Medical interventions for cancer treatment-induced symptoms in children: an overview

Leticia A. Barajas-Nava , Juan Garduño-Espinosa
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引用次数: 1

Abstract

Background

Childhood cancer accounts for 0.5 to 4.6% of the total number of cases in any population. According to the treatment, some side effects are present. Most adverse reactions can cause severe consequences for the survival of the patient. The more effective interventions for the management and the prevention of treatment-induced symptoms (TIS) in children with cancer are necessary to know. The objective of this review was to identify and describe available scientific evidence on the efficacy and safety of interventions used for the management and prevention of TIS in children with cancer.

Methods

We conducted a systematic review of the literature on studies that evaluated or described the effectiveness of interventions used for the management and prevention of TIS in children with cancer in some of the major electronic databases. Results were qualitative synthesized and presented as evidence tables.

Results

We identified eight systematic reviews. The revisions included experimental studies. All participants, including children and adults, were patients diagnosed with some cancer about to receive or that received treatment.

Conclusions

The results showed only a reduced number of clinical trials that have evaluated the interventions for the management of TIS in children with cancer. In addition, the available evidence was limited and of poor quality. It is necessary to conduct more clinical trials with good methodological quality and high statistical power.

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儿童癌症治疗诱发症状的医学干预:综述
儿童癌症占所有人群病例总数的0.5%至4.6%。根据治疗,有些副作用是存在的。大多数不良反应会对患者的生存造成严重后果。有必要了解更有效的干预措施,以管理和预防儿童癌症的治疗诱发症状(TIS)。本综述的目的是确定和描述现有的科学证据,证明用于管理和预防癌症儿童TIS的干预措施的有效性和安全性。方法:我们对一些主要电子数据库中评估或描述用于管理和预防癌症儿童TIS的干预措施有效性的研究文献进行了系统回顾。结果定性合成并以证据表形式呈现。结果我们确定了8个系统评价。修订包括实验研究。所有的参与者,包括儿童和成人,都是被诊断患有某种即将接受或已经接受治疗的癌症的患者。结论:研究结果表明,只有少量的临床试验评估了癌症儿童TIS治疗的干预措施。此外,现有证据有限,质量低劣。有必要开展更多方法学质量好、统计效力高的临床试验。
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