Summary of best evidence for prevention and management of radiation esophagitis in patients with chest tumors
10.3760/cma.j.cn115682-20231015-01503
- VernacularTitle:胸部肿瘤患者放射性食管炎预防及管理的最佳证据总结
- Author:
Lei LEI
1
;
Xiaojing XUE
;
Lan WANG
;
Fang HE
;
Xiaoyan WANG
;
Yuan JIANG
;
Wenxi LI
;
Xiaoying ZHONG
Author Information
1. 绵阳市中心医院电子科技大学附属医院肿瘤科，绵阳 621000
- Keywords:
Thoracic neoplasms;
Radiotherapy;
Radiation esophagitis;
Prevention;
Management;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2024;30(24):3318-3325
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best evidence for the prevention and management of radiation esophagitis in patients with chest tumors, so as to provide basis for the prevention and management of radiation esophagitis in patients.Methods:The research question was proposed based on the population, intervention, professional, outcome, setting and type of evidence (PIPOST) model, and guidelines, expert consensus, clinical decision-making, evidence summary, systematic review, and randomized controlled trials on the prevention and management of radiation esophagitis in chest tumor patients were systematically searched on UpToDate, BMJ Best Practice, Cochrane Library, PubMed, American Society of Clinical Oncology, China National Knowledge Infrastructure, WanFang Data, and other databases and websites based on the "6S" model. The search period was from database establishment to August 1, 2023. Two researchers independently evaluated the quality of the literature and extracted and integrated evidence from the literature that met the quality standards.Results:A total of ten articles were included, including three guidelines, one expert consensus, one systematic review, two systematic evaluations, and three randomized controlled trials. Twenty-three pieces of evidence were summarized from six dimensions of building multidisciplinary teams, screening and evaluation, nutritional support, drug and non-drug prevention, integrated traditional Chinese and western medicine treatment, and health education.Conclusions:The included evidence can provide a theoretical basis for the prevention and management of radiation esophagitis in patients undergoing chest tumor radiotherapy. Clinical medical and nursing personnel can provide personalized interventions to patients based on clinical practice.
