An evidence summary on the management of oral and pharyngeal symptom cluster in patients with head and neck cancer during radiotherapy
10.3760/cma.j.cn115822-20230414-00059
- VernacularTitle:头颈癌患者放疗期间营养相关口咽部症状群管理的证据总结
- Author:
Yujie WANG
1
;
Lichuan ZHANG
;
Tong ZHANG
;
Bing ZHUANG
;
Qian LU
Author Information
1. 北京大学护理学院 100191
- Keywords:
Head and neck cancer;
Radiotherapy;
Symptom management;
Symptom cluster;
Evidence summary
- From:
Chinese Journal of Clinical Nutrition
2023;31(4):213-225
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the evidence from guidelines, consensus and systematic reviews and provide the optimal recommendations on the management of oral and pharyngeal symptom cluster in patients with head and neck cancer during radiotherapy.Methods:National Guidelines Clearinghouse and databases such as CNKI and PubMed were searched for publications on pain management from January 2016 to March 2023, and for publications on other symptom management from the establishment of database to March 2023. Quality of included articles was evaluated, data were extracted, and evidence were synthesized.Results:We included 28 guidelines, 19 expert consensus, and 16 systematic reviews. The evidence synthesis included 144 items covering 12 aspects, namely general principles, assessment, optimizing radiotherapy plan, oral care, swallowing function intervention, nutritional management, psychosocial intervention, physical intervention, medication, other interventions, health education, and follow-up.Conclusion:Evidence about the management of oral and pharyngeal symptom cluster was adequate. Considering the interaction between various symptoms, healthcare professionals could integrate management measures and construct multimodal management plan for the management of oral and pharyngeal symptom cluster in patients with head and neck cancer during radiotherapy.
