The NCCN Guidelines are used widely around the world, including in a number of low-
and middle-resource countries where certain diagnostic tests and/or treatment approaches may be unavailable. The goal of the NCCN Framework™ is to define appropriate treatment pathways based on available resources—Basic, Core, Enhanced,
and NCCN Guidelines—and deliver a tool for health care providers to identify treatment options that will provide the best possible outcomes in resource-constrained settings.
The NCCN Framework™ outlines a rational approach for building cancer management systems to provide the highest achievable cancer care by applying available and affordable services in a logical sequence. Each NCCN Framework™ builds on the one before it, with incremental changes to the allocation of resources, providing a structure for improving cancer care. Treatment recommendations applicable to each NCCN Framework resource can be viewed within the context of the NCCN Guidelines.
The NCCN Framework™ resources are defined as follows:
NCCN believes that the best available resources should be provided. If Basic Resources for cancer treatment are unavailable, palliative and best supportive care should be provided. Referral to a higher-resource-level provider with the best available resources, to provide the highest level of cancer care possible, is always an appropriate option for the patient.
NCCN extends its sincere gratitude to those clinicians from around the world who generously give their time and expertise to review the NCCN Framework™ and provide thoughtful input. Learn more about the International Review of NCCN Framework™.
Basic Resources Version 2.2020
Core Resources Version 2.2020
Enhanced Resources Version 2.2020
NCCN Guidelines Version 2.2024
Basic Resources Version 6.2023
Core Resources Version 6.2023
Enhanced Resources Version 6.2023
NCCN Guidelines Version 3.2024
Basic Resources Version 3.2023
Core Resources Version 3.2023
Enhanced Resources Version 3.2023
NCCN Guidelines Version 4.2024
Basic Resources Version 3.2023
Core Resources Version 3.2023
Enhanced Resources Version 3.2023
NCCN Guidelines Version 5.2024
Basic Resources Version 4.2022
Core Resources Version 4.2022
Enhanced Resources Version 4.2022
NCCN Guidelines Version 5.2024
Basic Resources Version 1.2024
Core Resources Version 1.2024
Enhanced Resources Version 1.2024
NCCN Guidelines Version 4.2024
Basic Resources Version 3.2022
Core Resources Version 3.2022
Enhanced Resources Version 3.2022
NCCN Guidelines Version 5.2024
Basic Resources Version 1.2024
Core Resources Version 1.2024
Enhanced Resources Version 1.2024
NCCN Guidelines Version 4.2024
Basic Resources Version 2.2022 (Preliminary)
Core Resources Version 2.2022 (Preliminary)
Enhanced Resources Version 2.2022 (Preliminary)
NCCN Guidelines Version 4.2024
Basic Resources Version 2.2023
Core Resources Version 2.2023
Enhanced Resources Version 2.2023
NCCN Guidelines Version 5.2024
Basic Resources Version 2.2023
Core Resources Version 2.2023
Enhanced Resources Version 2.2023
NCCN Guidelines Version 3.2024
Basic Resources Version 3.2023
Core Resources Version 3.2023
Enhanced Resources Version 3.2023
NCCN Guidelines Version 2.2025
Basic Resources Version 3.2022
Core Resources Version 3.2022
Enhanced Resources Version 3.2022
NCCN Guidelines Version 11.2024
Basic Resources Version 1.2024
Core Resources Version 1.2024
Enhanced Resources Version 1.2024
NCCN Guidelines Version 3.2024
Basic Resources Version 1.2023
Core Resources Version 1.2023
Enhanced Resources Version 1.2023
NCCN Guidelines Version 4.2024
Basic Resources Version 4.2022
Core Resources Version 4.2022
Enhanced Resources Version 4.2022
NCCN Guidelines Version 4.2024
Basic Resources Version 4.2023
Core Resources Version 4.2023
Enhanced Resources Version 4.2023
NCCN Guidelines Version 4.2024
Basic Resources Version 1.2024
Core Resources Version 1.2024
Enhanced Resources Version 1.2024
NCCN Guidelines Version 3.2024
Basic Resources Version 1.2024
Core Resources Version 1.2024
Enhanced Resources Version 1.2024
NCCN Guidelines Version 2.2024
Basic Resources Version 1.2020
Core Resources Version 1.2020
Enhanced Resources Version 1.2020
NCCN Guidelines Version 1.2024
Basic Resources Version 2.2024
Core Resources Version 2.2024
Enhanced Resources Version 2.2024
NCCN Guidelines Version 2.2024
NCCN MAKES NO REPRESENTATIONS OR WARRANTIES CONCERNING THE NCCN CONTENT, THE NCCN GUIDELINES OR DERIVATIVE RESOURCES PROVIDED BY NCCN, ALL OF WHICH ARE PROVIDED "AS IS." NCCN DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, WITHOUT LIMITATION, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. NCCN DOES NOT WARRANT THE ACCURACY, APPROPRIATENESS, APPLICABILITY OR COMPLETENESS OF THE NCCN CONTENT, THE NCCN GUIDELINES OR ANY DERIVATIVE RESOURCES, NOR DOES NCCN MAKE ANY REPRESENTATIONS REGARDING THE USE OR RESULTS OF THE USE OF THE NCCN CONTENT, THE NCCN GUIDELINES OR ANY SUCH DERIVATIVE RESOURCES.
NCCN EXPLICITLY DISCLAIMS THE APPROPRIATENESS OR APPLICABILITY OF THE NCCN CONTENT, THE NCCN GUIDELINES, AND ANY DERIVATIVE RESOURCES, OR THE USE OR APPLICATION OF THE NCCN CONTENT, THE NCCN GUIDELINES OR ANY SUCH DERIVATIVE RESOURCES, TO ANY SPECIFIC PATIENT'S CARE OR TREATMENT. ANY CLINICIAN SEEKING TO APPLY OR CONSULT THE NCCN CONTENT, THE NCCN GUIDELINES AND/OR ANY DERIVATIVE RESOURCES IS EXPECTED TO USE INDEPENDENT MEDICAL JUDGMENT IN THE CONTEXT OF THE INDIVIDUAL CLINICAL CIRCUMSTANCES TO DETERMINE ANY PATIENT'S CARE OR TREATMENT.