JPOS/JASCC clinical guidelines for delirium in adult cancer patients: a summary of recommendation statements
Open Access
- 26 March 2020
- journal article
- research article
- Published by Oxford University Press (OUP) in Japanese Journal of Clinical Oncology
- Vol. 50 (5), 586-593
- https://doi.org/10.1093/jjco/hyaa003
Abstract
The Japanese Psycho-Oncology Society and Japanese Association of Supportive Care in Cancer recently launched the clinical practice guidelines for delirium in adult cancer patients. The aim of the guidelines was to provide evidence-based recommendations for the clinical assessment and management of delirium in cancer patients. This article reports the process of developing the guideline and summarizes the recommendations made. The guidelines were developed in accordance with the Medical Information Network Distribution Service creation procedures. The guideline development group, consisting of multidisciplinary members, formulated nine clinical questions. A systematic literature search was conducted to identify relevant articles published prior to through 31 May 2016. Each article was reviewed by two independent reviewers. The level 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 recommendation statements. This article provides a summary of the recommendations with rationales for each, as well as a short summary. These guidelines will support the clinical assessment and management of delirium in cancer patients. However, additional clinical studies are warranted to further improve the management of delirium.Keywords
Funding Information
- Japan Psycho-Oncology Society (19EA1009)
This publication has 45 references indexed in Scilit:
- Neurolytic celiac plexus block reduces occurrence and duration of terminal delirium in patients with pancreatic cancerJournal of Anesthesia, 2012
- Japanese Version of the Delirium Rating Scale, Revised-98 (DRS-R98-J): Reliability and ValidityPsychosomatics, 2010
- The effects of exercise therapy on delirium in cancer patients: a retrospective studySupportive Care in Cancer, 2010
- Impact of delirium and recall on the level of distress in patients with advanced cancer and their family caregiversCancer, 2009
- Terminal delirium: families' experiencePalliative Medicine, 2007
- Opioid medications and longitudinal risk of delirium in hospitalized cancer patientsCancer, 2007
- Opioid Rotation from Morphine to Fentanyl in Delirious Cancer Patients: An Open-Label TrialJournal of Pain and Symptom Management, 2005
- Multidisciplinary team interventions for delirium in patients with chronic cognitive impairmentPublished by Wiley ,2004
- Agitated Terminal Delirium and Association with Partial Opioid Substitution and HydrationJournal of Palliative Medicine, 2003
- Attenuation of morphine-induced delirium in palliative care by substitution with infusion of oxycodoneJournal of Pain and Symptom Management, 1996