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MASCC Guidelines

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Evidence-based clinical practice guidelines created by the MASCC study groups.

To access the full guidelines and guideline summary documents, simply log into your member account (for MASCC members) or provide your email address below (for non-members).

Antiemetics Study Group

MASCC/ESMO Antiemetic Guidelines (2023 Update)

Introduction to the 2023 guidelines update.

Herrstedt J et al. Supportive Care in Cancer (2023).

I Emetic classification of antineoplastic agents

Jordan K et al. Emetic risk classification and evaluation of the emetogenicity of antineoplastic agents—updated MASCC/ESMO consensus recommendation. Supportive Care in Cancer (2023).

II Highly emetic chemotherapy
Herrstedt J et al. 2023 updated MASCC/ESMO consensus recommendations: Prevention of nausea and vomiting following high-emetic-risk antineoplastic agents. Supportive Care in Cancer (2023).

III Moderately emetic chemotherapy
Scotté F et al. 2023 updated MASCC/ESMO consensus recommendations: Prevention of nausea and vomiting following moderately emetic risk antineoplastic agents. Supportive Care in Cancer (2023).

IV Low or minimally emetic chemotherapy
Olver I et al. 2023 updated MASCC/ESMO consensus recommendations: Controlling nausea and vomiting with chemotherapy of low or minimal emetic potential. Supportive Care in Cancer (2023).

V Multiple-day, high-dose chemotherapy, refractory, break-through nausea and vomiting
Rapoport BL et al. 2023 updated MASCC/ESMO consensus recommendations: Prevention of nausea and vomiting following multiple-day chemotherapy, high-dose chemotherapy, and breakthrough nausea and vomiting. Supportive Care in Cancer (2023).

VI CAMs and non-pharmacological interventions
Molassiotis A et al. 2023 MASCC/ESMO consensus antiemetic guidelines related to integrative and non-pharmacological therapies. Supportive Care in Cancer (2023).

VII Radiotherapy-induced nausea and vomiting
Ruhlmann CH et al. 2023 updated MASCC/ESMO consensus recommendations: Prevention of radiotherapy- and chemoradiotherapy-induced nausea and vomiting. Supportive Care in Cancer (2023).

VII Resource-limited settings
Bosnjak SM et al. MASCC antiemetic consensus recommendations: resource-limited settings. Supportive Care in Cancer (2025).

IX Guidelines for patients
Affronti ML et al. MASCC 2023 Patient-Centered Antiemetic Guidelines and Education Statements: an evidence-based and consensus resource for patients. Supportive Care in Cancer (2024).

Summary Slide Set
(2023)
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Patient-Centered Guidelines
(2023)
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Patient Education Statements
(2023)
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Table 1 References
(2023)
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Antiemetics in advanced cancer (MASCC updated guideline)
Davis M et al. Supportive Care in Cancer (2021).

Summary Slide Set
(2021)
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Summary Document
(2021)
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Nausea and vomiting in malignant bowel obstruction
Davis M et al. Medical management of malignant bowel obstruction in patients with advanced cancer: 2021 MASCC guideline update. Supportive Care in Cancer (2021).

Summary Slide Set
(2021)
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Summary Document
(2021)
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Bone and Musculoskeletal Study Group

Cancer Pain Subgroup

Immuno-Oncology Subgroup

Mucositis Study Group

Oncodermatology Study Group

Oral Care Study Group

Palliative Care Study Group

Survivorship Study Group

Endorsed Guidance