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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.

    Adjuvant Systemic Therapy and Adjuvant Radiation Therapy for Stages I-IIIA Completely Resected Non-small Cell Lung Cancers (beta)

    Based on guidelines from the American Society of Clinical Oncology and Cancer Care Ontario.

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

    Adjuvant Systemic Therapy

    Stage IA
    1. Adjuvant chemotherapy is not recommended.
    Stage IB
    1. Adjuvant cisplatin-based chemotherapy is not recommended for routine use. A postoperative multimodality evaluation, including a consultation with a medical oncologist, is recommended to assess benefits and risks of adjuvant chemotherapy for each patient. Factors other than tumor stage to consider when making a recommendation for adjuvant chemotherapy are outlined after the adjuvant systemic therapy section of this guideline.
    Stages IIA/B and IIIA
    1. Adjuvant cisplatin-based chemotherapy is recommended.

    Adjuvant Radiation Therapy

    Stages IA/B and IIA/B
    1. Adjuvant radiation therapy is not recommended.
    Stage IIIA (N2)
    1. Adjuvant radiation therapy is not recommended for routine use. A postoperative multimodality evaluation, including a consultation with a radiation oncologist, is recommended to assess benefits and risks of adjuvant radiotherapy for each patient with N2 disease.
    What do the icons mean?  
    Research PaperKris MG, Gaspar LE, Chaft JE, et al. Adjuvant Systemic Therapy and Adjuvant Radiation Therapy for Stage I to IIIA Completely Resected Non-Small-Cell Lung Cancers: American Society of Clinical Oncology/Cancer Care Ontario Clinical Practice Guideline Update. J Clin Oncol. 2017;35(25):2960-2974.