Complementary Therapies and Integrative Medicine in Lung Cancer Diagnosis and Management of Lung Cancer, 3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines
Complementary Therapies and Integrative Medicine in Lung Cancer Diagnosis and Management of Lung Cancer, 3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines
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DOI：
10.1378/chest.12-2364
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发表时间：
2013-05-01
期刊：
影响因子：
9.6
通讯作者：
Cassileth, Barrie R.
中科院分区：
文献类型：
--
作者：
Deng, Gary E.;Rausch, Sarah M.;Cassileth, Barrie R.
工作背景：医生经常被癌症患者询问有关补充疗法的问题，数据显示，癌症患者对这些疗法的兴趣和使用是普遍的。因此，重要的是要评估目前的证据基础上的利益和风险的补充疗法方法：根据美国胸科医师学会循证临床实践指南的制定方法，进行系统的文献回顾并提出建议。大量的随机对照试验、系统综述和荟萃分析，以及大量的前瞻性队列研究，均符合预定的纳入标准。这些试验涉及与肺癌患者有关的许多不同问题，例如焦虑症状，情绪障碍，疼痛，生活质量和治疗相关的副作用。现有的数据涵盖了各种干预措施，包括针灸，营养，身心疗法，运动和按摩。大量证据支持一系列建议。一个以证据为基础的方法，现代癌症护理应整合补充疗法与标准的癌症治疗，如手术，放疗，化疗，最好的支持性care measurements.Conclusions：几种补充疗法的方式可以帮助提高肺癌患者的整体护理。
Background: Physicians are often asked about complementary therapies by patients with cancer, and data show that the interest in and use of these therapies among patients with cancer is common. Therefore, it is important to assess the current evidence base on the benefits and risks of complementary therapies (modalities not historically used in modern Western medicine).Methods: A systematic literature review was carried out and recommendations were made according to the American College of Chest Physicians Evidence-Based Clinical Practice Guidelines development methodology.Results: A large number of randomized controlled trials, systematic reviews, and meta-analyses, as well as a number of prospective cohort studies, met the predetermined inclusion criteria. These trials addressed many different issues pertaining to patients with lung cancer, such as symptoms of anxiety, mood disturbance, pain, quality of life, and treatment-related side effects. The available data cover a variety of interventions, including acupuncture, nutrition, mind-body therapies, exercise, and massage. The body of evidence supports a series of recommendations. An evidenced-based approach to modern cancer care should integrate complementary therapies with standard cancer therapies such as surgery, radiation, chemotherapy, and best supportive care measures.Conclusions: Several complementary therapy modalities can be helpful in improving the overall care of patients with lung cancer.