癌症儿童康复的临床实践指南和专家共识建议:系统回顾

IF 503.1 1区 医学 Q1 ONCOLOGY CA: A Cancer Journal for Clinicians Pub Date : 2023-05-09 DOI:10.3322/caac.21783
Allison J. L’Hotta PhD, OTD, Samantha B. Randolph MAOT, Ben Reader DPT, Kim Lipsey MLIS, Allison A. King MD, MPH, PhD
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引用次数: 1

摘要

更多地关注癌症儿童的康复需求,对于增进健康、提高生活质量和提高生产力至关重要。在成年癌症患者中,康复建议经常被纳入指南,但对儿童的建议存在的程度尚不清楚。本系统综述中包含的报告是指南或专家共识报告,其中包含与儿童期(18岁以下)诊断为癌症的个体的康复转诊、评估和/或干预相关的建议。合格的报告于2000年1月至2022年8月以英文出版。通过数据库检索,确定了42,982条记录;通过引文和网站检索共鉴定出62条记录。审查中包括28份报告:18份指南和10份专家共识报告。在疾病特异性(如急性淋巴细胞白血病)、损伤特异性(如疲劳、神经认知、疼痛)、青少年和年轻人以及长期随访报告中确定了康复建议。建议的例子包括体力活动和节能技术,以解决疲劳,转介物理治疗慢性疼痛管理,持续的社会心理监测,以及转介语言病理的听力损失。高水平证据支持长期随访护理、疲劳和社会心理/精神健康筛查的康复建议。很少有干预建议被纳入指南和共识报告。在这个发展中的领域,将儿科肿瘤学康复提供者纳入指南和共识发展倡议至关重要。本综述提高了康复相关指南的可用性和清晰度,通过支持获得康复服务,有助于预防和减轻儿童癌症相关残疾。
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Clinical practice guideline and expert consensus recommendations for rehabilitation among children with cancer: A systematic review

Increased attention to the rehabilitation needs of children with cancer is vital to enhance health, quality-of-life, and productivity outcomes. Among adults with cancer, rehabilitation recommendations are frequently incorporated into guidelines, but the extent to which recommendations exist for children is unknown. Reports included in this systematic review are guideline or expert consensus reports containing recommendations related to rehabilitation referral, evaluation, and/or intervention for individuals diagnosed with cancer during childhood (younger than 18 years). Eligible reports were published in English from January 2000 to August 2022. Through database searches, 42,982 records were identified; 62 records were identified through citation and website searching. Twenty-eight reports were included in the review: 18 guidelines and 10 expert consensus reports. Rehabilitation recommendations were identified in disease-specific (e.g., acute lymphoblastic leukemia), impairment-specific (e.g., fatigue, neurocognition, pain), adolescent and young adult, and long-term follow-up reports. Example recommendations included physical activity and energy-conservation techniques to address fatigue, referral to physical therapy for chronic pain management, ongoing psychosocial surveillance, and referral to speech-language pathology for those with hearing loss. High-level evidence supported rehabilitation recommendations for long-term follow-up care, fatigue, and psychosocial/mental health screening. Few intervention recommendations were included in guideline and consensus reports. In this developing field, it is critical to include pediatric oncology rehabilitation providers in guideline and consensus development initiatives. This review enhances the availability and clarity of rehabilitation-relevant guidelines that can help prevent and mitigate cancer-related disability among children by supporting access to rehabilitation services.

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来源期刊
CiteScore
873.20
自引率
0.10%
发文量
51
审稿时长
1 months
期刊介绍: CA: A Cancer Journal for Clinicians" has been published by the American Cancer Society since 1950, making it one of the oldest peer-reviewed journals in oncology. It maintains the highest impact factor among all ISI-ranked journals. The journal effectively reaches a broad and diverse audience of health professionals, offering a unique platform to disseminate information on cancer prevention, early detection, various treatment modalities, palliative care, advocacy matters, quality-of-life topics, and more. As the premier journal of the American Cancer Society, it publishes mission-driven content that significantly influences patient care.
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