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Anticonvulsant Prophylaxis and Steroid Use in Adults With Metastatic Brain Tumors: ASCO and SNO Endorsement of the Congress of Neurological Surgeons Guidelines.

Publication ,  Journal Article
Chang, SM; Messersmith, H; Ahluwalia, M; Andrews, D; Brastianos, PK; Gaspar, LE; Gatson, NTN; Jordan, JT; Khasraw, M; Lassman, AB; Maues, J ...
Published in: J Clin Oncol
May 1, 2019

PURPOSE: The Congress of Neurological Surgeons (CNS) has developed a series of guidelines for the treatment of adults with metastatic brain tumors, including systemic therapy and supportive care topics. ASCO has a policy and set of procedures for endorsing clinical practice guidelines that have been developed by other professional organizations. METHODS: Two CNS guidelines were reviewed for developmental rigor by methodologists, and an independent multidisciplinary Expert Panel was formed to review the content and assess agreement with the recommendations. The Expert Panel voted to endorse the two guidelines, and ASCO and Society for Neuro-Oncology (SNO) independently reviewed and approved the ASCO/SNO guideline endorsement. RESULTS: The ASCO/SNO Expert Panel determined that the recommendations from the CNS anticonvulsants and steroids guidelines, published January 9, 2019, are clear, thorough, and based on the most relevant scientific evidence. ASCO/SNO endorsed these two CNS guidelines with minor alterations. RECOMMENDATIONS: Key recommendations include the following: prophylactic antiepileptic drugs were not recommended for routine use; and corticosteroids, specifically dexamethasone, were recommended for temporary symptomatic relief in patients with neurologic symptoms and signs related to mass effect from brain metastases. Additional information is available at www.asco.org/neurooncology-guidelines .

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Published In

J Clin Oncol

DOI

EISSN

1527-7755

Publication Date

May 1, 2019

Volume

37

Issue

13

Start / End Page

1130 / 1135

Location

United States

Related Subject Headings

  • Steroids
  • Practice Guidelines as Topic
  • Oncology & Carcinogenesis
  • Humans
  • Brain Neoplasms
  • Anticonvulsants
  • Adult
  • 3211 Oncology and carcinogenesis
  • 1112 Oncology and Carcinogenesis
  • 1103 Clinical Sciences
 

Citation

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MLA
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Chang, S. M., Messersmith, H., Ahluwalia, M., Andrews, D., Brastianos, P. K., Gaspar, L. E., … Vogelbaum, M. A. (2019). Anticonvulsant Prophylaxis and Steroid Use in Adults With Metastatic Brain Tumors: ASCO and SNO Endorsement of the Congress of Neurological Surgeons Guidelines. J Clin Oncol, 37(13), 1130–1135. https://doi.org/10.1200/JCO.18.02085
Chang, Susan M., Hans Messersmith, Manmeet Ahluwalia, David Andrews, Priscilla K. Brastianos, Laurie E. Gaspar, Na Tosha N. Gatson, et al. “Anticonvulsant Prophylaxis and Steroid Use in Adults With Metastatic Brain Tumors: ASCO and SNO Endorsement of the Congress of Neurological Surgeons Guidelines.J Clin Oncol 37, no. 13 (May 1, 2019): 1130–35. https://doi.org/10.1200/JCO.18.02085.
Chang SM, Messersmith H, Ahluwalia M, Andrews D, Brastianos PK, Gaspar LE, et al. Anticonvulsant Prophylaxis and Steroid Use in Adults With Metastatic Brain Tumors: ASCO and SNO Endorsement of the Congress of Neurological Surgeons Guidelines. J Clin Oncol. 2019 May 1;37(13):1130–5.
Chang, Susan M., et al. “Anticonvulsant Prophylaxis and Steroid Use in Adults With Metastatic Brain Tumors: ASCO and SNO Endorsement of the Congress of Neurological Surgeons Guidelines.J Clin Oncol, vol. 37, no. 13, May 2019, pp. 1130–35. Pubmed, doi:10.1200/JCO.18.02085.
Chang SM, Messersmith H, Ahluwalia M, Andrews D, Brastianos PK, Gaspar LE, Gatson NTN, Jordan JT, Khasraw M, Lassman AB, Maues J, Mrugala M, Raizer J, Schiff D, Stevens G, Sumrall A, van den Bent M, Vogelbaum MA. Anticonvulsant Prophylaxis and Steroid Use in Adults With Metastatic Brain Tumors: ASCO and SNO Endorsement of the Congress of Neurological Surgeons Guidelines. J Clin Oncol. 2019 May 1;37(13):1130–1135.

Published In

J Clin Oncol

DOI

EISSN

1527-7755

Publication Date

May 1, 2019

Volume

37

Issue

13

Start / End Page

1130 / 1135

Location

United States

Related Subject Headings

  • Steroids
  • Practice Guidelines as Topic
  • Oncology & Carcinogenesis
  • Humans
  • Brain Neoplasms
  • Anticonvulsants
  • Adult
  • 3211 Oncology and carcinogenesis
  • 1112 Oncology and Carcinogenesis
  • 1103 Clinical Sciences