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Anticonvulsant prophylaxis and steroid use in adults with metastatic brain tumors: summary of SNO and ASCO 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: Neuro Oncol
March 18, 2019

BACKGROUND: The Congress of Neurological Surgeons (CNS) has developed a series of guidelines on 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 multi-disciplinary 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 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 upon the most relevant scientific evidence. ASCO/SNO endorsed these two CNS guidelines, with minor alterations. CONCLUSIONS: Key recommendations include: prophylactic anti-epileptic drugs were not recommended for routine use; corticosteroids (specifically dexamethasone) were recommended for temporary symptomatic relief in patients with neurologic symptoms and signs related to mass effect from brain metastases.

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Published In

Neuro Oncol

DOI

EISSN

1523-5866

Publication Date

March 18, 2019

Volume

21

Issue

4

Start / End Page

424 / 427

Location

England

Related Subject Headings

  • Practice Guidelines as Topic
  • Oncology & Carcinogenesis
  • Male
  • Humans
  • Female
  • Brain Neoplasms
  • Anticonvulsants
  • Adult
  • Adrenal Cortex Hormones
  • 3211 Oncology and carcinogenesis
 

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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: summary of SNO and ASCO endorsement of the Congress of Neurological Surgeons guidelines. Neuro Oncol, 21(4), 424–427. https://doi.org/10.1093/neuonc/noz034
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: summary of SNO and ASCO endorsement of the Congress of Neurological Surgeons guidelines.Neuro Oncol 21, no. 4 (March 18, 2019): 424–27. https://doi.org/10.1093/neuonc/noz034.
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: summary of SNO and ASCO endorsement of the Congress of Neurological Surgeons guidelines. Neuro Oncol. 2019 Mar 18;21(4):424–7.
Chang, Susan M., et al. “Anticonvulsant prophylaxis and steroid use in adults with metastatic brain tumors: summary of SNO and ASCO endorsement of the Congress of Neurological Surgeons guidelines.Neuro Oncol, vol. 21, no. 4, Mar. 2019, pp. 424–27. Pubmed, doi:10.1093/neuonc/noz034.
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: summary of SNO and ASCO endorsement of the Congress of Neurological Surgeons guidelines. Neuro Oncol. 2019 Mar 18;21(4):424–427.
Journal cover image

Published In

Neuro Oncol

DOI

EISSN

1523-5866

Publication Date

March 18, 2019

Volume

21

Issue

4

Start / End Page

424 / 427

Location

England

Related Subject Headings

  • Practice Guidelines as Topic
  • Oncology & Carcinogenesis
  • Male
  • Humans
  • Female
  • Brain Neoplasms
  • Anticonvulsants
  • Adult
  • Adrenal Cortex Hormones
  • 3211 Oncology and carcinogenesis