Li Kexuan, Qiu Xiuyue, Zhang Jiayu, Zhou Yingshuyi, Fan Youfen
Burn Department, Ningbo No.2 Hospital, Ningbo, Zhejiang, China.
School of Nursing, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Front Oncol. 2025 Apr 14;15:1555114. doi: 10.3389/fonc.2025.1555114. eCollection 2025.
To evaluate and summarize the best evidence for preventing and managing epidermal growth factor receptor inhibitors induced paronychia in cancer patients. It aims to provide a reference for medical staff.
We systematically searched for evidence on paronychia symptoms in 14 databases such as Cnki、Wanfang, 7 guide websites such as GIN and NZGG, and 8 professional websites such as UICC and ACS from database establishment to August 2024. Two researchers evaluated the quality of the literature and extracted the data.
A total of 20 articles were included in this study, including 5 clinical decisions、5 guidelines、3 evidence summaries 、3 recommended practices, and 4 experts consensuses. Finally, 12 pieces of evidence were summarized from 4 aspects, including risk factor assessment, professional healthcare training, preventive measures, and therapeutic measures.
Our research summarizes the best evidence for preventing and managing epidermal growth factor receptor inhibitors induced by paronychia in cancer patients. In the actual clinical application, it is necessary to fully consider the clinical situation, combine the judgment of professionals and patients' wishes, follow the principle of individualization, analyze the obstacles and facilitating factors of the application of evidence, and apply the evidence to the clinical practice prudently.
评估并总结癌症患者预防和处理表皮生长因子受体抑制剂所致甲沟炎的最佳证据,旨在为医护人员提供参考。
从建库至2024年8月,我们在知网、万方等14个数据库、GIN和NZGG等7个指南网站以及国际抗癌联盟(UICC)和美国癌症协会(ACS)等8个专业网站系统检索有关甲沟炎症状的证据。两名研究人员对文献质量进行评估并提取数据。
本研究共纳入20篇文章,包括5篇临床决策、5篇指南、3篇证据总结、3篇推荐实践和4篇专家共识。最终从危险因素评估、专业医护培训、预防措施和治疗措施4个方面总结出12条证据。
我们的研究总结了癌症患者预防和处理表皮生长因子受体抑制剂所致甲沟炎的最佳证据。在实际临床应用中,需充分考虑临床情况,结合专业人员判断和患者意愿,遵循个体化原则,分析证据应用的障碍和促进因素,审慎地将证据应用于临床实践。