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Cancer Management Guidelines

The Eastern Health Disease Site Groups are a collaboration of health care professionals involved in the screening, diagnosis, and management of cancer in the province of Newfoundland and Labrador. These professionals include representatives from the provincial screening programs, genetics, radiology, pathology, surgical oncology, medical oncology, radiation oncology, pharmacy, nursing, social work, palliative care and administration.

The desire to develop valid, high quality guidelines led these groups to decide to adapt existing ones using the ADAPTE process. Discipline-specific working groups were formed from the existing membership of the various Eastern Health Disease Site Groups to help develop the guidelines required for each field. Literature searches were carried out by the Guidelines Coordinator, reviewed by the working group, and recommendations formulated.

Once developed, a draft guideline is reviewed at the monthly meeting of the Eastern Health Disease Site Group for whom it was written. Feedback is welcomed, any revisions are carried out and consensus, where possible, is reached. The guideline is then circulated to select target users for feedback, and revisions made accordingly.

Guidelines are then presented to the administrative body for approval, and once approved, distributed to appropriate health care providers in the province.

The target users of these guidelines would be family physicians, specialists, and other health care professionals. These guidelines will be reviewed and/or updated every three to five years, unless new research prompts an earlier review.

The Eastern Health Disease Site Groups strongly encourage patient participation in clinical trials.

General Guidelines:

Other Guidelines: 


Updated Feb 5, 2018