Clinical Practice Guideline for the Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment of Cancer-related Fatigue
摘要
Cancer-related fatigue (CRF) is a painful, persistent, subjective, physical, emotional or cognitive feeling of fatigue caused by multiple factors related to cancer or cancer treatment, which does not match the amount of recent activity and seriously affects the quality of life of tumor patients. However, there are no approved Western medicine indications specifically for CRF, and treatment recommendations are mostly symptomatic and supportive. In contrast, traditional Chinese medicine (TCM) has demonstrated better clinical efficacy through syndrome differentiation and treatment. The "Clinical Practice Guideline for the Cancer-related Fatigue with Integrated Traditional Chinese and Western Medicine" still remains a blank slate. To better guide the clinical practice of integrated traditional Chinese and Western medicine in the management of CRF, the guideline working group, in collaboration with domestic experts in the field of oncology, conducted discussions based on evidence-based medicine. Ultimately, the "Clinical Practice Guideline for the Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment of Cancer-related Fatigue" was formulated. This guideline introduces the epidemiological characteristics and pathogenesis of CRF, elaborates on the diagnostic criteria and evaluation methods from both traditional Chinese and Western medicine perspectives, and provides a detailed discussion of the integrated traditional Chinese and Western medicine treatment strategies. These strategies include TCM treatment, external TCM therapies, Western medicine treatment, psychological therapy, exercise, and dietary management. And the guideline offers recommendations for post-treatment assessment and preventive care to guide clinical treatment and improve patients' quality of life, with the aim of more formally, comprehensively, and integratively guiding and regulating the clinical diagnosis and treatment of CRF.