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Clinical Pathways

We appreciate your patience as we work on publishing pathways updates to the public site. Internal users, please refer to the SharePoint site for current versions.
Evidence for cancer treatment is constantly evolving. This can result in lag times for system-wide implementation and variability in treatments for Veterans. Clinical Pathways are a decision support tool that bridge this gap by translating published evidence into standardized treatment process maps to help guide treatment decisions.
Clinical Pathways standardize evidence-based practices to ensure high quality, cost-effective care for Veterans at each point in their care plan. Clinical Pathways are different from treatment guidelines, as Clinical Pathways recommend a standard treatment based on efficacy, toxicity, and cost. Guidelines, on the other hand, offer treatment options without always prioritizing specific recommendations. Clinical Pathways are developed by an interdisciplinary subject matter expert group and approved by national program offices including medical oncology, radiation oncology, surgery, pathology, and pharmacy.

Brain and Central Nervous System (CNS)

Breast

Gastrointestinal (GI)

Genitourinary (Genital and Urinary)

Gynecologic

Head and Neck

Hematologic (Blood-Related)

Lung

Molecular Testing

Sarcoma

Skin

Clinical Pathways are reviewed at least quarterly by subject matter experts and updated if changes are made. Previous versions are archived and available to internal users within the VA network on the Clinical Pathways SharePoint.
We appreciate hearing how you use these pathways or suggestions for future refinement. Click on the Pathways Feedback button below if you wish to provide us with feedback on our Clinical Pathways.