Head and Neck Cancer Survivorship Care Guideline: American Society of Clinical Oncology Clinical Practice Guideline Endorsement of the American Cancer Society Guideline
Head and Neck Cancer Survivorship Care Guideline: American Society of Clinical Oncology Clinical Practice Guideline Endorsement of the American Cancer Society Guideline
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DOI：
10.1200/jco.2016.71.8478
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发表时间：
2017-05-10
影响因子：
45.3
通讯作者：
Siu, Lillian L.
中科院分区：
文献类型：
--
作者：
Nekhlyudov, Larissa;Lacchetti, Christina;Siu, Lillian L.
PurposeThis指南提供的建议，对成人头颈部癌症（HNC）治疗后的管理，侧重于监测和筛查复发或第二原发性癌症，评估和管理的长期和迟发性影响，健康促进，护理协调，和实践implications.MethodsASCO有一个政策和一套程序认可的临床实践指南，已由其他专业组织开发。美国癌症协会（ACS）HNC生存护理指南由方法学家审查发展的严格性。ASCO专家小组审查的内容和建议，提供修改和/或资格声明时认为necessary.ResultsThe ASCO专家小组确定，ACS HNC生存护理指南，在2016年出版，是明确的，彻底的，临床实用，和有用的，尽管有限的高质量的证据来支持许多建议。ASCO认可了ACS HNC生存护理指南，增加了旨在促进基于团队的，多专业，多学科，协作的头颈部生存护理的资格声明。建议ASCO专家小组强调，照顾HNC幸存者需要一个基于团队的方法，包括初级保健临床医生，肿瘤专家，耳鼻喉科医生，牙医和其他相关专业人员。HNC治疗团队应教育初级保健临床医生和患者接受的治疗类型，潜在复发的可能性以及潜在的晚期和长期并发症。初级保健医生应认识到复发的症状，并协调及时评估。他们还应该准备直接或通过转诊到适当的专家来管理迟发效应。促进健康至关重要，特别是在戒烟和牙科保健方面。更多信息可在www.asco.org/HNC-Survivorship-endorsement和www.asco.org/guidelineswiki上查阅。(C)2017年美国临床肿瘤学会
PurposeThis guideline provides recommendations on the management of adults after head and neck cancer (HNC) treatment, focusing on surveillance and screening for recurrence or second primary cancers, assessment and management of long-term and late effects, health promotion, care coordination, and practice implications.MethodsASCO has a policy and set of procedures for endorsing clinical practice guidelines that have been developed by other professional organizations. The American Cancer Society (ACS) HNC Survivorship Care Guideline was reviewed for developmental rigor by methodologists. An ASCO Expert Panel reviewed the content and recommendations, offering modifications and/or qualifying statements when deemed necessary.ResultsThe ASCO Expert Panel determined that the ACS HNC Survivorship Care Guideline, published in 2016, is clear, thorough, clinically practical, and helpful, despite the limited availability of high-quality evidence to support many of the recommendations. ASCO endorsed the ACS HNC Survivorship Care Guideline, adding qualifying statements aimed at promoting team-based, multispecialty, multidisciplinary, collaborative head and neck survivorship care.RecommendationsThe ASCO Expert Panel emphasized that caring for HNC survivors requires a team-based approach that includes primary care clinicians, oncology specialists, otolaryngologists, dentists, and other allied professionals. The HNC treatment team should educate the primary care clinicians and patients about the type(s) of treatment received, the likelihood of potential recurrence, and the potential late and long-term complications. Primary care clinicians should recognize symptoms of recurrence and coordinate a prompt evaluation. They should also be prepared to manage late effects either directly or by referral to appropriate specialists. Health promotion is critical, particularly regarding tobacco cessation and dental care. Additional information is available at www.asco.org/HNC-Survivorship-endorsement and www.asco.org/guidelineswiki. (C) 2017 by American Society of Clinical Oncology