PPT：2014年ASCO+美国成人癌症焦虑和抑郁管理指南.pdf

Screening, Assessment, and Care of Anxiety and Depressive Symptoms in Adults with Cancer: An American Society of Clinical Oncology Guideline Adaptation Introduction ? ASCO has established a process for adapting other organizations’ clinical practice guidelines ? This guideline adaptation summarizes the results of that process and presents recommendations ? Adapted from the Pan-Canadian guideline on Screening, Assessment and Care of Psychosocial Distress (Depression, Anxiety) in Adults with Cancer ASCO Survivorship Guidelines ? Eighteen symptom topics identified and prioritized for guideline development by ASCO’s Cancer Survivorship Committee – Depression and Anxiety included ? Growing number of cancer survivors ? Institute of Medicine report calls for systematically developed evidence-based practice guidelines and tools ? ASCO has responded with steps to promote evidenced- based, comprehensive, compassionate, and coordinated survivorship care Methods ? ASCO considers adaptation in selected circumstances – When one or more quality guidelines from other organizations already exist on the same topic ? ADAPTE Methodology – Take advantage of existing guidelines – Enhance efficiency and reduce duplication – Promote uptake of quality recommendations Adaptation Process ? Literature search – Identify candidate guidelines ? Adapted guideline manuscripts reviewed by ASCO Clinical Practice Guidelines Committee (CPGC) ? Methodological review by a CPGC Methodology Subcommittee member and/or by ASCO senior guideline staff – 83.3% for methodological quality, only minor deviations from the ideal as reflected in the AGREE II items ? Content review by an ad hoc Panel convened by ASCO that includes multidisciplinary representation ? More information in online Methods Supplement: /adaptations/depression Pan-Canadian Guideline: Clinical Questions and Target Population ? Clinical question: “What are the optimum screening, as