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A number of organizations are producing resource stratified guidelines (RSGs) for cancer. Despite using similar definitions of resource levels, systemic treatment recommendations often differ between organizations. We systematically searched for RSGs focusing on solid tumors. We qualitatively compared the methods used to generate guidelines using the AGREE‐II appraisal tool. We extracted systemic treatment recommendations and assessed interguideline concordance using the Gwet AC1 coefficient, stratified by resource level, treatment setting and cancer type. We identified 69 RSGs cancer covering 15 solid tumors produced by four organizations. Despite using common resource‐level definitions (Basic, Core/Limited, Enhanced and Maximal), recommendations differed between organizations. Concordance for chemotherapy recommendations was poor in Basic (58.3%, Gwet 0.20), fair in Core (58.3%, Gwet 0.32) and excellent in Enhanced (92.4%, Gwet 0.92) and Maximal settings (95.4%, Gwet 0.95). Concordance rates for endocrine therapy were good in Basic (80% Gwet 0.61), and excellent in Core (90%, Gwet 0.87), Enhanced (90%, Gwet 0.89) and Maximal settings (90%, Gwet 0.89). There was moderate to excellent concordance in targeted therapy recommendations across all resource levels. Differences in recommendations appeared driven by different opinions among the chosen panel of experts regarding what is resource appropriate. Overall, we found that countries looking to base treatment and health‐policy on RSGs will find conflicting information depending on which guidelines are used, particularly for chemotherapy in Basic and Core settings. Improved transparency regarding the methods used to determine the value of a therapy for a given resource level is needed. What's new? While resource‐stratified guidelines to inform the prioritization of cancer treatment are increasing globally, systemic treatment recommendations often differ from one organization to the next. Here, the authors compared resource‐stratified guidelines for systemic therapy of solid tumors produced by four different organizations. Guideline comparisons show that despite having similar goals and using a common resource framework, treatment recommendations vary across organizations. This is the case particularly for chemotherapy recommendations in limited‐resource settings. The findings suggest that more robust models incorporating greater information on resource constraints are needed to improve consistency in resource‐stratified guidelines between organizations and countries. [ABSTRACT FROM AUTHOR]

SUMMARY. Freud's'Dora'case is an example of hysteria in which the symptoms themselves are fundamentally id-phenomena modified and disguised. In other hysteria cases the symptoms may originate in the harsh superego and represent childhood punishments, reinvoked in a desperate effort to hold forbidden impulses in repression. Analytic interpretation of such symptoms can help to loosen the repressive barrier. At the same time the fact of reinvocation of childhood punishments can alert the analyst to the presence of forbidden impulses clamouring for expression. [ABSTRACT FROM AUTHOR]