A Pan-Canadian practice guideline: prevention, screening, assessment, and treatment of sleep disturbances in adults with cancer

Abstract

Sleep difficulty is a prevalent problem in cancer populations that needs greater recognition by health professionals. Prevention, screening, assessment, and treatment strategies supported by the best available evidence are critical. Recommendations and care path algorithms for practice are offered.

Integrating Psychosocial Care into Routine Cancer Care

“…16 Development of the guidelines began with a systematic search to identify other relevant guidelines, systematic reviews, and guidance documentsa process that led to the formulation of a guideline presented in the form of recommendations (accompanied by information on the level of supporting evidence) and an algorithm describing the process for screening, assessing, and managing depression and anxiety. 16 Unlike the NCCN guidelines that address a wide range of psychiatric disorders and psychosocial problems, the Pan-Canadian guidelines focus on depression and anxiety. 6,16 Using depression as an example, the guidelines include specific recommendations for screening, assessing, and treating depression.…”

“…16 Unlike the NCCN guidelines that address a wide range of psychiatric disorders and psychosocial problems, the Pan-Canadian guidelines focus on depression and anxiety. 6,16 Using depression as an example, the guidelines include specific recommendations for screening, assessing, and treating depression. 16 These recommendations are similar in many respects to those in the NCCN guidelines, in part because the NCCN guidelines were part of the systematic search during the creation of the Pan-Canadian guidelines.…”

“…6,16 Using depression as an example, the guidelines include specific recommendations for screening, assessing, and treating depression. 16 These recommendations are similar in many respects to those in the NCCN guidelines, in part because the NCCN guidelines were part of the systematic search during the creation of the Pan-Canadian guidelines. 16 However, the algorithm does differs from the NCCN algorithm; for example, the Pan-Canadian algorithm recommends screening for depression rather than distress, and it identifies separate care pathways based on the severity of depression rather than on the type of mood disorder.…”

“…16 However, the algorithm does differs from the NCCN algorithm; for example, the Pan-Canadian algorithm recommends screening for depression rather than distress, and it identifies separate care pathways based on the severity of depression rather than on the type of mood disorder. 16 …”

Intérêt et utilisation de l’hypnose pour améliorer le bien-être physique et psychologique en oncologie

“…Malgré leur importance, ces conséquences sont souvent sous-diagnostiquées et sous-traitées par les professionnels de la santé [6,23,49]. Les traitements pharmacologiques sont par ailleurs souvent considérésc omme la meilleure façon de soulager la douleur [3,50], alors qu'ils sont moins utiliséspour traiter la fatigue, en raison de leurs effets secondaires et du manque de preuves quant à leur efficacité pour soulager la fatigue [51][52][53]. Les traitements pharmacologiques semblent également peu efficaces pour réduire les vomissements et nausées anticipatoires [ 54].…”