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Brief Summary

GUIDELINE TITLE

Chemotherapy or radiotherapy for resectable pancreatic adenocarcinoma: clinical practice guidelines.

BIBLIOGRAPHIC SOURCE(S)

  • Jonker D, Bouttell E, Kamra J, Spithoff K, Gastrointestinal Cancer Disease Site Group. Chemotherapy or radiotherapy for resectable pancreatic adenocarcinoma: clinical practice guidelines. Toronto (ON): Cancer Care Ontario (CCO); 2007 Nov 21. 22 p. (Evidence-based series; no. 2-23). [34 references]

GUIDELINE STATUS

This is the current release of the guideline.

The EVIDENCE-BASED SERIES report, initially the full original guideline, over time will expand to contain new information emerging from their reviewing and updating activities.

Please visit the Cancer Care Ontario Web site for details on any new evidence that has emerged and implications to the guidelines.

BRIEF SUMMARY CONTENT

 RECOMMENDATIONS
 EVIDENCE SUPPORTING THE RECOMMENDATIONS
 IDENTIFYING INFORMATION AND AVAILABILITY
 DISCLAIMER

 Go to the Complete Summary

RECOMMENDATIONS

MAJOR RECOMMENDATIONS

  • Postoperative chemotherapy is recommended for patients with resectable pancreatic adenocarcinoma. Patients should be referred to a medical oncologist to discuss chemotherapy after gross complete excision of a pancreatic adenocarcinoma. Acceptable regimens include six months of 5-fluorouracil (5FU) plus folinic acid or single-agent gemcitabine.
  • The role of postoperative radiotherapy is not clear and warrants further study. Postoperative radiotherapy is not recommended when used in a split-course schedule for patients with negative margins. In margin-positive patients, there may be a role for postoperative radiotherapy.
  • There is insufficient evidence to support the use of preoperative chemotherapy or radiotherapy or the use of intraoperative radiotherapy.

CLINICAL ALGORITHM(S)

None provided

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EVIDENCE SUPPORTING THE RECOMMENDATIONS

TYPE OF EVIDENCE SUPPORTING THE RECOMMENDATIONS

The recommendations are supported by randomized controlled trials.

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IDENTIFYING INFORMATION AND AVAILABILITY

BIBLIOGRAPHIC SOURCE(S)

  • Jonker D, Bouttell E, Kamra J, Spithoff K, Gastrointestinal Cancer Disease Site Group. Chemotherapy or radiotherapy for resectable pancreatic adenocarcinoma: clinical practice guidelines. Toronto (ON): Cancer Care Ontario (CCO); 2007 Nov 21. 22 p. (Evidence-based series; no. 2-23). [34 references]

ADAPTATION

Not applicable: The guideline was not adapted from another source.

DATE RELEASED

2007 Nov

GUIDELINE DEVELOPER(S)

Program in Evidence-based Care - State/Local Government Agency [Non-U.S.]

GUIDELINE DEVELOPER COMMENT

The Program in Evidence-based Care (PEBC) is a Province of Ontario initiative sponsored by Cancer Care Ontario and the Ontario Ministry of Health and Long-Term Care.

SOURCE(S) OF FUNDING

Cancer Care Ontario
Ontario Ministry of Health and Long-Term Care

GUIDELINE COMMITTEE

Gastrointestinal Cancer Disease Site Group

COMPOSITION OF GROUP THAT AUTHORED THE GUIDELINE

For a current list of past and present members, please see the Cancer Care Ontario Web site.

FINANCIAL DISCLOSURES/CONFLICTS OF INTEREST

The Gastrointestinal Cancer Disease Site Group (DSG) was polled for conflicts of interest. D. Jonker is a co-investigator in adjuvant trials for pancreatic cancer. No other conflicts were declared.

GUIDELINE STATUS

This is the current release of the guideline.

The EVIDENCE-BASED SERIES report, initially the full original guideline, over time will expand to contain new information emerging from their reviewing and updating activities.

Please visit the Cancer Care Ontario Web site for details on any new evidence that has emerged and implications to the guidelines.

GUIDELINE AVAILABILITY

Electronic copies: Available in Portable Document Format (PDF) from the Cancer Care Ontario Web site.

AVAILABILITY OF COMPANION DOCUMENTS

None available

PATIENT RESOURCES

None available

NGC STATUS

This summary was completed by ECRI on March 28, 2008.

COPYRIGHT STATEMENT

This NGC summary is based on the original guideline, which is subject to the guideline developer's copyright restrictions. Please refer to the Copyright and Disclaimer Statements posted at the Program in Evidence-Based Care section of the Cancer Care Ontario Web site.

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DISCLAIMER

NGC DISCLAIMER

The National Guideline Clearinghouse™ (NGC) does not develop, produce, approve, or endorse the guidelines represented on this site.

All guidelines summarized by NGC and hosted on our site are produced under the auspices of medical specialty societies, relevant professional associations, public or private organizations, other government agencies, health care organizations or plans, and similar entities.

Guidelines represented on the NGC Web site are submitted by guideline developers, and are screened solely to determine that they meet the NGC Inclusion Criteria which may be found at http://www.guideline.gov/about/inclusion.aspx .

NGC, AHRQ, and its contractor ECRI Institute make no warranties concerning the content or clinical efficacy or effectiveness of the clinical practice guidelines and related materials represented on this site. Moreover, the views and opinions of developers or authors of guidelines represented on this site do not necessarily state or reflect those of NGC, AHRQ, or its contractor ECRI Institute, and inclusion or hosting of guidelines in NGC may not be used for advertising or commercial endorsement purposes.

Readers with questions regarding guideline content are directed to contact the guideline developer.
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