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Comment & Response
October 2017

Consider Quality of Life to Improve Quality of Cancer Guidelines

Author Affiliations
  • 1Department of Medicine, Brigham & Women’s Hospital, Harvard Medical School, Boston, Massachusetts
  • 2American Cancer Society Inc, Washington, DC
  • 3Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, Scotland
JAMA Intern Med. 2017;177(10):1537-1538. doi:10.1001/jamainternmed.2017.3697

To the Editor We read with interest the Original Investigation by Merkow et al1 in a recent issue of JAMA Internal Medicine that analyzed clinical practice guidelines for cancer survivorship surveillance. The authors identified 41 English-language national guidelines that addressed posttreatment care for survivors of 9 adult-onset cancers. They found that the guidelines included inconsistent and ambiguous recommendations for surveillance testing and advised that more definitive recommendations are needed. They emphasized that clear guidance is particularly important as primary care providers are more often charged with caring for cancer survivors and have limited knowledge of appropriate cancer surveillance strategies.2

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