Management of Fatigue in Adult Survivors of Cancer: ASCO–Society for Integrative Oncology Guideline Update

Journal of Clinical Oncology, Год журнала: 2024, Номер 42(20), С. 2456 - 2487

Опубликована: Май 16, 2024

ASCO–Society for Integrative Oncology (SIO) Guidelines provide recommendations with comprehensive review and analyses of the relevant literature each recommendation, following guideline development process as outlined in ASCO Methodology Manual . ASCO-SIO follow Conflict Interest Policy Clinical Practice other guidance (“Guidance”) provided by SIO is not a or definitive guide to treatment options. It intended voluntary use providers should be used conjunction independent professional judgment. Guidance may applicable all patients, interventions, diseases stages diseases. based on analysis literature, statement standard care. do endorse third-party drugs, devices, services, therapies assumes no responsibility any harm arising from related this information. See complete disclaimer Appendix 1 2 (online only) more. PURPOSE To update management cancer-related fatigue (CRF) adult survivors cancer. METHODS A multidisciplinary panel medical oncology, geriatric internal medicine, psychology, psychiatry, exercise integrative behavioral nursing, advocacy experts was convened. Guideline involved systematic randomized controlled trials (RCTs) published 2013-2023. RESULTS The evidence base consisted 113 RCTs. Exercise, cognitive therapy (CBT), mindfulness-based programs led improvements CRF both during after completion cancer treatment. Tai chi, qigong, American ginseng showed benefits treatment, whereas yoga, acupressure, moxibustion helped manage Use dietary supplements did improve In patients at end life, CBT corticosteroids benefits. Certainty quality were low moderate interventions. RECOMMENDATIONS Clinicians recommend exercise, CBT, programs, tai chi qigong reduce severity Psychoeducation recommended adults undergoing For clinicians programs; particular, have shown efficacy managing severe Yoga, also recommended. Patients life offered corticosteroids. L-carnitine, antidepressants, wakefulness agents, routinely psychostimulants symptoms CRF. There insufficient make against psychosocial, integrative, pharmacological interventions fatigue. Additional information available www.asco.org/survivorship-guidelines

Язык: Английский

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Prevention and Management of Osteoradionecrosis in Patients With Head and Neck Cancer Treated With Radiation Therapy: ISOO-MASCC-ASCO Guideline

Journal of Clinical Oncology, Год журнала: 2024, Номер 42(16), С. 1975 - 1996

Опубликована: Май 1, 2024

ASCO Guidelines provide recommendations with comprehensive review and analyses of the relevant literature for each recommendation, following guideline development process as outlined in Methodology Manual . follow Conflict Interest Policy Clinical Practice other guidance (“Guidance”) provided by is not a or definitive guide to treatment options. It intended voluntary use providers should be used conjunction independent professional judgment. Guidance may applicable all patients, interventions, diseases, stages diseases. based on analysis statement standard care. does endorse third-party drugs, devices, services, therapies assumes no responsibility any harm arising from related this information. See complete disclaimer Appendix 1 2 (online only) more. PURPOSE To evidence-based prevention management osteoradionecrosis (ORN) jaw secondary head neck radiation therapy patients cancer. METHODS The International Society Oral Oncology-Multinational Association Supportive Care Cancer (ISOO-MASCC) convened multidisciplinary Expert Panel evaluate evidence formulate recommendations. PubMed, EMBASE, Cochrane Library databases were searched randomized controlled trials observational studies, published between January 1, 2009, December 2023. also incorporated systematic reviews conducted ISOO-MASCC, which included studies 1990, through 31, 2008. RESULTS A total 1,539 publications initially identified. There 487 duplicate publications, resulting 1,052 screened abstract, 104 full text, 80 evaluation. RECOMMENDATIONS Due limitations available evidence, relied informal consensus some Recommendations that deemed strong those pertaining best practices ORN surgical management. No recommendation was possible utilization leukocyte- platelet-rich fibrin photobiomodulation ORN. hyperbaric oxygen remains largely unjustified, limited support its practice. Additional information at www.asco.org/head-neck-cancer-guidelines

Язык: Английский

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Integrative Therapies in Cancer Care: An Update on the Guidelines

American Society of Clinical Oncology Educational Book, Год журнала: 2024, Номер 44(3)

Опубликована: Май 31, 2024

INTRODUCTION ASCO and the Society for Integrative Oncology have collaborated to develop guidelines application of integrative approaches in management anxiety, depression, fatigue use cannabinoids cannabis patients with cancer. These provide evidence-based recommendations improve outcomes quality life by enhancing conventional cancer treatment modalities. METHODS All studies that informed guideline were reviewed an Expert Panel which was made up a patient advocate, methodologist, oncology providers, medicine experts. members each trial evidence, determined grade assessment label, concluded strength recommendations. RESULTS Strong during given both in-person or web-based mindfulness-based stress reduction, cognitive therapy, tai chi qigong. after programs. Clinicians should recommend against using as cancer-directed unless within context clinical trial. The recommended modalities managing anxiety included Mindfulness-Based Interventions (MBIs), yoga, hypnosis, relaxation therapies, music reflexology, acupuncture, chi, lavender essential oils. strongest recommendation is MBIs be offered people cancer, active post-treatment, address depression. CONCLUSION evidence interventions care growing, research now supporting benefits across continuum.

