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Recommendation
Systemic therapy planning considerations – Multidisciplinary assessment
Consider adjuvant systemic therapy after surgery for patients with invasive breast cancer, individualising treatment based on a multidisciplinary assessment of prognostic and predictive factors and the possible risks and benefits of treatment. Ensure that recommendations for treatment are recorded at a multidisciplinary team meeting.
Consider adjuvant therapy after surgery for people with invasive breast cancer and ensure that recommendations are recorded at the multidisciplinary team meeting
Base recommendations about adjuvant therapy on assessment of the prognostic and predictive factors, and the possible risks and benefits of the treatment. Make decisions with the person after discussing these factors
How this guidance was developed
This recommendation was adapted from the NICE 2018 guidelines (UK). Two source recommendations were merged and adapted by noting that the treatment should be individualised rather than ‘according to patient preferences’. Both source recommendations were based on a systematic review conducted to September 2017 and used wording (‘Consider’) indicative of a ‘conditional’ recommendation and wording (‘Ensure’) indicative of a ‘strong’ recommendation (using GRADE methods) by the source guideline authors.
Systemic therapy planning considerations – Multidisciplinary assessment
Recommendation
Consider adjuvant systemic therapy after surgery for patients with invasive breast cancer, individualising treatment based on a multidisciplinary assessment of prognostic and predictive factors and the possible risks and benefits of treatment. Ensure that recommendations for treatment are recorded at a multidisciplinary team meeting.
Principles in action
Patient-centred care
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Multidisciplinary care
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Care coordination
This recommendation was adapted from the NICE 2018 guidelines (UK). Two source recommendations were merged and adapted by noting that the treatment should be individualised rather than ‘according to patient preferences’. Both source recommendations were based on a systematic review conducted to September 2017 and used wording (‘Consider’) indicative of a ‘conditional’ recommendation and wording (‘Ensure’) indicative of a ‘strong’ recommendation (using GRADE methods) by the source guideline authors.