NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) Survivorship Version 3.2017 — February 16, 2018 NCCN.org Continue 3.2017, 02/16/18 © National Comprehensive Cancer Network, Inc. 2018, All rights reserved. The NCCN Guidelines® and this illustration may not be reproduced in any form without the express written permission of NCCN®. Printed by Anton Kabakov on 3/5/2018 7:06:43 AM. For personal use only. Not approved for distribution. Copyright © 2018 National Comprehensive Cancer Network, Inc., All Rights Reserved. NCCN Guidelines Version 3.2017 Panel Members NCCN Guidelines Index Table of Contents Survivorship Discussion *Crystal S. Denlinger, MD/Chair † Melissa Hudson, MD € ‡ † * Jose G. Montoya, MD Paula Silverman, MD † Fox Chase Cancer Center St. Jude Children's Research Hospital/ Stanford Cancer Institute Case Comprehensive Cancer The University of Tennessee Health Center/University Hospitals *Tara Sanft, MD/Vice-Chair † Þ Science Center Kathi Mooney, RN, PhD # † Seidman Cancer Center and Yale Cancer Center/ Huntsman Cancer Institute Cleveland Clinic Taussig Smilow Cancer Hospital Nazanin Khakpour, MD ¶ at the University of Utah Cancer Institute Moffitt Cancer Center K. Scott Baker, MD, MS € ξ * Javid J. Moslehi, MD λ Þ Sophia Smith, PhD, MSW £ ψ Fred Hutchinson Cancer Research Allison King, MD € ‡ † Vanderbilt-Ingram Cancer Center Duke Cancer Institute Center/Seattle Cancer Care Alliance Siteman Cancer Center at Barnes- Jewish Hospital and Washington Tracey O’Connor, MD † * Karen L. Syrjala, PhD £ Shrujal Baxi, MD † University School of Medicine Roswell Park Cancer Institute Fred Hutchinson Cancer Memorial Sloan Kettering Cancer Center Research Center/Seattle Divya Koura, MD ‡ Linda Overholser, MD, MPH Þ Cancer Care Alliance *Gregory Broderick, MD UC San Diego Moores Cancer Center University of Colorado Cancer Center Mayo Clinic Cancer Center Amye Tevaarwerk, MD ‡ Robin M. Lally, PhD, RN, MS * Electra D. Paskett, PhD ɛ University of Wisconsin The Ohio State University Wendy Demark-Wahnefried, PhD, RD ≅ Fred & Pamela Buffett Cancer Center Carbone Cancer Center Comprehensive Cancer Center - University of Alabama at Birmingham Terry S. Langbaum, MAS ¥ James Cancer Hospital and Comprehensive Cancer Center * Susan G. Urba, MD † £ The Sidney Kimmel Comprehensive Solove Research Institute University of Michigan Cancer Center at Johns Hopkins Comprehensive Cancer Center Debra L. Friedman, MD, MS € ‡ † Jeffrey Peppercorn, MD, MPH † Vanderbilt-Ingram Cancer Center Allison McDonough, MD Massachusetts General Hospital Mark T. Wakabayashi, MD, MPH Ω Dana-Farber/Brigham and Women's * City of Hope Mindy Goldman, MD Ω Cancer Center M. Alma Rodriguez, MD ‡ † Þ Comprehensive Cancer Center UCSF Helen Diller Family The University of Texas Comprehensive Cancer Center Michelle Melisko, MD † £ MD Anderson Cancer Center * Phyllis Zee, MD ψ UCSF Helen Diller Family Robert H. Lurie Comprehensive Comprehensive Cancer Center Kathryn J. Ruddy, MD, MPH ‡ † Cancer Center of Northwestern Mayo Clinic Cancer Center University NCCN Deborah Freedman-Cass, PhD Nicole McMillian, MS ξ Bone marrow transplantation # Nursing Cardiology ≅ Nutrition science/Dietitian ɛ Epidemiology ¥ Patient advocacy Π Exercise/Physiology € Pediatric oncology Ω Gynecology/Gynecologic oncology Psychiatry, psychology, including health behavior ‡ Hematology/Hematology oncology Continue £ Supportive care including palliative, pain management, Infectious diseases pastoral care, and oncology social work Þ Internal medicine ¶ Surgery/Surgical oncology † Medical oncology Urology ψ Neurology/Neuro-oncology NCCN Guidelines Panel Disclosures * Discussion Section Writing Committee 3.2017, 02/16/18 © National Comprehensive Cancer Network, Inc. 2018, All rights reserved. The NCCN Guidelines® and this illustration may not be reproduced in any form without the express written permission of NCCN®. Printed by Anton Kabakov on 3/5/2018 7:06:43 AM. For personal use only. Not approved for distribution. Copyright © 2018 National Comprehensive Cancer Network, Inc., All Rights Reserved. NCCN Guidelines Version 3.2017 Sub-Committees NCCN Guidelines Index Table of Contents Survivorship Discussion Anthracycline-Induced Cardiac Toxicity Anxiety and Depression Cognitive Function Javid J. Moslehi, MD/Lead Þ Karen L. Syrjala, PhD/Lead £ K. Scott Baker, MD, MS € ξ Vanderbilt-Ingram Cancer Center Fred Hutchinson Cancer Research Fred Hutchinson Cancer Center/Seattle Cancer Care Alliance Research Center/Seattle Cancer K. Scott Baker, MD, MS € ξ Care Alliance Fred Hutchinson Cancer Research Crystal Denlinger, MD † Center/ Fox Chase Cancer Center Debra L. Friedman, MD, MS € ‡ † Seattle Cancer Care Alliance Vanderbilt-Ingram Cancer Center Robin M. Lally, PhD, RN, MS Crystal S. Denlinger, MD/Chair † Fred & Pamela Buffett Cancer Center Allison King, MD € ψ ‡ † Fox Chase Cancer Center Siteman Cancer Center at Barnes- Terry S. Langbaum, MAS ¥ Jewish Hospital and Washington Melissa Hudson, MD € ‡ † The Sidney Kimmel Comprehensive University School of Medicine St. Jude Children's Research Hospital/ Cancer Center at Johns Hopkins The University of Tennessee Health Michelle Melisko, MD † £ Science Center Kathi Mooney, RN, PhD # † UCSF Helen Diller Family Huntsman Cancer Institute Comprehensive Cancer Center Divya Koura, MD ‡ at the University of Utah UC San Diego Moores Cancer Center Jeffrey Peppercorn, MD, MPH † Sophia Smith, PhD, MSW £ Massachusetts General Hospital Linda Overholser, MD, MPH Þ Duke Cancer Institute University of Colorado Cancer Center Kathryn J. Ruddy, MD, MPH ‡ † Mayo Clinic Cancer Center Continue NCCN Guidelines Panel Disclosures 3.2017, 02/16/18 © National Comprehensive Cancer Network, Inc. 2018, All rights reserved. The NCCN Guidelines® and this illustration may not be reproduced in any form without the express written permission of NCCN®. Printed by Anton Kabakov on 3/5/2018 7:06:43 AM. For personal use only. Not approved for distribution. Copyright © 2018 National Comprehensive Cancer Network, Inc., All Rights Reserved. NCCN Guidelines Version 3.2017 Sub-Committees NCCN Guidelines Index Table of Contents Survivorship Discussion Fatigue Lymphedema Menopause-Related Symptoms Debra L. Friedman, MD, MS € ‡ † Electra D. Paskett, PhD ɛ/Lead Mindy Goldman, MD/Lead Ω Vanderbilt-Ingram Cancer Center The Ohio State University UCSF Helen Diller Family Comprehensive Cancer Center - Comprehensive Cancer Center Allison McDonough, MD James Cancer Hospital and Dana-Farber/Brigham and Women's Solove Research Institute Gregory Broderick, MD Cancer Center Mayo Clinic Cancer Center Shrujal Baxi, MD † Michelle Melisko, MD † £ Memorial Sloan Kettering Cancer Michelle Melisko, MD † £ UCSF Helen Diller Family Center UCSF Helen Diller Family Comprehensive Cancer Center Comprehensive Cancer Center Nazanin Khakpour, MD ¶ Kathi Mooney, RN, PhD # Moffitt Cancer Center Tracey O’Connor, MD † Huntsman Cancer Institute Roswell Park Cancer Institute at the University of Utah Tracey O’Connor, MD † Roswell Park Cancer Institute Electra D. Paskett, PhD ɛ Tracey O’Connor, MD † The Ohio State University Roswell Park Cancer Institute Paula Silverman, MD † Comprehensive Cancer Center - Case Comprehensive Cancer James Cancer Hospital and Tara Sanft, MD † Center/University Hospitals Solove Research Institute Yale Cancer Center/ Seidman Cancer Center and Smilow Cancer Hospital Cleveland Clinic Taussig Paula Silverman, MD † Cancer Institute Case Comprehensive Cancer Pain Center/University Hospitals Susan G. Urba, MD/Lead † £ Seidman Cancer Center and University of Michigan Comprehensive Cancer Center Cleveland Clinic Taussig Cancer Institute Debra L. Friedman, MD, MS € ‡ † Vanderbilt-Ingram Cancer Center Amye Tevaarwerk, MD ‡ University of Wisconsin Karen L. Syrjala, PhD £ Fred Hutchinson Cancer Research Carbone Cancer Center Center/ Seattle Cancer Care Alliance Amye Tevaarwerk, MD ‡ Continue University of Wisconsin Carbone Cancer Center NCCN Guidelines Panel Disclosures 3.2017, 02/16/18 © National Comprehensive Cancer Network, Inc. 2018, All rights reserved. The NCCN Guidelines® and this illustration may not be reproduced in any form without the express written permission of NCCN®. Printed by Anton Kabakov on 3/5/2018 7:06:43 AM. For personal use only. Not approved for distribution. Copyright © 2018 National Comprehensive Cancer Network, Inc., All Rights Reserved. NCCN Guidelines Version 3.2017 Sub-Committees NCCN Guidelines Index Table of Contents Survivorship Discussion Sexual Function Sleep Disorders Healthy Lifestyles Mindy Goldman, MD/Co-Lead Ω Phyllis Zee, MD/Lead ψ Crystal Denlinger, MD/Lead † UCSF Helen Diller Family Robert H. Lurie Comprehensive Cancer Fox Chase Cancer Center Comprehensive Cancer Center Center of Northwestern University Wendy Demark-Wahnefried, PhD, RD ≅ Gregory Broderick, MD/Co-Lead Elizabeth Kvale, MD £ University of Alabama at Birmingham Mayo Clinic Cancer Center University of Alabama at Birmingham Comprehensive Cancer Center Robin M. Lally, PhD, RN, MS Comprehensive Cancer Center Fred & Pamela Buffett Cancer Center Melissa Hudson, MD € ‡ † Tracey O’Connor, MD † St. Jude Children's Research Hospital/ Michelle Melisko, MD † £ Roswell Park Cancer Institute The University of Tennessee Health UCSF Helen Diller Family Science Center Comprehensive Cancer Center Jeffrey Peppercorn, MD, MPH † Massachusetts General Hospital Nazanin Khakpour, MD ¶ Kathryn J. Ruddy, MD, MPH ‡ † Moffitt Cancer Center Mayo Clinic Cancer Center Tara Sanft, MD † Þ Amye Tevaarwerk, MD ‡ Yale Cancer Center/ Michelle