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MASCC recommendations on the management of constipation in patients with advanced cancer
Andrew Davies1, Charlotte Leach2, Ricardo Caponero3
1Royal Surrey County Hospital, Egerton Road, Guildford, GU2 7XX, UK. adavies12@nhs.net.
Purpose:
The Palliative Care Study Group of the Multinational Association for Supportive Care in Cancer formed a subgroup to develop evidence-based recommendations on the management of constipation in patients with advanced cancer.
Methods:
These recommendations were developed in accordance with the MASCC Guidelines Policy. A search strategy for Medline was developed, and the Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials were explored for relevant reviews/trials respectively. The recommendations were categorised by the level of evidence and a "category of guideline" based on the level of evidence (i.e. "recommendation", "suggestion", or "no guideline possible").
Results:
The group produced 15 recommendations, with varying levels of evidence and so varying categories of guideline. The recommendations relate to the assessment, the treatment, and the re-assessment of constipation.
Conclusions:
These recommendations provide a framework for the management of constipation in advanced cancer, although every patient needs individualised management.
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