肿瘤患者癌性厌食评估与干预的最佳证据总结

Summary of best evidence on assessment and intervention for cancer-related anorexia in cancer patients

目的 整合肿瘤患者癌性厌食评估与干预的最佳证据,为临床实践提供参考。方法 计算机检索UpToDate、BMJ最佳临床实践、世界卫生组织网站、国际指南协作网、Cochrane Library、PubMed、Embase、美国临床肿瘤协会网站、中国知网、万方数据库等关于癌性厌食评估与干预的证据,包括临床决策、推荐实践、指南、专家共识、系统评价、证据总结,检索时限为建库至2023年5月10日。结果 共纳入15篇文献,包括指南6篇,专家共识4篇,系统评价2篇,证据总结1篇,临床决策2篇;从多学科团队管理、评估、食欲调节、营养管理4个方面总结21条最佳证据。结论 医护人员应重视肿瘤患者癌性厌食的管理,结合临床实际应用最佳证据进行评估和干预,以提高肿瘤患者的生存质量。

Objective To integrate the best evidence on the assessment and intervention for cancer-related anorexia in cancer patients,and to provide references for clinical practice.Methods We searched such databases or websites as UpToDate,BMJ Best Practice,World Health Organization(WHO),Guidelines International Network(GIN),Cochrane Library,PubMed,Embase,American Society of Clinical Oncology(ASCO),CNKI,Wanfang Data,ect.,to retrieve clinical decision reports,best practice reports,guidelines,expert consensus reports,systematic reviews,and evidence summary reports.The search time frame was from the establishment of the databases or websites to May 10th,2023.Results A total of 15 publications were included,including 6 guidelines,4 expert consensus reports,2 systematic reviews,1 evidence summary report,and 2 clinical decision reports.Totally,21 best-evidence were summarized from four aspects of multidisciplinary team management,assessment,appetite regulation,and nutritional ma-nagement.Conclusion Healthcare professionals should pay attention to the management of cancer anorexia in oncology patients,and apply the best evidence for assessment and intervention in the context of clinical practice,in an effort to improve the quality of life of oncology patients.