Faculty of Nursing, University Health Network, Toronto, ON.
Curr Oncol. 2013 Jun;20(3):e233-46. doi: 10.3747/co.20.1302.
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.
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.
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.
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.
本系统评价的目的是制定一个实践指南，为医疗保健提供者提供有关成人癌症相关疲劳（CRF）的筛查、评估和有效管理的信息。
采用国际认可的适应性方法制定了一项全加适用的实践指南。系统检索文献，确定了广泛的证据：关于 CRF 的筛查、评估和管理的临床实践指南、系统评价和其他指导文件。检索包括 Medline、Embase、CINHAL、Cochrane 图书馆和其他指南和数据源，截至 2009 年 12 月。
确定了两个临床实践指南进行改编。七份指导文件和四份系统评价也提供了补充证据，为指南建议提供信息。加拿大各地的卫生专业人员通过参与式外部审查程序，就实践指南和算法中改编的建议提供了专家反馈。
实践指南可以促进对接受癌症治疗的成人患者进行基于证据的评估和干预。制定指导决策的算法也可能促进将指南纳入常规护理。
