AI Article Synopsis

  • The Japanese Psycho-Oncology Society and the Japanese Association of Supportive Care in Cancer have updated guidelines for managing delirium in adult cancer patients, detailing the development process and key recommendations.
  • A multidisciplinary group formulated new clinical questions on non-drug interventions and drug treatments like antipsychotics and trazodone, along with a review of existing questions.
  • The guidelines aim to enhance the prevention, assessment, and management of delirium in cancer patients in Japan.

Article Abstract

Objective: The Japanese Psycho-Oncology Society and the Japanese Association of Supportive Care in Cancer have recently revised the clinical practice guidelines for delirium in adult cancer patients. This article reports the process of developing the revised guidelines and summarizes the recommendations made.

Methods: The guidelines were developed in accordance with the Medical Information Network Distribution Service creation procedures. The guideline development group, consisting of multi-disciplinary members, created three new clinical questions: non-pharmacological intervention and antipsychotics for the prevention of delirium and trazodone for the management of delirium. In addition, systematic reviews of nine existing clinical questions have been updated. Two independent reviewers reviewed the proposed articles. The certainty of evidence and the strength of the recommendations were graded using the grading system developed by the Medical Information Network Distribution Service, following the concept of The Grading of Recommendations Assessment, Development, and Evaluation system. The modified Delphi method was used to validate the recommended statements.

Results: This article provides a compendium of the recommendations along with their rationales, as well as a short summary.

Conclusions: These revised guidelines will be useful for the prevention, assessment and management of delirium in adult cancer patients in Japan.

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Source
http://dx.doi.org/10.1093/jjco/hyad042DOI Listing

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