ONS Guidelines™ for Cancer Treatment-Related Skin Toxicity.

GRADE alopecia guidelines side effect management skin toxicities

Journal

Oncology nursing forum
ISSN: 1538-0688
Titre abrégé: Oncol Nurs Forum
Pays: United States
ID NLM: 7809033

Informations de publication

Date de publication:
01 09 2020
Historique:
entrez: 25 8 2020
pubmed: 25 8 2020
medline: 18 9 2021
Statut: ppublish

Résumé

Management of cancer treatment-related skin toxicities can minimize treatment disruptions and improve patient well-being. This guideline aims to support patients and clinicians in decisions regarding management of cancer treatment-related skin toxicities. A panel developed a guideline for management of cancer treatment-related skin toxicities using GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) for certainty of evidence and the National Academies of Sciences, Engineering, and Medicine criteria for trustworthy guidelines. The Cochrane risk-of-bias tool assessed risk of bias. A quantitative or narrative synthesis of the evidence was completed. The panel issued seven conditional recommendations for epidermal growth factor receptor inhibitor rash, hand-foot skin reaction, hand-foot syndrome, and chemotherapy-induced alopecia. The panel suggested strategies for prevention and treatment for all toxicities except hand-foot syndrome, which only has a prevention recommendation. Cancer treatment-related skin toxicities can significantly affect quality of life. Incorporation of these interventions into clinical care can improve patient outcomes. //onf.ons.org/supplementary-material-ons-guidelines-cancer-treatment-related-skin-toxicity.

Sections du résumé

BACKGROUND
Management of cancer treatment-related skin toxicities can minimize treatment disruptions and improve patient well-being.
OBJECTIVES
This guideline aims to support patients and clinicians in decisions regarding management of cancer treatment-related skin toxicities.
METHODS
A panel developed a guideline for management of cancer treatment-related skin toxicities using GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) for certainty of evidence and the National Academies of Sciences, Engineering, and Medicine criteria for trustworthy guidelines. The Cochrane risk-of-bias tool assessed risk of bias. A quantitative or narrative synthesis of the evidence was completed.
RESULTS
The panel issued seven conditional recommendations for epidermal growth factor receptor inhibitor rash, hand-foot skin reaction, hand-foot syndrome, and chemotherapy-induced alopecia. The panel suggested strategies for prevention and treatment for all toxicities except hand-foot syndrome, which only has a prevention recommendation.
IMPLICATIONS FOR NURSING
Cancer treatment-related skin toxicities can significantly affect quality of life. Incorporation of these interventions into clinical care can improve patient outcomes.
SUPPLEMENTARY MATERIAL CAN BE FOUND AT HTTPS
//onf.ons.org/supplementary-material-ons-guidelines-cancer-treatment-related-skin-toxicity.

Identifiants

pubmed: 32830806
doi: 10.1188/20.ONF.539-556
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

539-556

Auteurs

Loretta A Williams (LA)

University of Texas MD Anderson Cancer Center.

Pamela K Ginex (PK)

Oncology Nursing Society.

George L Ebanks (GL)

H. Lee Moffitt Cancer Center.

Kathryn Ciccolini (K)

Mount Sinai Hospital.

Bernice K Kwong (BK)

Stanford University.

Jeanene Robison (J)

St. Elizabeth Healthcare.

Gary Shelton (G)

G.E.B.S. Nurse Professionalists.

Jenna Strelo (J)

Stanford Health Care.

Kathleen Wiley (K)

Oncology Nursing Society.

Kerri A Moriarty (KA)

Oncology Nursing Society.

Rebecca L Morgan (RL)

McMaster University.

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Classifications MeSH