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Surgery Standards and Evidence-based Series (EBS)

The Surgery Standards and Evidence-based Series are produced by Expert Panels convened by Cancer Care Ontario that work together with the PEBC to gather and examine evidence on specific topics related to providing optimum surgical treatment for people affected by cancer in Ontario.The reports produced by these panels are available below.   

The PEBC has a formal and standardized process to ensure the currency of each document (please see the PEBC Assessment & Review Protocol for more information). This process guides clinical experts to assess a document’s current status and relevance. A final status statement is added to the document when this review process is complete. The current status of each guidance document is noted beside the title and link as outlined below:

  • Documents listed as CURRENT are 3 years old or less, up-to-date, and can be used for decision making.
  • Documents listed as IN REVIEW are undergoing assessment for currency and relevance.  The DSG/GDG has determined that it is still appropriate for this document to continue to be available while this updating process unfolds.
  • Documents that are listed as “FOR EDUCATION AND INFORMATION PURPOSES” are documents for which no further updates are planned and whose recommendations may no longer be consistent with recent evidence.  They may be of educational, historical, clinical, or system interest.

If you have any questions regarding a document that is “In Review,” please contact the PEBC ( or the lead author of the document.

  • Breast Cancer Reconstruction Surgery (immediate and delayed) Across Ontario: Patient Indications and Appropriate Surgical Options
    Guideline 17-10: January 2016
    Status: CURRENT
  • Active Surveillance for the Management of Localized Prostate Cancer
    17-9 EBS: December 2014
    Status: CURRENT
  • Optimization of Preoperative Assessment in Patients Diagnosed with Rectal Cancer
    17-8 EBS: January 2014
    Status: CURRENT
  • Organizational Guideline for Gynecologic Oncology Services in Ontario
    4-11 EBS: June 2013
    Status: CURRENT
  • The Role of Liver Resection in Colorectal Cancer Metastases
    17-7 EBS: June 2012
    Status: CURRENT
  • Invasive Mediastinal Staging of Non-small Cell Lung Cancer
    17-6 EBS: October 2010
    Status: CURRENT
  • Guideline for Optimization of Surgical and Pathological Quality Performance in Radical Prostatectomy in Prostate Cancer Management
    17-3 EBS: September 2008
    Status: IN REVIEW
  • Optimization of Surgical and Pathological Quality Performance in Radical Surgery for Colon and Rectal Cancer: Margins and Lymph Nodes
    17-4 Version 2 EBS: November 2016
    Status: CURRENT
  • Hepatic, Pancreatic, and Biliary Tract (HPB) Surgical Oncology Standards
    17-2 VERSION 2 Standards Special Report: June 2006
    Status: CURRENT
  • Thoracic Surgical Oncology Standards
    17-1 Version 2 Standards Report: March 2015
    Status: CURRENT
    • Summary
    • Full Report
    • Thoracic Standards Systematic Review: "Reprinted from The Annals of Thoracic Surgery, Vol 84, Sundaresan S, Langer B, Oliver T, Schwartz F, Brouwers M, Stern H; Expert Panel on Thoracic Surgical Oncology. Standards for thoracic surgical oncology in a single-payer healthcare system. Pages No.: 693-701, Copyright 2007, with permission from The Society of Thoracic Surgeons. All rights reserved."

For Education and Information Purposes

  • Laparoscopic Surgery for Cancer of the Colon
    2-20-2 EBS: September 2005
  • Sentinel Lymph Node Biopsy in Early-stage Breast Cancer

Program in Evidence-Based Care (PEBC)
McMaster University, Juravinski Site
G Wing, 2nd Floor
711 Concession Street
Hamilton, Ontario, Canada
L8V 1C3

Phone: 905.527.4322 ext. 42822
Fax: 905.526.6775
Last modified: Fri, Jun 23, 2017
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