A pan-Canadian practice guideline and algorithm: screening, assessment, and supportive care of adults with cancer-related fatigue

被引：85

作者：

Howell, D. ^{[1
]}

Keller-Olaman, S. ^{[2
]}

Oliver, T. K. ^{[3
]}

Hack, T. F. ^{[4
,5
]}

Broadfield, L. ^{[6
]}

Biggs, K. ^{[7
]}

Chung, J. ^{[8
]}

Gravelle, D. ^{[9
]}

Green, E. ^{[10
]}

Hamel, M. ^{[11
]}

Harth, T. ^{[12
]}

Johnston, P. ^{[13
]}

McLeod, D. ^{[6
]}

Swinton, N. ^{[14
]}

Syme, A. ^{[15
]}

Olson, K. ^{[16
]}

机构：

[1] Univ Hlth Network, Fac Nursing, Toronto, ON, Canada

[2] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

[3] Canadian Partnership Canc, Toronto, ON, Canada

[4] Univ Manitoba, Fac Nursing, Winnipeg, MB, Canada

[5] Canc Care Manitoba, Patient & Family Support Serv, Winnipeg, MB, Canada

[6] Canc Care Nova Scotia, Halifax, NS, Canada

[7] Juravinski Canc Ctr, Hamilton, ON, Canada

[8] British Columbia Childrens Hosp, Vancouver, BC V6H 3V4, Canada

[9] Elisabeth Bruyere Hosp, Ottawa, ON, Canada

[10] Canc Care Ontario, Toronto, ON, Canada

[11] Montreal Gen Hosp, Montreal, PQ H3G 1A4, Canada

[12] Odette Canc Ctr, Toronto, ON, Canada

[13] Canc Care Manitoba, Winnipeg, MB, Canada

[14] McGill Univ, Jewish Gen Hosp, Montreal, PQ H3T 1E2, Canada

[15] Covenant Hlth, Palliat Care Inst, Edmonton, AB, Canada

[16] Univ Alberta, Fac Nursing, Edmonton, AB, Canada

来源：

CURRENT ONCOLOGY | 2013年 / 20卷 / 03期

关键词：

Fatigue; cancer; survivor; survivorship; screening; assessment; supportive care; adapted guideline; PHYSICAL-ACTIVITY; ADAPTATION; PREVALENCE; VALIDATION; SURVIVORS; PART;

D O I：

10.3747/co.20.1302

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Purpose The purpose of the present systematic review was to develop a practice guideline to inform health care providers about screening, assessment, and effective management of cancer-related fatigue (CRF) in adults. Methods The internationally endorsed ADAPTE methodology was used to develop a practice guideline for pan-Canadian use. A systematic search of the literature identified a broad range of evidence: clinical practice guidelines, systematic reviews, and other guidance documents on the screening, assessment, and management of CRF. The search included MEDLINE, EMBASE, CINAHL, the Cochrane Library, and other guideline and data sources to December 2009. Results Two clinical practice guidelines were identified for adaptation. Seven guidance documents and four systematic reviews also provided supplementary evidence to inform guideline recommendations. Health professionals across Canada provided expert feedback on the adapted recommendations in the practice guideline and algorithm through a participatory external review process. Conclusions Practice guidelines can facilitate the adoption of evidence-based assessment and interventions for adult cancer patients experiencing fatigue. Development of an algorithm to guide decision-making in practice may also foster the uptake of a guideline into routine care.

引用

页码：E233 / E246

页数：14

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