stratification of NCCN Guidelines (NCCN Framework™) for Cervical Cancer.

The NCCN Framework™ accounts for variability in available clinical treatment resources. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) are used widely around the world, including in a number of regions with low- to mid-level resources. The goal of the NCCN Framework™ is to identify appropriate treatment at four resource levels—Basic, Limited, Enhanced, and Maximal—and deliver a tool for health care providers to identify treatment options that will provide the best possible outcomes at a given resource level. The NCCN Framework™ outlines a rational approach for transition between resource levels when building a health system with the goal of providing the highest attainable level of care.

The four levels of NCCN Framework™ resources include:

  • Basic: Essential services needed to provide basic minimal standard of care
  • Limited: Services that provide major improvements in disease outcomes, e.g. survival, that are not cost prohibitive
  • Enhanced: Services that provide lesser improvements in disease outcomes, or services that provide major improvements in disease outcomes but are cost prohibitive at lower resource levels
  • Maximal: Services that do not provide improvement in disease outcomes but are desirable services, or services that provide minor improvements in disease outcomes but are cost prohibitive in lower resource levels

NCCN develops and maintains 61 NCCN Guidelines for cancer prevention, detection, treatment, and supportive care, as well as more than 70 translations of NCCN Content in 12 languages and several international adaptations that allow for consideration of biologic differences in populations, local accessibility, and regulatory status of interventions used in specific global regions.

NCCN Framework™ for Breast and Hepatobiliary Cancers will be published later this year. A preliminary version of the NCCN Framework™ for Cervical Cancer was released in March 2015.

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