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Article

A Pan-Canadian Practice Guideline and Algorithm: Screening, Assessment, and Supportive Care of Adults with Cancer-Related Fatigue

1
Faculty of Nursing, University Health Network, Toronto, ON, Canada
2
Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
3
Canadian Partnership Against Cancer, Toronto, ON, Canada
4
Faculty of Nursing, University of Manitoba, and Patient and Family Support Services, Cancer Care Manitoba, Winnipeg, MB, Canada
5
Cancer Care Nova Scotia, Halifax, NS, Canada
6
Juravinski Cancer Centre, Hamilton, ON, Canada
7
British Columbia Children’s Hospital, Vancouver, BC, Canada
8
Élisabeth Bruyère Hospital, Ottawa, ON, Canada
9
Cancer Care Ontario, Toronto, ON, Canada
10
Montreal General Hospital, Montreal, QC, Canada
11
Odette Cancer Centre, Toronto, ON, Canada
12
Cancer Care Manitoba, Winnipeg, MB, Canada
13
* Jewish General Hospital, Montreal, QC, Canada
14
Palliative Care Institute, Covenant Health, Edmonton, AB, Canada
15
Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2013, 20(3), 233-246; https://doi.org/10.3747/co.20.1302
Submission received: 3 March 2013 / Revised: 5 April 2013 / Accepted: 4 May 2013 / Published: 1 June 2013

Abstract

Purpose: The purpose of the present systematic review was to develop a practice guideline to inform health care providers about screening, assessment, and effective management of cancer-related fatigue (CRF) in adults. Methods: The internationally endorsed adapte methodology was used to develop a practice guideline for pan-Canadian use. A systematic search of the literature identified a broad range of evidence: clinical practice guidelines, systematic reviews, and other guidance documents on the screening, assessment, and management of CRF. The search included MEDLINE, EMBASE, CINAHL, the Cochrane Library, and other guideline and data sources to December 2009. Results: Two clinical practice guidelines were identified for adaptation. Seven guidance documents and four systematic reviews also provided supplementary evidence to inform guideline recommendations. Health professionals across Canada provided expert feedback on the adapted recommendations in the practice guideline and algorithm through a participatory external review process. Conclusions: Practice guidelines can facilitate the adoption of evidence-based assessment and interventions for adult cancer patients experiencing fatigue. Development of an algorithm to guide decision-making in practice may also foster the uptake of a guideline into routine care.
Keywords: fatigue; cancer; survivor; survivorship; screening; assessment; supportive care; adapted guideline fatigue; cancer; survivor; survivorship; screening; assessment; supportive care; adapted guideline

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MDPI and ACS Style

Howell, D.; Keller–Olaman, S.; Oliver, T.K.; Hack, T.F.; Broadfield, L.; Biggs, K.; Chung, J.; Gravelle, D.; Green, E.; Hamel, M.; et al. A Pan-Canadian Practice Guideline and Algorithm: Screening, Assessment, and Supportive Care of Adults with Cancer-Related Fatigue. Curr. Oncol. 2013, 20, 233-246. https://doi.org/10.3747/co.20.1302

AMA Style

Howell D, Keller–Olaman S, Oliver TK, Hack TF, Broadfield L, Biggs K, Chung J, Gravelle D, Green E, Hamel M, et al. A Pan-Canadian Practice Guideline and Algorithm: Screening, Assessment, and Supportive Care of Adults with Cancer-Related Fatigue. Current Oncology. 2013; 20(3):233-246. https://doi.org/10.3747/co.20.1302

Chicago/Turabian Style

Howell, D., S. Keller–Olaman, T.K. Oliver, T.F. Hack, L. Broadfield, K. Biggs, J. Chung, D. Gravelle, E. Green, M. Hamel, and et al. 2013. "A Pan-Canadian Practice Guideline and Algorithm: Screening, Assessment, and Supportive Care of Adults with Cancer-Related Fatigue" Current Oncology 20, no. 3: 233-246. https://doi.org/10.3747/co.20.1302

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