Evidence map›Paper›PMID 38478773›Full record

GuidelineJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Cannabis and Cannabinoids in Adults With Cancer: ASCO Guideline.

Ilana M Braun, Kari Bohlke, Donald I Abrams, Holly Anderson, Lynda G Balneaves, Gil Bar-Sela, Daniel W Bowles, Peter R Chai, Anuja Damani, Arjun Gupta and 5 more

Open access · greenAbstract readPractice GuidelineSystematic Review
In one paragraph

Guideline in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
30.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Cannabis use among cancer survivors: a systematic review and meta-analysis.Archives of public health = Archives belges de sante publique · 2026
    Pooled it
  2. Pooled it
  3. Medicinal cannabis for symptom control in advanced cancer: a double-blind, placebo-controlled, randomised clinical trial of 1:1 tetrahydrocannabinol and cannabidiol.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  4. Trial
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Cannabis stigma and symptom management considerations in cancer survivors: a mixed-methods exploration of patient perspectives.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Observational
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. TTD expert consensus on emesis in gastric cancer: evidence-based strategies for prevention and treatment.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 15 institutions in 5 countries.

Ilana M BraunDana-Farber Cancer Institute, Harvard Medical School, Boston, MA.ORCID 0000-0003-3532-7057
Kari BohlkeAmerican Society of Clinical Oncology, Alexandria, VA.ORCID 0000-0003-1529-7903
Donald I AbramsUniversity of California San Francisco Osher Center for Integrative Health, San Francisco, CA.ORCID 0000-0003-2143-6260
Holly AndersonBreast Cancer Coalition of Rochester, Rochester, NY.ORCID 0009-0002-5435-3736
Lynda G BalneavesUniversity of Manitoba, Winnipeg, MB, Canada.ORCID 0000-0003-0888-5109
Gil Bar-SelaEmek Medical Center, Afula, Israel.ORCID 0000-0002-6535-2096
Daniel W BowlesUniversity of Colorado Cancer Center, Aurora, CO.ORCID 0000-0003-1406-0963
Peter R ChaiBrigham and Women's Hospital, Boston, MA.ORCID 0000-0003-0955-4117
Anuja DamaniKasturba Medical College, Manipal Academy of Higher Education, Manipal, India.ORCID 0000-0002-4469-0846
Arjun GuptaUniversity of Minnesota, Minneapolis, MN.ORCID 0000-0003-0875-4731
Sigrun HallmeyerAdvocate Lutheran General Hospital, Park Ridge, IL.
Ishwaria M SubbiahSarah Cannon Research Institute, Nashville, TN.ORCID 0000-0002-0758-7911
Chris TwelvesUniversity of Leeds and Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Mark S WallaceUniversity of California San Diego, La Jolla, CA.
Eric J RoelandOregon Health and Science University, Knight Cancer Institute, Portland, OR.ORCID 0000-0002-3674-3573
Advocate Lutheran General Hospital · USAmerican Society of Clinical Oncology · USBreast Cancer Alliance · USBrigham and Women's Hospital · USEmek Medical Center · ILHarvard University · USManipal Academy of Higher Education · INOregon Health & Science University · USSarah Cannon · USUniversity of California San Diego · USUniversity of California, San Francisco · USUniversity of Colorado Cancer Center · USUniversity of Leeds · GBUniversity of Manitoba · CAUniversity of Minnesota · US

Funding

Smart Steps: A context-aware adherence intervention to improve PrEP adherence among men who have sex with men (MSM) with substance use disorderDP2DA056107 · NIDA · BRIGHAM AND WOMEN'S HOSPITAL · PI CHAI, PETER R · 2022 to 2022
$2.7M
NIDA NIH HHS DP2 DA056107
6 · The paper itself

Abstract

purposeTo guide clinicians, adults with cancer, caregivers, researchers, and oncology institutions on the medical use of cannabis and cannabinoids, including synthetic cannabinoids and herbal cannabis derivatives; single, purified cannabinoids; combinations of cannabis ingredients; and full-spectrum cannabis.

methodsA systematic literature review identified systematic reviews, randomized controlled trials (RCTs), and cohort studies on the efficacy and safety of cannabis and cannabinoids when used by adults with cancer. Outcomes of interest included antineoplastic effects, cancer treatment toxicity, symptoms, and quality of life. PubMed and the Cochrane Library were searched from database inception to January 27, 2023. ASCO convened an Expert Panel to review the evidence and formulate recommendations.

resultsThe evidence base consisted of 13 systematic reviews and five additional primary studies (four RCTs and one cohort study). The certainty of evidence for most outcomes was low or very low. RECOMMENDATIONS: Cannabis and/or cannabinoid access and use by adults with cancer has outpaced the science supporting their clinical use. This guideline provides strategies for open, nonjudgmental communication between clinicians and adults with cancer about the use of cannabis and/or cannabinoids. Clinicians should recommend against using cannabis or cannabinoids as a cancer-directed treatment unless within the context of a clinical trial. Cannabis and/or cannabinoids may improve refractory, chemotherapy-induced nausea and vomiting when added to guideline-concordant antiemetic regimens. Whether cannabis and/or cannabinoids can improve other supportive care outcomes remains uncertain. This guideline also highlights the critical need for more cannabis and/or cannabinoid research.Additional information is available at www.asco.org/supportive-care-guidelines.

Indexed as

CannabinoidsMedical MarijuanaNeoplasmsAdultHumansCannabinoidsMedical Marijuana

Identifiers

PMID38478773
PMCPMC11730458
OpenAlexW4392745023

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.