Radiation therapy for glioblastoma: American Society of Clinical Oncology clinical practice guideline endorsement of the American Society for Radiation Oncology guideline

Erik P. Sulman, Nofisat Ismaila, Terri S. Armstrong, Christina Tsien, Tracy T. Batchelor, Tim Cloughesy, Evanthia Galanis, Mark Gilbert, Vinai Gondi, Mary Lovely, Minesh Mehta, Matthew P. Mumber, Andrew Sloan, Susan M. Chang

Research output: Contribution to journalReview article

39 Scopus citations

Abstract

Purpose: The American Society for Radiation Oncology (ASTRO) produced an evidence-based guideline on radiation therapy for glioblastoma. Because of its relevance to the ASCO membership, ASCO reviewed the guideline and applied a set of procedures and policies used to critically examine guidelines developed by other organizations. Methods: The ASTRO guideline on radiation therapy for glioblastoma was reviewed for developmental rigor by methodologists. An ASCO endorsement panel updated the literature search and reviewed the content and recommendations. Results: The ASCO endorsement panel determined that the recommendations from the ASTRO guideline, published in 2016, are clear, thorough, and based on current scientific evidence. ASCO endorsed the ASTRO guideline on radiation therapy for glioblastoma and added qualifying statements. Recommendations: Partial-brain fractionated radiotherapy with concurrent and adjuvant temozolomide is the standard of care after biopsy or resection of newly diagnosed glioblastoma in patients up to 70 years of age. Hypofractionated radiotherapy for elderly patients with fair to good performance status is appropriate. The addition of concurrent and adjuvant temozolomide to hypofractionated radiotherapy seems to be safe and efficacious without impairing quality of life for elderly patients with good performance status. Reasonable options for patients with poor performance status include hypofractionated radiotherapy alone, temozolomide alone, or best supportive care. Focal reirradiation represents an option for select patients with recurrent glioblastoma, although this is not supported by prospective randomized evidence. Additional information is available at www.asco.org/glioblastomaradiotherapy-endorsement and www.asco.org/guidelineswiki.

Original languageEnglish
Pages (from-to)361-369
Number of pages9
JournalJournal of Clinical Oncology
Volume35
Issue number3
DOIs
StatePublished - Jan 20 2017

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    Sulman, E. P., Ismaila, N., Armstrong, T. S., Tsien, C., Batchelor, T. T., Cloughesy, T., Galanis, E., Gilbert, M., Gondi, V., Lovely, M., Mehta, M., Mumber, M. P., Sloan, A., & Chang, S. M. (2017). Radiation therapy for glioblastoma: American Society of Clinical Oncology clinical practice guideline endorsement of the American Society for Radiation Oncology guideline. Journal of Clinical Oncology, 35(3), 361-369. https://doi.org/10.1200/JCO.2016.70.7562