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    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
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    Attention COACH STUDY participants:

    The principal investigators of the study request that you use the official version of the modified score here.

    Duration of Oxaliplatin-Containing Adjuvant Therapy for Stage III Colon Cancer (beta)

    Based on guidelines from the American Society of Clinical Oncology.

    Strength
    Strong recommendation
    Moderate recommendation
    Weak recommendation
    Evidence
    High quality evidence
    Intermediate quality evidence
    Low quality evidence
    Insufficient evidence
    N/A

    Optimal Duration

    High Risk of Recurrence (T4 and/or N2)
    1. For patients with high-risk (T4 and/or N2) stage III resected colon cancer, adjuvant oxaliplatin-containing chemotherapy should be offered for a duration of 6 months.
    Low Risk of Recurrence (T1, T2, or T3 and N1)
    1. For patients with low-risk (T1, T2, or T3 and N1) stage III resected colon cancer, adjuvant oxaliplatin-containing chemotherapy may be offered for a duration of 3 months or 6 months after a discussion with the patient of the potential benefits and risks of harm associated with the options for treatment duration.
    Approach
    1. A shared decision-making approach should be used for duration of oxaliplatin-containing chemotherapy for patients with stage III resected colon cancer, taking into account a patient’s tumor characteristics, completeness of surgical resection, number of lymph nodes examined, comorbidities, functional status, performance status, values and preferences, age at diagnosis, life expectancy, potential years at risk for long-term sequalae of treatment, and including a discussion of the potential for benefit and risks of harm associated with treatment duration.
    What do the icons mean?  
    Research PaperLieu C, Kennedy EB, Bergsland E, et al. Duration of Oxaliplatin-Containing Adjuvant Therapy for Stage III Colon Cancer: ASCO Clinical Practice Guideline. J Clin Oncol. 2019;37(16):1436-1447.