We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Development of Evidence-Based Chinese Medicine Clinical Service Recommendations for Cancer Palliative Care Using Delphi Approach Based on the Evidence to Decision Framework.
- Authors
Wong, Charlene H. L.; Wu, Irene X. Y.; Adams, Jon; Steel, Amie; Wardle, Jon; Wu, Justin C. Y.; Leung, Ting Hung; Chung, Vincent C. H.
- Abstract
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.
- Subjects
HONG Kong (China); TUMOR treatment; ACUPRESSURE; ACUPUNCTURE; CANCER chemotherapy; ONCOLOGY nursing; CANCER patients; CONCEPTUAL structures; CONSENSUS (Social sciences); DELPHI method; HERBAL medicine; MEDICAL protocols; CHINESE medicine; MOXIBUSTION; NURSING specialties; PALLIATIVE treatment; PHYSICIANS; EVIDENCE-based medicine; DECISION making in clinical medicine; HOSPICE nurses; ALTERNATIVE medicine specialists; DESCRIPTIVE statistics; CANCER fatigue; THERAPEUTICS
- Publication
Integrative Cancer Therapies, 2020, Vol 19, p1
- ISSN
1534-7354
- Publication type
Article
- DOI
10.1177/1534735420940418