Details

Autor(en) / Beteiligte

• Priya Patel
• Paula D. Robinson
• Patrick van der Torre
• Deborah Tomlinson
• Jennifer Seelisch
• Sapna Oberoi
• Jessica E. Morgan
• Pamela S. Hinds
• Miriam Götte
• Faith Gibson
• Nathan Duong
• Hailey Davis
• S. Nicole Culos-Reed
• Danielle Cataudella
• Vanessa Miranda
• L. Lee Dupuis
• Lillian Sung

Titel

Guideline for the management of fatigue in children and adolescents with cancer or pediatric hematopoietic cell transplant recipients: 2023 updateResearch in context

Ist Teil von

• EClinicalMedicine, 2023-09, Vol.63, p.102147

Ort / Verlag

Elsevier

Erscheinungsjahr

2023

Link zum Volltext

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• Objective was to update a clinical practice guideline (CPG) for the management of fatigue in children and adolescents with cancer or pediatric hematopoietic cell transplant recipients. We reconvened a multi-disciplinary and multi-national panel. While the previous 2018 CPG evaluated adult and pediatric randomized controlled trials (RCTs) to manage fatigue, this 2023 update revised previous recommendations based only on pediatric RCTs. Twenty RCTs were included in the updated systematic review. Physical activity significantly reduced fatigue (standardized mean difference −0.44, 95% confidence interval −0.64 to −0.24; n = 8 RCTs). Using the 2018 recommendations as a basis, the panel continued to make strong recommendations to use physical activity, and to offer relaxation, mindfulness or both, to manage fatigue in pediatric patients. Cognitive or cognitive behavioral therapies may be offered. Pharmacological approaches should not be routinely used. The panel made a new good practice statement to routinely assess for fatigue, ideally using a validated scale.