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Screening,AssessmentandManagementofFatigue
inAdultSurvivorsofCancer:
AnAmericanSocietyofClinicalOncologyClinicalPractice
GuidelineAdaptation
www.asco.org/guidelines/©2014AmericanSocietyofClinicalOncology®.Allrightsreserved.guide.medlive.cn
Introduction

•Thisguidelinesummarizestheresultsofaguideline
adaptationprocessandpresentsrecommendations
oncancer-relatedfatigue

•Adaptedfrom3existingguidelines:
–Pan-CanadianguidelineonScreening,Assessment
andCareofCancer-RelatedFatigueinAdultswith
Cancer
–NCCNGuidelineforCancer-RelatedFatigue
–NCCNGuidelineforSurviorship

www.asco.org/guidelines/©2014AmericanSocietyofClinicalOncology®.Allrightsreserved.
guide.medlive.cn
ASCOSurvivorshipGuidelines
•Growingnumberofcancersurvivors

•ASCOhasrespondedwithstepstopromote
evidenced-based,comprehensive,
compassionate,andcoordinatedsurvivorship
care


www.asco.org/guidelines/©2014AmericanSocietyofClinicalOncology®.Allrightsreserved.
guide.medlive.cn
Methods
•ASCOconsidersadaptationinselected
circumstances
–Whenoneormorequalityguidelinesfromother
organizationsalreadyexistonthesametopic
•ADAPTEMethodology
–Takeadvantageofexistingguidelines
–Enhanceefficiencyandreduceduplication
–Promoteuptakeofqualityrecommendations




www.asco.org/guidelines/©2014AmericanSocietyofClinicalOncology®.Allrightsreserved.
guide.medlive.cn
AdaptationProcess
•Literaturesearchtoidentifycandidate
guidelines
•Methodologicalreview
•Contentreviewbyanadhoc,multidisciplinary
Panel


www.asco.org/guidelines/©2014AmericanSocietyofClinicalOncology®.Allrightsreserved.
guide.medlive.cn
Pan-CanadianandNCCNGuidelines

•Allthreeguidelinesofferedcomprehensive
anduser-friendlyalgorithmsthatwerehelpful
ininformingscreening,assessment,and
treatmentoptions


www.asco.org/guidelines/©2014AmericanSocietyofClinicalOncology®.Allrightsreserved.
guide.medlive.cn
Definitionofcancer-relatedfatigue
(ModifiedfromNCCNGuidelinesforCancer-RelatedFatigueandNCCN
GuidelinesforSurvivorship)
•Cancer-relatedfatigueisadistressing,persistent,
sub