Stacey Dawn, Carley Meg, Newton Jennifer
Research Chair in Knowledge, Translation to Patients Member, Royal Society of Canada's College Professor, School of Nursing, University of Ottawa Cross-Appointment, School of Epidemiology and Public Health, and Senior Scientist, Ottawa Hospital Research Institute, Centre for Practice Changing Research, 501 Smyth Road, Room L1280, Ottawa, ON K1H 8L6, T: 613-737-8899 ext. 73817.
Research Coordinator, Ottawa Hospital Research Institute, Centre for Practice Changing Research, 501 Smyth Road, Ottawa, ON K1H 8L6, T: 613-737-8899.
Can Oncol Nurs J. 2020 Oct 1;30(4):269-276. doi: 10.5737/23688076304269276. eCollection 2020 Fall.
The pan-Canadian Oncology Symptom Triage and Remote Support (COSTaRS) practice guides present evidence on symptom management in user-friendly formats and using plain language. The aim of this work is to summarize changes to the practice guides based on new evidence including management specific to immune checkpoint inhibitors (ICIs). A systematic review of literature was conducted to identify clinical practice guidelines and systematic reviews. For version 2020, there is new evidence from 86 sources (range 2-16; mean 9 per guide), including 14 specific to ICIs, and we removed 21 outdated sources. The 15 COSTaRS practice guides were updated and 2 new guides created for mouth dryness and skin rash. The National Cancer Institute's common terminology criteria for adverse events (NCI-CTCAE) grading was added to the assessment results. "Review self-care strategies" was changed to "Review 3 or more self-care strategies". There were changes based on new evidence and ensuring consistency across practice guides. The 2020 update was validated by oncology nurses from across Canada.
泛加拿大肿瘤症状分诊与远程支持（COSTaRS）实践指南以用户友好的形式并使用通俗易懂的语言呈现症状管理方面的证据。这项工作的目的是根据新证据总结实践指南的变化，包括针对免疫检查点抑制剂（ICI）的管理。进行了一项文献系统综述以识别临床实践指南和系统综述。对于2020版，有来自86个来源的新证据（范围为2 - 16；每个指南平均9个），其中包括14个特定于ICI的证据，并且我们剔除了21个过时的来源。15份COSTaRS实践指南得到更新，并新增了关于口干和皮疹的2份指南。评估结果中增加了美国国立癌症研究所不良事件通用术语标准（NCI - CTCAE）分级。“回顾自我护理策略”改为“回顾3种或更多自我护理策略”。基于新证据并确保各实践指南之间的一致性进行了修改。2020年更新版由加拿大各地的肿瘤学护士进行了验证。
