美国国立综合癌症网络（NCCN）指南见解：痛苦管理，2023年第2版

NCCN Guidelines® Insights: Distress Management, Version 2.2023.

作者信息

Riba Michelle B, Donovan Kristine A, Ahmed Kauser, Andersen Barbara, Braun IIana, Breitbart William S, Brewer Benjamin W, Corbett Cheyenne, Fann Jesse, Fleishman Stewart, Garcia Sofia, Greenberg Donna B, Handzo George F, Hoofring Laura Herald, Huang Chao-Hui, Hutchinson Sean, Johns Shelley, Keller Jennifer, Kumar Pallavi, Lahijani Sheila, Martin Sara, Niazi Shehzad K, Pailler Megan, Parnes Francine, Rao Vinay, Salman Jaroslava, Scher Eli, Schuster Jessica, Teply Melissa, Usher Angela, Valentine Alan D, Vanderlan Jessica, Lyons Megan S, McMillian Nicole R, Darlow Susan D

机构信息

University of Michigan Rogel Cancer Center.

Moffitt Cancer Center.

出版信息

J Natl Compr Canc Netw. 2023 May;21(5):450-457. doi: 10.6004/jnccn.2023.0026.

DOI:10.6004/jnccn.2023.0026

PMID:37156476

Abstract

These NCCN Guidelines for Distress Management discuss the identification and treatment of psychosocial problems in patients with cancer. All patients experience some level of distress associated with a cancer diagnosis and the effects of the disease and its treatment regardless of the stage of disease. Clinically significant levels of distress occur in a subset of patients, and identification and treatment of distress are of utmost importance. The NCCN Distress Management Panel meets at least annually to review comments from reviewers within their institutions, examine relevant new data from publications and abstracts, and reevaluate and update their recommendations. These NCCN Guidelines Insights describe updates to the NCCN Distress Thermometer (DT) and Problem List, and to the treatment algorithms for patients with trauma- and stressor-related disorders.

摘要

这些《NCCN 痛苦管理指南》讨论了癌症患者心理社会问题的识别与治疗。所有患者，无论疾病处于何阶段，都会经历一定程度与癌症诊断、疾病及其治疗影响相关的痛苦。部分患者会出现具有临床意义的痛苦水平，识别并治疗痛苦至关重要。NCCN 痛苦管理小组至少每年召开会议，以审查机构内部审阅者的意见，研究出版物和摘要中的相关新数据，并重新评估和更新其建议。这些《NCCN 指南见解》介绍了 NCCN 痛苦温度计（DT）和问题清单的更新内容，以及创伤和应激源相关障碍患者的治疗算法更新情况。