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ONS Guidelines (TM) for Cancer Treatment-Related Skin Toxicity

原文:2020年 发布于 Oncology Nursing Forum 47卷 第5期 539-556 浏览量:358 原文链接

作者:

归属分类: 所属人体系统: 其他 | 分类: 症状管理

关键词: Skin Toxicities Alopecia GRADE Guidelines Side Effect Management

指南简介

BACKGROUND: Management of cancer treatment-related skin toxicities can minimize treatment disruptions and improve patient well-being.

OBJECTIVES: This guideline aims to support patients and clinicians in decisions regarding management of cancer treatment-related skin toxicities.

METHODS: A panel developed a guideline for management of cancer treatment-related skin toxicities using GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) for certainty of evidence and the National Academies of Sciences, Engineering, and Medicine criteria for trustworthy guidelines. The Cochrane riskof-bias tool assessed risk of bias. A quantitative or narrative synthesis of the evidence was completed.

RESULTS: The panel issued seven conditional recommendations for epidermal growth factor receptor inhibitor rash, hand-foot skin reaction, hand-foot syndrome, and chemotherapy-induced alopecia. The panel suggested strategies for prevention and treatment for all toxicities except hand-foot syndrome, which only has a prevention recommendation.

IMPLICATIONS FOR NURSING: Cancer treatmentrelated skin toxicities can significantly affect quality of life. Incorporation of these interventions into clinical care can improve patient outcomes.