Supportive care during treatment for breast cancer: resource allocations in low- and middle-income countries. A Breast Health Global Initiative 2013 consensus statement.
Supportive care during treatment for breast cancer: resource allocations in low- and middle-income countries. A Breast Health Global Initiative 2013 consensus statement.
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DOI：
10.1016/j.breast.2013.07.050
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发表时间：
2013-10
期刊：
影响因子：
--
通讯作者：
Anderson BO
中科院分区：
文献类型：
--
作者：
Cardoso F;Bese N;Distelhorst SR;Bevilacqua JL;Ginsburg O;Grunberg SM;Gralla RJ;Steyn A;Pagani O;Partridge AH;Knaul FM;Aapro MS;Andersen BL;Thompson B;Gralow JR;Anderson BO
乳腺癌患者在治疗期间可能有未得到满足的支持性护理需求，包括治疗相关毒性的症状管理以及教育、心理社会和精神需求。在低收入和中等收入环境中，提供支助性护理往往不是优先事项，而且还取决于可用资源。该共识声明描述了LMCI治疗期间支持性护理的12项关键建议，这些建议由一个国际专家小组确定，作为2012年10月在奥地利维也纳举行的第五届乳腺健康全球倡议（BHGI）全球支持性护理峰会的一部分。专家组的建议在一个4层资源分层表中列出，以说明卫生系统如何在乳腺癌患者治疗期间提供支持性护理服务，从基本的资源分配水平开始，并在可用时逐步增加计划资源。这些建议包括：健康专业人员以及患者和家庭教育;治疗相关毒性的管理，疲劳、失眠和非特异性疼痛的治疗相关症状的管理，以及与乳腺癌治疗相关的心理社会和精神问题的管理。在乳腺癌治疗期间建立支持性护理将有助于确保乳腺癌患者获得全面的护理，这些护理可以帮助1）改善对治疗建议的坚持，2）管理治疗相关的毒性和其他治疗相关的症状，以及3）解决乳腺癌和乳腺癌治疗的心理社会和精神方面。
Breast cancer patients may have unmet supportive care needs during treatment, including symptom management of treatment-related toxicities, and educational, psychosocial, and spiritual needs. Delivery of supportive care is often a low priority in low- and middle-income settings, and is also dependent on resources available. This consensus statement describes twelve key recommendations for supportive care during treatment in LMCIs, identified by an expert international panel as part of the 5th Breast Health Global Initiative (BHGI) Global Summit for Supportive Care, which was held in October 2012, in Vienna, Austria. Panel recommendations are presented in a 4-tier resource-stratified table to illustrate how health systems can provide supportive care services during treatment to breast cancer patients, starting at a basic level of resource allocation and incrementally adding program resources as they become available. These recommendations include: health professional and patient and family education; management of treatment related toxicities, management of treatment-related symptoms of fatigue, insomnia and non-specific pain, and management of psychosocial and spiritual issues related to breast cancer treatment. Establishing supportive care during breast cancer treatment will help ensure that breast cancer patients receive comprehensive care that can help 1) improve adhere to treatment recommendations, 2) manage treatment-related toxicities and other treatment related symptoms, and 3) address the psychosocial and spiritual aspects of breast cancer and breast cancer treatments.
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