scholarly journals Development of Evidence-Based Chinese Medicine Service Recommendations for Cancer Palliative Care

2021 ◽  
Vol 48 ◽  
pp. 102046
Author(s):  
Charlene HL Wong ◽  
Amie Steel ◽  
Vincent CH Chung ◽  
Jon Adams ◽  
Jon Wardle
2020 ◽  
Vol 19 ◽  
pp. 153473542094041
Author(s):  
Charlene H. L. Wong ◽  
Irene X. Y. Wu ◽  
Jon Adams ◽  
Amie Steel ◽  
Jon Wardle ◽  
...  

Objectives: Existing evidence supports the use of certain Chinese medicine (CM) interventions for symptom management among palliative cancer patients. However, evidence-based service recommendations tailored to the local context are needed for CM planning and implementation. In response, we aimed to establish consensus on CM clinical service recommendations for cancer palliative care among Hong Kong experts. Methods: Seven CM interventions showing statistically significant favorable results in existing systematic reviews (SRs) and overviews of SRs were subjected to a GRADE-ADOLOPMENT–based 2-round Delphi survey. Twelve Hong Kong experts in cancer palliative care, including conventionally trained physicians, CM practitioners, and nurses (n = 4 from each category), were invited to participate. Use of the Evidence to Decision framework within the GRADE-ADOLOPMENT approach enabled experts to consider aspects of problem priority, benefits, harms, equity, acceptability, and feasibility when making CM recommendations in cancer palliative care. Results: Three evidence-based CM interventions reached positive consensus as service recommendations, namely: (1) acupuncture for reducing fatigue among palliative cancer patients; (2) acupressure for reducing fatigue among palliative cancer patients; and (3) moxibustion for reducing nausea and vomiting among patients receiving chemotherapy. Median rating of recommendation ranged from 2.5 to 3.0 (interquartile range = 0.00-1.00) on a 4-point Likert-type scale, and the percentage agreement ranged from 83.4% to 91.7%. Conclusions: The GRADE-ADOLOPMENT approach facilitates a consensus-based process of reaching 3 evidence-based CM recommendations for cancer palliative care. Future studies may develop tailored strategies to implement these recommendations in the Hong Kong health system.


2021 ◽  
pp. 026921632199698
Author(s):  
Slavica Kochovska ◽  
Meera R Agar ◽  
Jane L Phillips ◽  
Jennifer Tieman ◽  
Caitlin Sheehan ◽  
...  

10.1142/12306 ◽  
2021 ◽  
Author(s):  
Charlie Changli Xue ◽  
Chuanjian Lu ◽  
Brian H May ◽  
Yihong Liu

The Hospice Companion is an evidence-based handbook meant to guide hospice teams in the assessment and management of common problems, situations, conditions, and symptoms encountered in the care of advanced illness patients and their families. It addresses and integrates the practical, biomedical, social, and spiritual issues typically experienced in day-to-day management. It also includes guidance on conducting team meetings, how to structure care, and proper documentation. Chapters conclude with listings of contemporary references from peer-review literature sources for additional reading. Appendices provide more detailed information on several topics, such as advanced pain control techniques, including ketamine and lidocaine infusion protocols. This book is meant for real-time use, both during team meetings and “at the bedside.” The material in this book will also be helpful to those in other related disciplines, including palliative care, hospitalist practice, geriatrics, emergency medicine, and intensive care.


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