TY - JOUR
T1 - American Society of Clinical Oncology technology assessment on the use of aromatase inhibitors as adjuvant therapy for women with hormone receptor-positive breast cancer
T2 - Status report 2002
AU - Winer, Eric P.
AU - Hudis, Clifford
AU - Burstein, Harold J.
AU - Chlebowski, Rowan T.
AU - Ingle, James N.
AU - Edge, Stephen B.
AU - Mamounas, Eleftherios P.
AU - Gralow, Julie
AU - Goldstein, Lori J.
AU - Pritchard, Kathleen I.
AU - Braun, Susan
AU - Cobleigh, Melody A.
AU - Langer, Amy S.
AU - Perotti, Judy
AU - Powles, Trevor J.
AU - Whelan, Timothy J.
AU - Browman, George P.
PY - 2002/8/1
Y1 - 2002/8/1
N2 - Objective: To conduct an evidence-based technology assessment to determine whether the routine use of anastrozole or any of the aromatase inhibitors in the adjuvant breast cancer setting is appropriate for broad-based conventional use in clinical practice. Potential Interventions: Anastrozole, letrozole, and exemestane. Outcomes: Outcomes of interest include breast cancer incidence, breast cancer-specific survival, overall survival, and net health benefit. Evidence: A comprehensive, formal literature review was conducted for relevant topics and is detailed in the text. Testimony was collected from invited experts and interested parties. The American Society of Clinical Oncology (ASCO)-prescribed technology assessment procedure was followed. Benefits/Harms: The ASCO panel recognizes that a woman and her physician's decision regarding adjuvant hormonal therapy is complex and will depend on the importance and weight attributed to information regarding both cancer and non-cancer-related risks and benefits. Conclusion: The panel was influenced by the compelling, extensive, and long-term data available on tamoxifen. Overall, the panel considers the results of the Arimidex (anastrozole) or Tamoxifen Alone or in Combination (ATAC) trial and the extensive supporting data to be very promising but insufficient to change the standard practice at this time (May 2002). A 5-year course of adjuvant tamoxifen remains the standard therapy for women with hormone receptor-positive breast cancer. The panel recommends that physicians discuss the available information with patients, and, in making a decision, acknowledge that treatment approaches can change over time. Individual health care providers and their patients will need to come to their own conclusions, with careful consideration of all of the available data. (Specific questions addressed by the panel are summarized in Appendix 3.) Validation: The conclusions of the panel were endorsed by the ASCO Health Services Research Committee and the ASCO Board of Directors. Sponsor: American Society of Clinical Oncology.
AB - Objective: To conduct an evidence-based technology assessment to determine whether the routine use of anastrozole or any of the aromatase inhibitors in the adjuvant breast cancer setting is appropriate for broad-based conventional use in clinical practice. Potential Interventions: Anastrozole, letrozole, and exemestane. Outcomes: Outcomes of interest include breast cancer incidence, breast cancer-specific survival, overall survival, and net health benefit. Evidence: A comprehensive, formal literature review was conducted for relevant topics and is detailed in the text. Testimony was collected from invited experts and interested parties. The American Society of Clinical Oncology (ASCO)-prescribed technology assessment procedure was followed. Benefits/Harms: The ASCO panel recognizes that a woman and her physician's decision regarding adjuvant hormonal therapy is complex and will depend on the importance and weight attributed to information regarding both cancer and non-cancer-related risks and benefits. Conclusion: The panel was influenced by the compelling, extensive, and long-term data available on tamoxifen. Overall, the panel considers the results of the Arimidex (anastrozole) or Tamoxifen Alone or in Combination (ATAC) trial and the extensive supporting data to be very promising but insufficient to change the standard practice at this time (May 2002). A 5-year course of adjuvant tamoxifen remains the standard therapy for women with hormone receptor-positive breast cancer. The panel recommends that physicians discuss the available information with patients, and, in making a decision, acknowledge that treatment approaches can change over time. Individual health care providers and their patients will need to come to their own conclusions, with careful consideration of all of the available data. (Specific questions addressed by the panel are summarized in Appendix 3.) Validation: The conclusions of the panel were endorsed by the ASCO Health Services Research Committee and the ASCO Board of Directors. Sponsor: American Society of Clinical Oncology.
UR - http://www.scopus.com/inward/record.url?scp=0036682039&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036682039&partnerID=8YFLogxK
U2 - 10.1200/JCO.2002.06.020
DO - 10.1200/JCO.2002.06.020
M3 - Article
C2 - 12149306
AN - SCOPUS:0036682039
SN - 0732-183X
VL - 20
SP - 3317
EP - 3327
JO - Journal of Clinical Oncology
JF - Journal of Clinical Oncology
IS - 15
ER -