National Guidelines and Standard of Care

National Guidelines for Treatment of Kidney Cancer

Many nations have established guidelines for the treatment of Kidney Cancer. This helps to provide a more level approach throughout the country to this difficult problem. With all the new drugs, most countries are now reviewing these guidelines at least annually. If your country does not yet have national guidelines, its medical board might choose to simply adopt one of these.


Canadian Consensus Guidelines are being reviewed yearly because of the rapid change in the portfolio of drugs for kidney cancer. See the menu on this page.

Canada also has a guideline for genetic screening for possible hereditary kidney cancers, available at this link: Guideline on Screening for Hereditary Kidney Cancers

European Union:

European Urological Association (EUA) has compiled clinical guidelines to provide urologists with evidence-based information and recommendations for the management of renal cell cancer which are updated regularly:

European Society for Medical Oncology (ESMO) clinical guidelines can be found at


Mexico Oncogui Renal guidelines can be found at:


Ukrainian national protocols for treatment of the oncological patients (in Ukrainian)

United Kingdom

NICE Guidelines

The UK National Institute for Health and Care Excellence issues Guidance for treatment, especially focusing on when and how certain drugs might be used in treatment.  See the index at:

Radiology Guidelines

The U.K. Royal College of Radiologists (RCR) has published updated recommendations for cross-sectional imaging in cancer management. They can be downloaded free of charge from the RCR’s website.

United States:

In the US, there are two established and reliable sources of treatment guidelines.

1. National Comprehensive Cancer Network® (NCCN®) –
Create a free account and search for “kidney cancer guidelines”. They
have guidelines for physicians, and a document also for patients.
Additional Patient resources can be found at
(Links provided with permission from NCCN®)

2. US National Cancer Institute (NIH) –
Go to and look for “Renal Cell Cancer Treatment”. They have documents for physicians and also for patients.