Cancer cachexia: global awareness and guideline implementation on the web
Cancer cachexia: global awareness and guideline implementation on the web
复制标题
DOI：
10.1136/bmjspcare-2012-000227
复制
发表时间：
2013-06-01
影响因子：
2.7
通讯作者：
Polyzos, Nikolaos P.
中科院分区：
文献类型：
--
作者：
Mauri, Davide;Tsiara, Anna;Polyzos, Nikolaos P.
背景 癌症恶病质是癌症的常见伴随因素，对患者的生存有负面影响。尽管如此，癌症恶病质的评估和管理在日常实践中常常不尽如人意。目的是审查全球癌症恶病质意识和肿瘤学会中相关网络指南的实施情况。方法系统地识别科学和决策肿瘤学会及其关于癌症恶病质的指南实施情况。评估对癌症恶病质的总体认识水平，并评估洲际和国家指南实施差异。结果审查了 144 000 个网页，确定了 275 个肿瘤学会，涵盖了广泛的肿瘤学环境（教育/临床/研究/政策制定者）； 71 个属于国际（非洲、美洲、亚洲、欧洲、大洋洲和洲际），110 个属于发展指数最高的 10 个国家，94 个属于具有悠久的肿瘤医学传统的 10 个国家（不包括在前 10 个高度发达国家）。总体而言，只有 10/275 的网站提供了指南；其中六份 (2.2%) 为医生提供指南，四份 (0.7%) 为患者提供指南。一半的指南（4/10）已经过时。所有针对医生的指南都报告了参考文献，而只有一项针对患者的建议报告了支持其句子的参考文献。 结论 全球对癌症恶病质的认识极低；网络上的指南实施对于任何分析类别（国家与大陆、国际、社会类型、医生与患者导向）和更新都是不一致的。
Background Cancer cachexia is a common associate of cancer and has a negative impact on patients' survival. Nonetheless, cancer cachexia assessment and management are frequently less than satisfactory in daily practice.Aim To scrutinise global cancer cachexia awareness and relative web guideline implementation among oncology societies.Methods Systematical identification of scientific and policymaker oncology societies and their guideline implementation on cancer cachexia. Assessment of the general level of awareness on cancer cachexia and evaluation of intercontinental and national variations on guideline implementation.Results 144 000 web pages were scrutinised, and 275 oncology societies identified covering a large array of oncology setting (educational/ clinical/research/policymaker); 71 were international (African, American, Asian, European, Oceania and Intercontinental), 110 belonged to the top 10 countries with the highest development index and 94 pertained to 10 countries with a long lasting tradition in medical oncology (not included in the top 10 high developed countries). Overall, only 10/275 web sites provided guidelines; six of them (2.2%) provided guidelines for physicians and four (0.7%) for patients. Half of the guidelines (4/10) were outdated. All guidelines for physicians reported references, while only one of the recommendations for patients reported references to support its sentences.Conclusions Cancer cachexia global awareness appears extremely low; guideline implementation on the web was inconsistent for any category analysed (nation vs continent vs international vs society type vs physician vs patient oriented) and for updating.