Guideline-Recommended Symptom Management Strategies That Cross Over Two or More Cancer Symptoms

Kwekkeboom, Kristine L.; Wieben, Ann; Stevens, Jennifer; Tostrud, Lauren; Montgomery, Kathleen

doi:10.1188/20.onf.498-511

Cited by 18 publications

(14 citation statements)

References 32 publications

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“…A recent cross-sectional survey of Canadian Pediatric Nephrologists by our research group showed significant practice variation regarding timing of dialysis initiation [22], a reflection of the subjectivity of symptoms in the clinical setting and lack of objective symptom assessment tools for this population. In other clinical areas, including oncology, evidence-based guidelines have been developed to manage symptoms identified by PROs [24]. There exists no such validated, disease-specific symptom assessment tool for children with CKD/kidney failure.…”

Section: Discussionmentioning

confidence: 99%

Development of a patient-reported outcome measure for the assessment of symptom burden in pediatric chronic kidney disease (PRO-Kid)

et al. 2021

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Section: Discussionmentioning

confidence: 99%

Development of a patient-reported outcome measure for the assessment of symptom burden in pediatric chronic kidney disease (PRO-Kid)

et al. 2021

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“…Mindfulness and relaxation techniques were commonly offered together [30,42 ▪ ] or with other techniques, such as aikido, yoga [43], and cognitive skills training [30,35]. Stress management skills mainly target psychological symptoms but may also be used to manage physical symptoms, such as pain [43], fatigue, and nausea [46 ▪ ].…”

Section: Interventions Addressing Patients’ Adaptationmentioning

confidence: 99%

Psychological interventions targeting patients with metastatic cancer and prolonged survival expectancies: advances and challenges

Righes

Waroquier

et al. 2022

Current Opinion in Oncology

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Purpose of reviewThe purpose of this article is to review the formats and techniques of psychological interventions designed for patients with metastatic cancer and prolonged survival expectancies.Recent findingsFifteen interventional studies were selected for this article. One group of psychological interventions focused primarily on patients’ adaptation by increasing their knowledge, developing patients’ stress management skills, promoting their open communication with healthcare providers, and helping them deal with existential concerns. Another group of interventions focused on patients with moderate and high levels of distress. These interventions provided specific techniques to manage anxiety, depression, fear of cancer progression, and existential distress. Interestingly, interventions targeting distressed patients are not necessarily longer or more intensive than interventions targeting adaptation. The interventions were examined in few randomized controlled trials, and incorporated a broad range of techniques, making comparison of their efficacy difficult. No intervention specifically targeted patients newly diagnosed with metastatic cancer.SummaryOn the basis of this review, we proposed suggestions according to patients’ levels of distress, which differ in intensity, format, techniques, and tools offered. These suggestions may be relevant for the future development and assessment of interventions targeting patients with newly diagnosed metastatic cancer and prolonged survival expectancies.

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“…A problem that should be addressed with current evidence-based supportive care guidelines is that they are single symptom guidelines and yet patients experience multiple symptoms and symptom clusters. Kwekkeboom et al [31] reviewed 32 guidelines and found 88 symptoms management strategies that could be applied to two or more symptoms. For example, exercise could impact 12 symptoms and antidepressants on nine.…”

Section: How Guidelines For Supportive Care Need To Adapt To Improvementioning

confidence: 99%

Supportive care practice: do we need guidelines?

Olver

2021

Current Opinion in Oncology

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Purpose of reviewTo review the role of evidence-based clinical practice guidelines in promoting the quality and consistency of supportive care in oncology to meet the needs of practitioners and patients. Recent findingsTo maintain quality, guidelines must be regularly updated in terms of content as new treatment modalities like immunotherapy are introduced, adapted to new methodologies such as the application of artificial intelligence, adoption of multiple symptoms or orphan symptoms and capture new endpoints such a patientreported outcomes. This helps prevent a major barrier to implementation; negative attitudes of practitioners towards guidelines. Digital guidelines provide greater opportunities for dissemination, ease of updating and can be linked to education modules. The quality must be assured by critically appraising the literature and then grading the level of evidence of the guidelines. The benefits of supportive care guidelines include guidance for clinical decision-making in a changing field, continuing professional development of practitioners, a source of information for patients and in highlighting the gaps where further research is necessary.

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Guideline-Recommended Symptom Management Strategies That Cross Over Two or More Cancer Symptoms

Cited by 18 publications

References 32 publications

Development of a patient-reported outcome measure for the assessment of symptom burden in pediatric chronic kidney disease (PRO-Kid)

Development of a patient-reported outcome measure for the assessment of symptom burden in pediatric chronic kidney disease (PRO-Kid)

Psychological interventions targeting patients with metastatic cancer and prolonged survival expectancies: advances and challenges

Supportive care practice: do we need guidelines?

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