Issues in the 2019 revision of the Clinical Practice Guidelines for pancreatic cancer - Supportive/palliative care

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  • OKUSAKA Takuji
    Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital
  • OGAWA Asao
    Department of Psycho-Oncology, National Cancer Center Hospital East
  • YOMIYA Kinomi
    Department of Palliative Care, Saitama Cancer Center
  • TSUJI Tetsuya
    Department of Rehabilitation Medicine, Keio University School of Medicine
  • MORI Masanori
    Palliative Care Team, Seirei Mikatahara General Hospital
  • SUZUKI Kenichi
    Division of Research for Pharmacy Students Education, Hoshi University
  • TANDO Yusuke
    Department of Bioscience and Laboratory Medicine, Hirosaki University
  • FUJIMORI Maiko
    Division of Health Care Research, Behavioral Science and Survivorship Research Group, Center for Public Health Sciences, National Cancer Center Japan
  • SAKAMOTO Hatoe
    Supportive Care Center, National Cancer Center Hospital East
  • YASUDA Chikao
    Medical Safety Management Department, Cancer Institute Hospital of the Japanese Foundation for Cancer Research
  • MAJIMA Yoshiyuki
    PanCAN Japan

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Other Title
  • 支持・緩和療法

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Abstract

<p>Various supportive/palliative care approaches are used in the care of patients with cancer, and guidelines for some supportive/palliative care modalities have been published by professional societies. However, we concluded from discussions that our guidelines should provide guidance on clinical questions (CQ) that are of particular importance for patients with pancreatic cancer, and methods for coping with psychological distress, treatment of upper abdominal/back pain, and nutritional therapy have been described in the 2016 and subsequent editions. The 2019 edition contains a new CQ on exercise therapy recommended after surgery, advanced care planning, and how to treat peripheral neuropathy using chemotherapy. In addition, columns in the guidelines provide information on nutrition support therapy for patients with cachexia, a question prompt sheet for patients with advanced cancer, communication skills, support for psychosocial and economic issues, and patient associations.</p>

Journal

  • Suizo

    Suizo 35 (1), 79-82, 2020-02-28

    Japan Pancreas Society

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