SSO-ASTRO-ASCO Guidelines: BCS Margins in DCIS

Overview

Featured Article

Morrow M, Van Zee KJ, Solin LJ, et al. Society of Surgical Oncology-American Society for Radiation Oncology-American Society of Clinical Oncology Consensus Guideline on margins for breast-conserving surgery with whole breast irradiation in ductal carcinoma in situ. Ann Surg Oncology 2016;23:3801-3810

Expert Reviews

Methodological Reviewer: Malin Sund MD, PhD, Department of Surgical and Perioperative Sciences,  Umeå University 

Clinical Reviewer: Kelly Hunt MD, FACS, Department of Surgery, University of Texas, MD Anderson Cancer Center

Clinical Reviewer: May Lynn Quan MD, MSc, FRCSC, Department of Surgery, University of Calgary

Clinical Reviewer: Fredrik Wärnberg MD, Department of Surgery,  Uppsala University

Supplementary Articles

Hayward RSA, Wilson MC, Tunis SR, Bass EB, Guyatt G, for the Evidence-Based Medicine Working Group. Users’ Guides to the Medical Literature. How to Use Clinical Practice Guidelines (A). JAMA 1995;274(7):570-74

Hayward RSA, Wilson MC, Tunis SR, Bass EB, Guyatt G, for the Evidence-Based Medicine Working Group. Users’ Guides to the Medical Literature. How to Use Clinical Practice Guidelines (B). JAMA 1995;274(20):1630-32

Questions

Please read the above articles and be prepared to discuss the following:

  1. What are the clinical questions being addressed?
  2. Were all important options and outcomes considered?
  3. Was an explicit and sensible process used to identify, select and combine evidence?
  4. Was an explicit and sensible process used to consider the relative value of different outcomes?
  5. Is the guideline likely to account for important recent developments?
  6. Has the guideline been subjected to peer review and testing?
  7. Are practical clinically important recommendations made?
  8. How strong are the recommendations?
  9. What is the impact of uncertainty associated with the evidence and values used in the guidelines?
  10. State the conclusion. Have the authors addressed the clinical questions posed?
  11. Does the evidence support the conclusion?