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Published on: August 18, 2023
ONS Guidelines™ for Opioid-Induced and Non-Opioid-Related Cancer Constipation
Barbara Rogers1, Pamela K Ginex2, Allison Anbari3
1Fox Chase Cancer Center.
Purpose:
This evidence-based guideline intends to support clinicians, patients, and others in decisions regarding the treatment of constipation in patients with cancer.
Methodologic Approach:
An interprofessional panel of healthcare professionals with patient representation prioritized clinical questions and patient outcomes for the management of cancer-related constipation. Systematic reviews of the literature were conducted. The GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach was used to assess the evidence and make recommendations.
Findings:
The panel agreed on 13 recommendations for the management of opioid-induced and non-opioid-related constipation in patients with cancer.
Implications For Nursing:
The panel conditionally recommended a bowel regimen in addition to lifestyle education as first-line treatment for constipation. For patients starting opioids, the panel suggests a bowel regimen as prophylaxis. Pharmaceutical interventions are available and recommended if a bowel regimen has failed. Acupuncture and electroacupuncture for non-opioid-related constipation are recommended in the context of a clinical trial.
Supplementary Material Can Be Found At&Nbsp;Https:
//bit.ly/30y29sI.
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