Язык: Английский

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Acupuncture in cancer care: recommendations for safe practice (peer-reviewed expert opinion)

Supportive Care in Cancer, Год журнала: 2024, Номер 32(4)

Опубликована: Март 14, 2024

Abstract Background Up-to-date recommendations for the safe practice of acupuncture in integrative oncology are overdue with new cancer treatments and an increase survivors late effects disease; 17 years have elapsed since Filshie Hester’s 2006 guidelines. During 2022/2023 expert panel assembled to produce updated aiming facilitate appropriate care by acupuncturists working people cancer. Methods A core development team comprising three professionals comprehensively pre-existing unpublished recommendations. Twelve invited international experts (senior without experience settings, oncologists, physicians nurses trained oncology, researchers, academics, professional body representatives) reviewed In multiple iterations, harmonised comments final ratification. To aid dissemination uptake represents national associations major treatment centres Europe, USA, Australia, Middle East. Results These articulating contra-indications, cautions, risks patients both on off (surgery, SACT, radiotherapy). Situations where may be contra-indicated or practices need adapting identified. “Red Amber Flags” highlight urgent referral is essential. Conclusion first international, multidisciplinary peer-reviewed oncology. Concerns about safety remain a significant barrier from teams, use patients. Disseminating trustworthy, widely accessible guidance should informed, confident outside healthcare settings.

Язык: Английский

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Oncology researchers’ and clinicians’ perceptions of complementary, alternative, and integrative medicine: an international, cross-sectional survey

Supportive Care in Cancer, Год журнала: 2024, Номер 32(9)

Опубликована: Авг. 28, 2024

Complementary, alternative, and integrative medicine (CAIM) has become an increasingly popular supportive therapy option for patients with cancer. The objective of this study was to investigate how researchers clinicians in the oncology field perceive CAIM.

Язык: Английский

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Integrative Oncology Approaches to Reduce Recurrence of Disease and Improve Survival

Current Oncology Reports, Год журнала: 2024, Номер 26(2), С. 147 - 163

Опубликована: Янв. 5, 2024

Язык: Английский

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Integrative Medicine for Cancer-Related Pain: A Narrative Review

Healthcare, Год журнала: 2024, Номер 12(3), С. 403 - 403

Опубликована: Фев. 4, 2024

Cancer-related pain (C-RP) is a prevalent and debilitating concern among patients with cancer, conventional treatments limited in their ability to provide adequate relief, by the adverse effects associated use. Complementary integrative medicine (CIM) modalities have been shown be potentially effective safe for treatment of related symptoms, when used conjunction medications under medical supervision. An increasing number oncology centers CIM within supportive palliative care service, an "Integrative Oncology" (IO) setting. A large body clinical research, including systematic reviews guidelines such as those published 2022 Society Integrative Oncology (SIO), collaboration American Clinical (ASCO), support use some C-RP concerns. These include acupuncture general peri-operative/procedural pain, well aromatase inhibitor-associated arthralgia (AIA); reflexology or acupressure during systemic therapy cancer; hypnosis procedural due diagnostic workup; massage experienced hospice care. Further research needed, both randomized control trials pragmatic non-controlled studies which are more reflective real-life IO This review summarizes evidence supporting C-RP; analgesic mechanism presented; challenges facing researchers, implementation SIO-ASCO guideline recommendations.

Язык: Английский

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The effect of Tai Chi/Qigong on depression and anxiety symptoms in adults with Cancer: A systematic review and meta-regression

Complementary Therapies in Clinical Practice, Год журнала: 2024, Номер 56, С. 101850 - 101850

Опубликована: Апрель 8, 2024

Язык: Английский

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Implementing a Clinical Pathway for Needs Assessment and Supportive Care Interventions

JCO Oncology Practice, Год журнала: 2024, Номер 20(9), С. 1173 - 1181

Опубликована: Май 6, 2024

Despite advances in clinical cancer care, survivors frequently report a range of persisting issues, unmet needs, and concerns that limit their ability to participate life roles reduce quality life. Needs assessment is recognized as an important component care delivery, ideally beginning during active treatment connect patients with supportive services address these issues timely manner. the importance this process, many health systems have struggled implement feasible sustainable needs management system. This article uses implementation science framework guide pragmatic system care. According framework, successful requires four steps including (1) choosing tool; (2) carefully considering provider level, clinic system–level strengths barriers creating pilot addresses factors; (3) making actionable by matching workflow; (4) demonstrating value support sustainability.

Язык: Английский

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Innovative role of the antidepressant imipramine in esophageal squamous cell carcinoma treatment: Promoting apoptosis and protective autophagy

International Immunopharmacology, Год журнала: 2025, Номер 147, С. 113969 - 113969

Опубликована: Янв. 6, 2025

Язык: Английский

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