https://scholars.lib.ntu.edu.tw/handle/123456789/524913
標題: | Palliative care in the global setting: ASCO resource-stratified practice guideline | 作者: | Osman H. Shrestha S. Temin S. Ali Z.V. Corvera R.A. Ddungu H.D. De Lima L. PilarEstevez-Diz M.D. Ferris F.D. Gafer N. Gupta H.K. Horton S. Jacob G. Jia R. FRANK LEIGH LU Mosoiu D. Puchalski C. Seigel C. Soyannwo O. Cleary J.F. |
公開日期: | 2018 | 出版社: | American Society of Clinical Oncology | 卷: | 2018 | 期: | 4 | 來源出版物: | Journal of Global Oncology | 摘要: | Purpose: The purpose of this new resource-stratified guideline is to provide expert guidance to clinicians and policymakers on implementing palliative care of patients with cancer and their caregivers in resource-constrained settings and is intended to complement the Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update of 2016. Methods: ASCO convened a multidisciplinary, multinational panel of experts in medical oncology, family medicine, radiation oncology, hematology/oncology, palliative and/or hospice care, pain and/or symptom management, patient advocacy, public health, and health economics. Guideline development involved a systematic literature review, a modified ADAPTE process, and a formal consensus-based process with the Expert Panel and additional experts (consensus ratings group). Results: The systematic review included 48 full-text publications regarding palliative care in resource-constrained settings, along with cost-effectiveness analyses; the evidence for many clinical questions was limited. These provided indirect evidence to inform the formal consensus process, which resulted in agreement of ? 75% (by consensus ratings group including Expert Panel). Recommendations The recommendations help define the models of care, staffing requirements, and roles and training needs of team members in a variety of resource settings for palliative care. Recommendations also outline the standards for provision of psychosocial support, spiritual care, and opioid analgesics, which can be particularly challenging and often overlooked in resource-constrained settings. Additional information is available at www.asco.org/resource-stratified-guidelines. Recommendations: It is the view of ASCO that health care providers and health care system decision makers should be guided by the recommendations for the highest stratum of resources available. The guideline is intended to complement but not replace local guidelines. ? 2018 by American Society of Clinical Oncology |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058159751&doi=10.1200%2fJGO.18.00026&partnerID=40&md5=bc22d084f42bb6cea209e3b801c976c9 https://scholars.lib.ntu.edu.tw/handle/123456789/524913 |
ISSN: | 2378-9506 | DOI: | 10.1200/JGO.18.00026 | SDG/關鍵字: | opiate; Article; attitude to health; cancer pain; cancer palliative therapy; caregiver; clinical decision making; conflict of interest; consensus; cost effectiveness analysis; global health; health care personnel; health care system; health economics; human; malignant neoplasm; medical education; medical expert; medical society; patient advocacy; patient counseling; practice guideline; priority journal; psychosocial care; public health; skill; social work; spiritual care; systematic review; oncology; palliative therapy; practice guideline; procedures; Humans; Medical Oncology; Palliative Care |
顯示於: | 醫學系 |
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