title: American Society of Clinical Oncology endorsement of the cancer care Ontario practice guideline on adjuvant ovarian ablation in the treatment of premenopausal women with early-stage invasive breast cancer.
abstract: OBJECTIVE
  The American Society of Clinical Oncology (ASCO) has policies and procedures for endorsing practice guidelines that have been developed by other professional organizations.
  
  
  METHODS
  The Cancer Care Ontario (CCO) Guideline on Adjuvant Ovarian Ablation (OA) in the Treatment of Premenopausal Women With Early-Stage Invasive Breast Cancer was reviewed for developmental rigor by methodologists. An ad hoc review panel of experts reviewed the content.
  
  
  RESULTS
  The ASCO ad hoc OA guideline review panel concurred that the recommendations are clear, thorough, based on the most relevant scientific evidence in this content area, and present options that will be acceptable to patients. According to the CCO guideline: one, OA should not be routinely added to systemic therapy with chemotherapy, tamoxifen, or the combination of tamoxifen and chemotherapy; two, OA alone is not recommended as an alternative to any other form of systemic therapy, except in the specific case of patients who are candidates for other forms of systemic therapy but who, for some reason, will not receive any other systemic therapy (eg, patients who cannot tolerate other forms of systemic therapy or patients who choose no other form of systemic therapy); and three, when chemical suppression using luteinizing hormone-releasing hormone agonists is the chosen method of OA, in the opinion of the Breast Cancer Disease Site Group, monthly injection is the recommended mode of administration. The mode of administration in nearly all of the available trials has been monthly administration.
  
  
  CONCLUSIONS
  The ASCO review panel agrees with the recommendations as stated in the CCO guideline, with the qualification that ongoing research studies may alter the recommendations of the panel.
authors: University of Michigan Health System, Ann Arbor, MI, USA. guidelines@asco.org
authors: Jennifer J
authors: JJ
authors: Griggs
authors: Mark R
authors: MR
authors: Somerfield
authors: Holly
authors: H
authors: Anderson
authors: N Lynn
authors: NL
authors: Henry
authors: Clifford A
authors: CA
authors: Hudis
authors: James L
authors: JL
authors: Khatcheressian
authors: Ann H
authors: AH
authors: Partridge
authors: Ann Alexis
authors: AA
authors: Prestrud
authors: Nancy E
authors: NE
authors: Davidson
mesh_terms: D055011:Ablation Techniques; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001943:Breast Neoplasms / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D009361:Neoplasm Invasiveness; D009362:Neoplasm Metastasis; D009864:Ontario; D010053:Ovary / Q000473:pathology; D017410:Practice Guidelines as Topic; D017697:Premenopause