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A Pan-Canadian Practice Guideline and Algorithm: Screening, Assessment, and Supportive Care of Adults with Cancer-Related Fatigue
Open accessAbstract
Purpose: The purpose of the present systematic review was to develop a practice guideline to inform health care providers about screening, assessment, and effective management of cancer-related fatigue (CRF) in adults. Methods: The internationally endorsed adapte methodology was used to develop a practice guideline for pan-Canadian use. A systematic search of the literature identified a broad range of evidence: clinical practice guidelines, systematic reviews, and other guidance documents on the screening, assessment, and management of CRF. The search included MEDLINE, EMBASE, CINAHL, the Cochrane Library, and other guideline and data sources to December 2009. Results: Two clinical practice guidelines were identified for adaptation. Seven guidance documents and four systematic reviews also provided supplementary evidence to inform guideline recommendations. Health professionals across Canada provided expert feedback on the adapted recommendations in the practice guideline and algorithm through a participatory external review process. Conclusions: Practice guidelines can facilitate the adoption of evidence-based assessment and interventions for adult cancer patients experiencing fatigue. Development of an algorithm to guide decision-making in practice may also foster the uptake of a guideline into routine care.
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“Recommended interventions by the National Comprehensive Cancer Network (NCCN 2015), the Oncology Nursing Society (ONS 2014), the Canadian Partnership Against Cancer/Canadian Association of Psychosocial Oncology [28], and the identified American Society of Clinical Oncology include the management of concurrent symptoms, physical activity/exercise, rehabilitation, psychoeducation, meditation, attent”
From Empowerment in the treatment of fatigue in breast cancer patients (2021) · cites this paper as [28]
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Metadata
- Authors
- Howell, D., Keller–Olaman, S., Oliver, T. K., Hack, T. F., Broadfield, L., Biggs, K., Chung, J., Gravelle, D., Green, E., Hamel, M., Harth, T., Johnston, P., McLeod, D., Swinton, N., Syme, A., & Olson, K.
- Affiliations
- University Health Network (CA)
- Canadian Partnership Against Cancer (CA)
- University of Manitoba (CA)
- Cancer Care Nova Scotia (CA)
- Juravinski Cancer Centre (CA)
- BC Children's Hospital (CA)
- Élisabeth Bruyère Hospital (CA)
- Montreal General Hospital (CA)
- CancerCare Manitoba (CA)
- Jewish General Hospital (CA)
- Covenant Health (CA)
- University of Alberta (CA)
- Venue
- Current Oncology
- Publisher
- MDPI AG
- Published
- 2013-06-01
- Volume
- 20
- Issue
- 3
- Pages
- 233-246
- ISSN
- 1198-0052 (ISSN-L)
- 1718-7729
- PMC
- PMC3671030
- OpenAlex
- W2053212646
- Cited by
- 158
- References
- 58
- Citations by year
- 2026: 4 · 2025: 14 · 2024: 8 · 2023: 10 · 2022: 13 · 2021: 23 · 2020: 14 · 2019: 8 · 2018: 11 · 2017: 9 · 2016: 7 · 2015: 20 · 2014: 12 · 2013: 3
- FWCI
- 7.45
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc-nd
- creativecommons.org/licenses/by/4.0/ (vor)
- Locations
- Current Oncology (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Keywords
- cancer-related fatigue, fatigue screening, fatigue analysis, supportive care, cancer patients, adults, decision-making algorithm, evidence-based practice, guideline adaptation
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