The Value and Process of Inclusion: Using Sensitive, Respectful, and Inclusive Language and Images in NCCN Content

• DOI: 10.6004/jnccn.2023.7025
• Publication Date: 2023-05-08T19:50:40Z
• Authors: Deborah A. Freedm...; Tanya Fischer; Ash B. Alpert; Juno Obedin-Maliver; Pamela L. Kunz; Wui-Jin Koh; Robert W. Carlson
• Keywords: Neoplasms; Surveys and Questionnaires; Humans; 10. No inequality; Medical Oncology; Respect; 3. Good health; Language

A core component of NCCN’s mission is to improve and facilitate equitable cancer care. Inclusion and representation of diverse populations are essential toward this goal of equity. Within NCCN’s professional content, inclusivity increases the likelihood that clinicians are prepared to provide optimal oncology care to all patients; within NCCN’s patient-facing content, it helps ensure that cancer information is relevant and accessible for all individuals. This article describes changes that have been made in the language and images used in the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) and the NCCN Guidelines for Patients to promote justice, respect, and inclusion for all patients with cancer. The goals are to use language that is person-first, nonstigmatizing, inclusive of individuals of all sexual orientations and gender identities, and anti-racist, anti-classist, anti-misogynist, anti-ageist, anti-ableist, and anti–fat-biased. NCCN also seeks to incorporate multifaceted diversity in images and illustrations. NCCN is committed to continued and expanding efforts to ensure its publications are inclusive, respectful, and trustworthy, and that they advance just, equitable, high-quality, and effective cancer care for all.