结直肠癌放疗病人营养管理的最佳证据总结

Best evidence summary for nutritional management of patients undergoing radiotherapy for colorectal cancer

目的:检索结直肠癌放疗病人营养管理的相关证据,并对最佳证据进行总结。方法:根据“6S”证据模型,系统检索国内外中英文数据库及相关专业网站,检索时限为建库至2023年11月30日。由2名研究者独立完成文献质量评价、证据提取和整合。结果:共纳入10篇文献,包括4篇指南、5篇专家共识和1篇随机对照试验。从营养筛查与评估、营养咨询与教育、营养摄入与治疗、营养监测与随访4个方面总结出18条最佳证据。结论:总结的结直肠癌放疗病人营养管理最佳证据,有助于指导临床医护人员更好地对目标人群实施营养管理。

Objective:To retrieve relevant evidence for the nutritional management of patients undergoing radiotherapy for colorectal cancer and summarize the best evidence.Methods:According to the"6S"evidence model,related literature was systematically retrieved from Chinese and English databases,and relevant professional websites in China and aboard from the establishment of the database to November 30,2023.Two researchers independently completed the literature quality evaluation,evidence extraction,and integration.Results:A total of 10 articles were included,including 4 guidelines,5 expert consensus articles,and 1 randomized controlled trial.A total of 18 pieces of best evidence were summarized from 4 aspects:nutritional screening and assessment,nutritional counseling and education,nutritional intake and treatment,and nutritional monitoring and follow-up.Conclusions:The best evidence summarized about nutritional management plan for patients with colorectal cancer during radiotherapy,which is helpful in guiding clinical medical staff to implement nutritional management for the target population better.