Summary of the best evidence for frailty management during postoperative chemotherapy in gastric cancer patients
10.3760/cma.j.cn115682-20241111-06178
- VernacularTitle:胃癌患者术后化疗期衰弱管理的最佳证据总结
- Author:
Chunxue MA
1
;
Xiaoxuan CHEN
;
Yanqiong ZHANG
;
Xiaojing CHEN
;
Zhangshuang LIN
;
Yaoyao ZHU
;
Wenjun LIN
;
Limin XIA
Author Information
1. 温州医科大学附属第一医院胃肠外科443病区，温州 325000
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Chemotherapy;
Frailty;
Evidence-based;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2025;31(16):2160-2168
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best evidence for frailty management in patients undergoing postoperative chemotherapy for gastric cancer, so as to provide reference for alleviating patient frailty.Methods:Guidelines, expert consensus, evidence summaries, systematic reviews, and randomized controlled trials and other articles on the frailty management of patients with postoperative chemotherapy for gastric cancer were electronically searched in computerized decision-making systems such as UpToDate, BMJ Best Practice, and Guidelines International Network, in comprehensive databases such as PubMed, Embase, and Web of Science, and in the websites of professional societies. The search period was from database establishment to September 15, 2024. Two researchers independently screened the literature and evaluated the quality of the included literature, combining professional judgment to extract and summarize the best evidence.Results:A total of 18 papers were included, including two clinical decisions, one evidence summary, eight guidelines, two expert consensus, one systematic review, one randomized controlled trial, two quasi-experimental studies, and one observational study. The best evidence included a total of 34 pieces in seven aspects of comprehensive screening, nursing plan construction, preoperative prehabilitation, nutritional interventions, Chinese medicine interventions, exercise interventions, and psychological interventions for frailty.Conclusions:The summary of the best evidence for frailty management in patients undergoing postoperative chemotherapy for gastric cancer may provide an evidence-based basis for frailty interventions by clinical medical and staff.
