NCCN Flash Updates: NCCN Guidelines and NCCN Templates Updated
NCCN has published updates to the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Cancer-Related Fatigue. These NCCN Guidelines® are currently available as Version 1.2022.
Link directly to the Updates section of the NCCN Guidelines:
Cancer-Related Fatigue
- Standards of Care (FT-2) Heading 1
- Bullet 7 revised: Consider referral to an appropriate specialist or supportive care provider (eg, survivorship, palliative care, integrative oncology, psychology, psychiatry, physical therapy, occupational therapy, physical medicine).
- Interventions for Patients on Active Treatment/Nonpharmacologic (FT-6)
- Footnote o revised: Bright white light therapy of 1250–10,000 lux is most frequently self-administered in the early morning for 30–90 minutes. Timing needs to be adjusted for those who sleep during the day.
- Interventions for Patients Post-Treatment/Nonpharmacologic (FT-7)
- Bullet 3 revised: "CBT for sleep" changed to "CBT for insomnia (CBT-I)."
- Interventions for Patients at the End of Life/Nonpharmacologic (FT-8)
- Footnote r added: A structured exercise protocol depending on the patient's tolerance level can be used to improve fatigue experienced by patients with advanced cancer in hospice care (Vira P, et al. Am J Hosp Palliat Care 2021;38:503-511).
NCCN has published updates to the NCCN Guidelines for Testicular Cancer. These NCCN Guidelines are currently available as Version 2.2022.
Link directly to the Updates section of the NCCN Guidelines:
Testicular Cancer
- The Discussion section has been updated to reflect the changes in the algorithm. (MS-1)
NCCN has published updates to the NCCN Chemotherapy Order Templates (NCCN Templates®) for Hodgkin Lymphoma to reflect the currently published NCCN Guidelines for Hodgkin Lymphoma v1.2022.
- The following New NCCN Templates® have been published:
- HDL66: GVD (Gemcitabine/VinORELBine/Liposomal DOXOrubicin) + Pembrolizumab
- HDL67: GCD (Gemcitabine/CISplatin/Dexamethasone)
- HDL68: CVbP (Cyclophosphamide/VinBLAStine/PrednisoLONE) + RiTUXimab
- Changes to the Indication section have been updated on the following templates:
- HDL1: ABVD (DOXOrubicin/Bleomycin/VinBLAStine/Dacarbazine) - Stage I-II Favorable
- HDL2: ABVD (DOXOrubicin/Bleomycin/VinBLAStine/Dacarbazine) – Stage I-II Unfavorable
- HDL3: ABVD (DOXOrubicin/Bleomycin/VinBLAStine/Dacarbazine) – Stage III-IV
- HDL6: Escalated-dose BEACOPP (Bleomycin/Etoposide/DOXOrubicin/Cyclophosphamide/ VinCRIStine/PredniSONE/Procarbazine) – Stage III-IV
- HDL11: Mini-BEAM (Carmustine/Etoposide/Cytarabine/Melphalan)
- HDL12: MINE (Mesna/Ifosfamide/MitoXANTRONE/Etoposide)
- HDL17: ABVD (DOXOrubicin/Bleomycin/VinBLAStine/Dacarbazine) + RiTUXimab
- HDL25: C-MOPP – Schema I (Cyclophosphamide/VinCRIStine/PredniSONE/Procarbazine)
- HDL26: C-MOPP – Schema II (Cyclophosphamide/VinCRIStine/PredniSONE/Procarbazine)
- HDL31: Brentuximab vedotin
- HDL32: Bendamustine
- HDL46: Escalated-dose BEACOPP (Bleomycin/Etoposide/DOXOrubicin/Cyclophosphamide/ VinCRIStine/PredniSONE/Procarbazine) – Stage I-II
- HDL47: Everolimus
