Supportive & Psychological Care

Systematic screening and assessment of psychosocial well‐being and care needs of people with cancer

Abstract Background Receiving a diagnosis of cancer and the subsequent related treatments can have a significant impact on an individual’s physical and psychosocial well‐being. To ensure that cancer care addresses all aspects of well‐being, systematic screening for distress and supportive care needs is recommended. Appropriate screening could help support the integration of psychosocial approaches in […]

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Olanzapine for the prevention and treatment of cancer-related nausea and vomiting in adults

Abstract Background Olanzapine as an antiemetic represents a new use of an antipsychotic drug. People with cancer may experience nausea andvomiting whilst receiving chemotherapy or radiotherapy, or whilst inthe palliative phase of illness. Objectives To assess the efficacy and safety of olanzapine when used as an antiemetic in the prevention and treatment of nausea and […]

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Drug therapy for symptoms associated with anxiety in adult palliative care patients

Abstract Background This is an update of a Cochrane Review first published in 2004 (Issue 1) and previously updated in 2012 (Issue 10). Anxiety is common in palliative care patients. It can be a natural response to the complex uncertainty of having a life-limiting illness or impending death, but it may represent a clinically significant […]

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Therapeutic exercises for affecting post-treatment swallowing in people treated for advanced-stage head and neck cancers

Abstract Background Head and neck cancer treatment has developed over the last decade, with improved mortality and survival rates, but the treatments often result in dysphagia (a difficulty in swallowing) as a side effect. This may be acute, resolving after treatment, or remain as a long-term negative sequela of head and neck cancer (HNC) treatment. […]

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Educational interventions for the management of cancer-related fatigue in adults

Abstract Background Cancer-related fatigue is reported as the most common and distressing symptom experienced by patients with cancer. It can exacerbate the experience of other symptoms, negatively affect mood, interfere with the ability to carry out everyday activities, and negatively impact on quality of life. Educational interventions may help people to manage this fatigue or […]

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Hydromorphone for cancer pain

Abstract Background Cancer pain is an important and distressing symptom that tends to increase in frequency and intensity as the cancer advances. For people with advanced cancer, the prevalence of pain can be as high as 90%. It has been estimated that 30% to 50% of people with cancer categorise their pain as moderate to […]

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Hyperbaric oxygen therapy for late radiation tissue injury

Abstract Background Cancer is a significant global health problem. Radiotherapy is a treatment for many cancers and about 50% of people having radiotherapy will be long‐term survivors. Some will experience late radiation tissue injury (LRTI) developing months or years later. Hyperbaric oxygen therapy (HBOT) has been suggested as a treatment for LRTI based upon the […]

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Buprenorphine for neuropathic pain in adults

Abstract Background Opioid drugs, including buprenorphine, are commonly used to treat neuropathic pain, and are considered effective by some professionals. Most reviews have examined all opioids together. This review sought evidence specifically for buprenorphine, at any dose, and by any route of administration. Other opioids are considered in separate reviews. Objectives To assess the analgesic […]

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Positioning and spinal bracing for pain relief in metastatic spinal cord compression in adults

Abstract Background This is an updated version of the original Cochrane review published in Issue 3 (Lee 2012) on patient positioning (mobilisation) and bracing for pain relief and spinal stability in adults with metastatic spinal cord compression. Many patients with metastatic spinal cord compression (MSCC) have spinal instability, but their clinician has determined that due […]

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Nutritional support in children and young people with cancer undergoing chemotherapy

Abstract Background It is well documented that malnutrition is a common complication of paediatric malignancy and its treatment. Malnutrition can often be a consequence of cancer itself or a result of chemotherapy. Nutritional support aims to reverse malnutrition seen at diagnosis, prevent malnutrition associated with treatment and promote weight gain and growth. The most effective […]

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