Breakthrough and Refractory CINV

Healthcare Practice
Supportive Care and Guidelines

- 2023 CPG –Treatment of breakthrough and prevention of refractory chemotherapy-induced nausea and vomiting in pediatric cancer patients: Clinical practice guideline update (open access at Pediatric Blood and Cancer)
- Endorsed by the Children’s Oncology Group (COG) and the Multinational Association of Supportive Care in Cancer (MASCC)
- Archived 2016 CPG – Guideline for the treatment of breakthrough and the prevention of refractory chemotherapy‐induced nausea and vomiting in children with cancer (open access at Pediatric Blood and Cancer)
- Endorsed by the Children’s Oncology Group (COG)
If you have any questions about any of the POGO guidelines, our development processes or guidelines under development, please email: guidelines@pogo.ca
Antifungal Prophylaxis

Healthcare Practice
Supportive Care and Guidelines

- 2020 CPG – Clinical practice guideline for systemic antifungal prophylaxis in pediatric patients with cancer and hematopoietic stem-cell transplantation recipients (open access at Journal of Clinical Oncology)
- Endorsed by the Children’s Oncology Group (COG)
If you have any questions about any of the POGO guidelines, our development processes or guidelines under development, please email: guidelines@pogo.ca
About Pediatric Oncology Nursing

Healthcare Practice
Supportive Care and Guidelines


Pediatric oncology nurses are vital to the care and wellbeing of children, youth, survivors, and families of childhood cancer. As advancements in treatment continue to evolve, the role of pediatric oncology nurses has become increasingly specialized, requiring expertise in complex and personalized care. Pediatric oncology nurses play an integral role in this care, working within multidisciplinary teams to deliver comprehensive, patient and family-centered support. Their expertise and dedication ensure that each child receives the best care possible, not just for their cancer, but for their overall well-being, during their treatment and well into survivorship.
At POGO, we are committed to continuously improving childhood cancer care in Ontario. This includes partnering with pediatric oncology nurses to co-create resources, tools, and professional development opportunities that empower them to continue to provide exceptional care.
Clinical Practice Guidelines

Healthcare Practice
Supportive Care and Guidelines

Supportive Care CPGs
*Supportive care CPG endorsed by POGO
POGO Clinical Practise Guides
POGO Clinical Supportive Guides
Clinical Practice Guidelines Resources
If you have any questions about any of the POGO guidelines, our development processes or guidelines under development, please email: guidelines@pogo.ca
Implementation Tools

Healthcare Practice
Supportive Care and Guidelines

Care Pathways
Care pathways describe local standards of care based on evidence-based clinical practice guidelines and transformed into actionable statements, that help guide supportive care including symptom management. POGO worked with the Sung Research Team to develop care management pathway templates for over 20 supportive care issues.
If you have any questions about any of the POGO guidelines, our development processes or guidelines under development, please email: guidelines@pogo.ca
POGO Satellite Manual
Healthcare Practice
Supportive Care and Guidelines
Provincial Pediatric Oncology Satellite Manual
POGO’s Provincial Pediatric Oncology Satellite Program enables the transfer of aspects of a child’s care to a community hospital closer to home. The Provincial Pediatric Oncology Satellite Manual is a guideline document for the continuing delivery of POGO’s vision of optimal childhood cancer care – namely, the provision of comprehensive, technologically advanced care delivered as close to the child’s home as is compatible with the level of care required, and as is equivalent to tertiary-based care.
Intellectual Property Rights. Copyright © 2022 Pediatric Oncology Group of Ontario (“POGO”). All rights reserved. Except for public domain material or material otherwise licensed to POGO, the Manual is protected by copyright and other Intellectual Property laws, and is owned or controlled by POGO or the party credited as the author or provider of the materials. POGO and the POGO icon and logo are trade-marks of POGO and may not be used in connection with any product or service not related to POGO or approved in advance by POGO in writing. POGO Satellite Manual disclaimer.
Original Version – August 1997
Revised – September 1998
Revised – March 2001 – July 2002
Revised – October 2016
Revised – January 2023
Disclaimer: Source Accuracy
You are welcome to download and save a local copy of this document in the Word and/or PDF formats provided. As the POGO Satellite Manual is subject to ongoing revisions and updates by POGO, we recommend you regularly check the online version posted at https://www.pogo.ca/satellite-manual/ to ensure you have the most up-to-date content. In the event of any inconsistency between the content of a local copy and the online version of the POGO Satellite Manual, the content of the online version shall be considered correct. Please see also the POGO Satellite Manual Disclaimer.