- HDL48: Lenalidomide
- HDL50: Brentuximab vedotin + AVD (DOXOrubicin/VinBLAStine/Dacarbazine) – Stage III-IV
- HDL54: Nivolumab
- HDL55: Pembrolizumab
- HDL62: Bendamustine/CARBOplatin/Etoposide
- HDL63: GEMOX (Gemcitabine/OXALIplatin)
- HDL64: Brentuximab vedotin followed by AVD (DOXOrubicin/VinBLAStine/Dacarbazine) – Older Adults
- References have been updated on the following templates:
- HDL1: ABVD (DOXOrubicin/Bleomycin/VinBLAStine/Dacarbazine) - Stage I-II Favorable
- HDL2: ABVD (DOXOrubicin/Bleomycin/VinBLAStine/Dacarbazine) – Stage I-II Unfavorable
- HDL6: Escalated-dose BEACOPP (Bleomycin/Etoposide/DOXOrubicin/Cyclophosphamide/ VinCRIStine/PredniSONE/Procarbazine) – Stage III-IV
- HDL17: ABVD (DOXOrubicin/Bleomycin/VinBLAStine/Dacarbazine) + RiTUXimab
- HDL25: C-MOPP – Schema I (Cyclophosphamide/VinCRIStine/PredniSONE/Procarbazine)
- HDL26: C-MOPP – Schema II (Cyclophosphamide/VinCRIStine/PredniSONE/Procarbazine)
- HDL46: Escalated-dose BEACOPP (Bleomycin/Etoposide/DOXOrubicin/Cyclophosphamide/ VinCRIStine/PredniSONE/Procarbazine) – Stage I-II
- HDL50: Brentuximab vedotin + AVD (DOXOrubicin/VinBLAStine/Dacarbazine) – Stage III-IV
- HDL54: Nivolumab
- Changes to the Emetic Risk section have been made on the following templates:
- HDL8: ICE (Ifosfamide/CARBOplatin/Etoposide)
- HDL15: IGEV (Ifosfamide/Gemcitabine/VinORELBine/PredniSONE)
- HDL41: IGEV (Ifosfamide/Gemcitabine/VinORELBine/PredniSONE) + RiTUXimab
- HDL52: Brentuximab vedotin + Bendamustine
- Changes to the Chemotherapy Regimen section have been made to the following templates:
- HDL3: ABVD (DOXOrubicin/Bleomycin/VinBLAStine/Dacarbazine) – Stage III-IV
- HDL6: Escalated-dose BEACOPP (Bleomycin/Etoposide/DOXOrubicin/Cyclophosphamide/ VinCRIStine/PredniSONE/Procarbazine) – Stage III-IV
- HDL31: Brentuximab vedotin
- HDL46: Escalated-dose BEACOPP (Bleomycin/Etoposide/DOXOrubicin/Cyclophosphamide/ VinCRIStine/PredniSONE/Procarbazine) – Stage I-II
- HDL57: AVD (DOXOrubicin/VinBLAStine/Dacarbazine) – Older Adults
- Drug information notes for the following agents have been updated in the Chemotherapy Regimen, Supportive Care, Monitoring and Hold Parameters, and/or Safety Parameters and Special Instructions sections:
- Carmustine
- Liposomal DOXOrubicin
NCCN has published the NCCN Guidelines, the NCCN Imaging Appropriate Use Criteria (NCCN Imaging AUC™), and the NCCN Compendium® for Malignant Peritoneal Mesothelioma. These NCCN Guidelines are new and currently available as Version 1.2022.
For the complete updated versions of the NCCN Guidelines, NCCN Guidelines with NCCN Evidence Blocks™, the NCCN Drugs & Biologics Compendium (NCCN Compendium®), the NCCN Biomarkers Compendium®, the NCCN Chemotherapy Order Templates (NCCN Templates®), the NCCN Radiation Therapy Compendium™, and the NCCN Imaging Appropriate Use Criteria (NCCN Imaging AUC™), please visit NCCN.org.
To view the NCCN Guidelines for Patients®, please visit NCCN.org/patientguidelines.
Free NCCN Guidelines apps for iPhone, iPad, and Android devices are now available! Visit NCCN.org/apps.
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