Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.
The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.
Links to related guidelines are provided separately:
●(See "Society guideline links: Screening for colorectal cancer".)
●(See "Society guideline links: Hereditary colorectal cancer syndromes".)
●(See "Society guideline links: Colorectal surgery for cancer".)
●(See "Society guideline links: Gastrointestinal bleeding in adults".)
●(See "Society guideline links: Bowel obstruction".)
●(See "Society guideline links: Laparoscopic and robotic surgery".)
●(See "Society guideline links: Liver resection and ablation".)
International
●International harmonization of provisional diagnostic criteria for ERBB2-amplified metastatic colorectal cancer allowing for screening by next-generation sequencing panel (2020)
●European Society of Surgical Oncology (ESSO), European Society of Coloproctology (ESCP), International Society of Geriatric Oncology (SIOG), and American College of Surgeons (ACS) Commission on Cancer: Expert recommendations on personalized management of elderly patients with rectal cancer (2018)
Canada
●Cancer Care Ontario (CCO): Adjuvant systemic chemotherapy for stage II and III colon cancer following complete resection (2019)
●CCO: Preoperative or postoperative therapy for the management on patients with stage II or III rectal cancer (2019)
●CCO: Referral of patients with suspected colorectal cancer by family physicians and other primary care providers (2017)
●Choosing Wisely Canada: Don't routinely use extensive locoregional therapy in most cancer situations where there is metastatic disease and minimal symptoms attributable to the primary tumour (eg, colorectal cancer) (2017)
●CCO: Optimization of preoperative assessment in patients diagnosed with rectal cancer (2014)
●CCO: Strategies of sequential therapies in unresectable, metastatic colorectal cancer treated with palliative intent (2014)
●CCO: PET imaging in colorectal cancer (2010)
United States
●American Society of Clinical Oncology (ASCO): Guideline for the treatment of metastatic colorectal cancer (2022)
●American Society of Colon and Rectal Surgeons (ASCRS): Clinical practice guidelines for the management of colon cancer (2022)
●ASCO: Guideline on adjuvant therapy for stage II colon cancer, update (2021)
●ASCRS: Clinical practice guidelines for the surveillance and survivorship care of patients after curative treatment of colon and rectal cancer (2021)
●American Society for Radiation Oncology (ASTRO): Clinical practice guideline on radiation therapy for rectal cancer (2020)
●ASCO: Resource-stratified guideline for treatment of patients with late-stage colorectal cancer (2020)
●ASCRS: Clinical practice guidelines for the management of rectal cancer (2020)
●US Multi-Society Task Force (USMSTF) on Colorectal Cancer: Endoscopic removal of colorectal lesions – Recommendations (2020)
●ASCO: Clinical practice guideline on duration of oxaliplatin-containing adjuvant therapy of stage III colon cancer (2019)
●ASCO: Resource-stratified guideline for treatment of patients with early-stage colorectal cancer (2019)
●ASCO: Resource-stratified guideline on early detection for colorectal cancer (2019)
●Choosing Wisely: Don't obtain routine blood work (eg, CBC, liver function tests) other than a CEA level for surveillance for colorectal cancer (2019)
●Choosing Wisely: Don't perform routine PET-CT in the initial staging of localized colon or rectal cancer or as part of routine surveillance for patients who have been curatively treated for colon or rectal cancer (2019)
●American Society for Clinical Pathology (ASCP), College of American Pathologists (CAP), Association for Molecular Pathology (AMP), and ASCO: Guideline on molecular biomarkers for the evaluation of colorectal cancer (2017)
●American College of Radiology (ACR): ACR Appropriateness Criteria on pretreatment staging of colorectal cancer (2016)
●American Cancer Society (ACS): Colorectal cancer survivorship care guidelines (2015)
●American Society for Gastrointestinal Endoscopy (ASGE): Guideline on the role of endoscopy in the staging and management of colorectal cancer (2013)
●ASCO: Clinical practice guideline endorsement on the follow-up care, surveillance protocol, and secondary prevention measures for survivors of colorectal cancer (2013)
Europe
●European Society for Medical Oncology (ESMO): Clinical practice guideline on metastatic colorectal cancer – Diagnosis, treatment, and follow-up (2022)
●ESMO: Clinical practice guideline on localised colon cancer – Diagnosis, treatment, and follow-up (2020)
●European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Digestive Oncology (ESDO): Guideline on endoscopic surveillance after surgical or endoscopic resection for colorectal cancer (2019)
●ESMO: Clinical practice guidelines on rectal cancer – Diagnosis, treatment, and follow-up (2017)
●European Association for Endoscopic Surgery (EAES) and European Society of Coloproctology (ESCP): Clinical consensus conference on early rectal cancer (2015)
●ESGE: Clinical guideline on self-expandable metal stents for obstructing colonic and extracolonic cancer (2014)
United Kingdom
●National Institute for Health and Care Excellence (NICE): Quality standard on colorectal cancer (2012, updated 2022)
●NICE: Guideline on colorectal cancer (2020, updated 2021)
●NICE: Interventional procedures guidance on selective internal radiation therapy for unresectable colorectal metastases in the liver (2020)
●NICE: Diagnostics guidance on quantitative faecal immunochemical tests to guide referral for colorectal cancer in primary care (2017)
●Scottish Intercollegiate Guidelines Network (SIGN): Diagnosis and management of colorectal cancer − A national clinical guideline (2011, revised 2016)
●NICE: Interventional procedures guidance on radiofrequency ablation for colorectal liver metastases (2009)
India
●Japanese Society of Medical Oncology (JSMO), Chinese Society of Clinical Oncology (CSCO), Indian Society of Medical and Paediatric Oncology (ISMPO), Korean Society of Medical Oncology (KSMO), Malaysian Oncological Society (MOS), Singapore Society of Oncology (SSO), and Taiwan Oncology Society (TOS): Pan-Asian adapted European Society for Medical Oncology (ESMO) clinical practice guidelines for the diagnosis, treatment, and follow-up of patients with localised colon cancer (2021)
●Indian Council of Medical Research (ICMR): Consensus document for management of colorectal cancer (2014)
Australia-New Zealand
●Cancer Council Australia (CCA): Clinical practice guidelines for the prevention, early detection, and management of colorectal cancer (2017)
●Royal College of Pathologists of Australasia (RCPA): Colorectal cancer reporting protocol, 3rd edition (2016)
●New Zealand Guidelines Group (NZGG): Management of early colorectal cancer – Evidence-based practice guideline (2011)
Japan
●[In English] Japanese Society of Medical Oncology (JSMO), Chinese Society of Clinical Oncology (CSCO), Indian Society of Medical and Paediatric Oncology (ISMPO), Korean Society of Medical Oncology (KSMO), Malaysian Oncological Society (MOS), Singapore Society of Oncology (SSO), and Taiwan Oncology Society (TOS): Pan-Asian adapted European Society for Medical Oncology (ESMO) clinical practice guidelines for the diagnosis, treatment, and follow-up of patients with localised colon cancer (2021)
●[In English] Japanese Society for Cancer of the Colon and Rectum (JSCCR): Guidelines for the treatment of colorectal cancer, 2019 (published 2020)
●[In Japanese]: JSCCR: Guidelines for the treatment of colorectal cancer (2019)
●[In English] Japan Gastroenterological Endoscopy Society (JGES): Guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection (2019)
●[In Japanese] JGES: Guidelines for colorectal ESD/EMR, second edition (2019)
