加拿大乳腺癌相关淋巴水肿最佳管理临床实践指南更新：研究方案。
Update to the Canadian clinical practice guideline for best-practice management of breast cancer-related lymphedema: study protocol.
机构信息
Department of Physical Therapy (McNeely, Dolgoy, Al Onazi, Parkinson), University of Alberta; Cross Cancer Institute (McNeely, King), Alberta Health Services, Edmonton, Alta.; patient representative (Harris), Vancouver, BC; patient representative (Kennedy), Toronto, Ont.; patient representative (Binkley), Atlanta, Ga.; Department of Physical Therapy (Harris, Campbell), University of British Columbia, Vancouver, BC; Rehabilitation Oncology Department (Radke), Tom Baker Cancer Centre, Alberta Health Services, Calgary, Alta.; Guideline Resource Unit (Kostaras), Cancer Care Alberta, Alberta Health Services, Edmonton, Alta.; University of Alberta Libraries (Dennett), University of Alberta, Edmonton, Alta.; Lymphedema Program (Ryan), Eastern Health, St. John's, Nfld.; Oncology Division (Dalzell), Canadian Physiotherapy Association, Montréal, Que.; Pathways Magazine (Kennedy), Canadian Lymphedema Framework, Toronto, Ont.; Faculty of Kinesiology (Capozzi), University of Calgary, Calgary, Alta.; Department of Clinical Neurosciences (Capozzi), Faculty of Medicine, University of Calgary, Calgary, Alta.; Gerard Bronfman Department of Oncology (Towers), Faculty of Medicine and Health Sciences, McGill University, Montréal, Que.; TurningPoint Breast Cancer Rehabilitation (Binkley), Atlanta, Ga.; Parkwood Institute Research, Lawson Health Research Institute, Parkwood Institute (Keast), St. Joseph's Health Care, London, Ont.
出版信息
CMAJ Open. 2022 Apr 12;10(2):E338-E347. doi: 10.9778/cmajo.20210038. Print 2022 Apr-Jun.
BACKGROUND
One of the more frequent complications following treatment for breast cancer, lymphedema is a substantial swelling of the arm, breast and chest wall that occurs on the side where lymph nodes were removed. The aim of this work is to update recommendations on the prevention, diagnosis and management of lymphedema related to breast cancer.
METHODS
We present the protocol for an update of the 2001 clinical practice guideline on lymphedema from the Steering Committee for Clinical Practice Guidelines for the Care and Treatment of Breast Cancer. We will use a patient-oriented research approach with a focus on self-management and the positive health model to inform the updated guideline development. The methods proposed will be undertaken with consideration of the standards outlined in the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. The literature will be appraised by evaluating existing guidelines from other countries, the evidence from systematic reviews and meta-analyses and direct evidence from clinical studies. We will manage competing interests according to Guidelines International Network principles. Recommendations will be presented using an actionable statement format and will be linked to the level of evidence along with any relevant considerations used in formulation. A draft of the guideline will be produced by the steering committee then sent out to international experts and stakeholder groups for feedback.
INTERPRETATION
The primary benefit of this clinical guideline will be to improve the quality of care of women with breast cancer-related lymphedema. Findings will be disseminated at national and international conferences and through webinars and educational videos hosted on the websites of the supporting organizations.
背景
乳腺癌治疗后较为常见的并发症之一是上肢、乳房和胸壁的肿胀，即淋巴水肿，这种情况通常发生在淋巴结切除的一侧。本研究旨在更新与乳腺癌相关淋巴水肿的预防、诊断和管理建议。
方法
我们展示了指导委员会针对 2001 年淋巴水肿临床实践指南的更新方案，该指南涉及乳腺癌的护理和治疗。我们将采用以患者为中心的研究方法，重点关注自我管理和积极健康模式，为更新指南的制定提供信息。所提出的方法将考虑到评估研究和评估 II （AGREE II）工具中概述的标准。通过评估来自其他国家的现有指南、系统评价和荟萃分析的证据以及临床研究的直接证据来评估文献。我们将根据国际网络指南的原则来管理利益冲突。建议将采用可操作的陈述格式提出，并将与证据级别以及制定建议时使用的任何相关考虑因素相关联。指南草案将由指导委员会编写，然后分发给国际专家和利益相关者团体征求反馈意见。
解释
本临床指南的主要益处将是改善乳腺癌相关淋巴水肿妇女的护理质量。研究结果将在国家和国际会议上以及通过支持组织网站上的网络研讨会和教育视频进行传播。
Zotero 插件