The Society’s guideline development process is transparent, consistent, and rigorous process that is closely aligned with Institute of Medicine (IOM) standards. The Society’s guidelines are now developed by the American Cancer Society Guideline Development Group (GDG), a voluntary panel of generalist clinicians, biostatisticians, epidemiologists, economists, and patient representatives. The Society’s breast cancer screening guideline was developed in accordance with this process, and utilized a systematic evidence review of the breast cancer screening literature that was conducted independently by the Duke University Evidence Synthesis Group.
There were no representatives from the health insurance industry on the GDG, and all GDG members are required to disclose potential conflicts of interest before they are accepted for participation. In addition, under this process, costs to the health care system and reimbursement of costs by insurers are not factors considered in the review of evidence and development of recommendations by the GDG.