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. 2020 Jul 24;8(3):227. doi: 10.3390/healthcare8030227

Table 2.

U.S. general oncology care standards and guidelines including nutrition.

Organization Reference Methodology and Scope
American College of Surgeons
(ACS)
ACS Multidisciplinary Commission on Cancer
Commission on Cancer. Optimal Resources for Cancer Care (2020 Standards) [27]
Accredited U.S. cancer programs
  • Developed to ensure quality, multidisciplinary, comprehensive cancer care delivery in healthcare settings

  • Specified oncology nutrition services components:
    • Screening/assessment for risk/diagnosis of malnutrition, nutrition-related problems, overweight/obesity
    • Medical nutrition therapy
    • Nutrition counseling/education
    • Management/coordination of enteral and parenteral nutrition
  • Annual compliance measure for oncology nutrition services:
    • Oncology nutrition services provided, on-site or by referral by RDN
    • Process monitored/reviewed/documented by accredited institution’s cancer committee
Enhanced Recovery After Surgery (ERAS®) Society
Joint efforts of the ERAS® Society and authors from the international ERAS® Gynecology chapters
Guidelines for Perioperative Care in Gynecologic/Oncology: Enhanced Recovery After Surgery (ERAS®) Society Recommendations-2019 Update [28]
Surgical teams
  • Recommendations based on grading of recommendations, assessment, development, and evaluation (GRADE)

  • Present updated consensus review of perioperative care for gynecologic/oncology surgery based on best current evidence

ERAS® Society
Endorsed by ERAS® Society and international panel of experts in major head/neck cancer surgery and enhanced recovery after surgery
Optimal Perioperative Care in Major Head and Neck Cancer Surgery with Free Flap Reconstruction, a Consensus Review and Recommendations from the Enhanced Recovery After Surgery Society [29]
Surgical teams
  • Recommendations based on grading of recommendations, assessment, development and evaluation (GRADE)

  • Systematic review and expert evaluation to provide consensus-based protocol for optimal perioperative care of patients undergoing head and neck cancer surgery with free flap reconstruction

  • Evidence base for specific perioperative care elements in head and neck cancer surgery is variable; in many cases, information from different surgical procedures forms basis for these recommendations

ERAS® Society
ERAS® Society working group
Guidelines for Perioperative Care after Radical Cystectomy for Bladder Cancer: Enhanced Recovery After Surgery (ERAS®) Society recommendations [30]
Surgical teams
  • Systematic review to analyze application of ERAS® protocols and evidence for individual ERAS® items for cystectomy

  • Provide comprehensive ERAS® pathway for cystectomy based on available evidence and assimilating recommendations for other pelvic surgeries where appropriate

National Cancer Institute
PDQ® Supportive and Palliative Care Editorial Board
PDQ® Nutrition in Cancer Care [31]
Clinicians
  • Uses formal evidence ranking system in developing level-of-evidence designations

  • Comprehensive, peer-reviewed, evidence-based information about nutrition before, during, and after cancer care

  • Does not provide formal guidelines/recommendations for making healthcare decisions