The Society for Integrative Oncology Practice Recommendations for online consultation and treatment during the COVID-19 pandemic

被引：27

作者：

Ben-Arye, Eran ^{[1
,2
,3
,4
]}

Paller, Channing J. ^{[5
]}

Lopez, Ana Maria ^{[6
]}

White, Shelley ^{[7
]}

Pendleton, Eva ^{[8
]}

Kienle, Gunver S. ^{[9
,10
]}

Samuels, Noah ^{[11
,12
]}

Abbawaajii, Nuria ^{[13
]}

Balneaves, Lynda G. ^{[13
]}

机构：

[1] Clalit Hlth Serv, Integrat Oncol Program, Lin Med Ctr, 35 Rothschild St, Haifa, Israel

[2] Clalit Hlth Serv, Integrat Oncol Program, Zebulon Med Ctr, 35 Rothschild St, Haifa, Israel

[3] Clalit Hlth Serv, Integrat Oncol Program, Carmel Med Ctr, 35 Rothschild St, Haifa, Israel

[4] Technion Israel Inst Technol, Fac Med, 35 Rothschild St, Haifa, Israel

[5] Johns Hopkins Univ, Sch Med, Baltimore, MD USA

[6] Thomas Jefferson Univ, Sidney Kimmel Canc Ctr, Philadelphia, PA 19107 USA

[7] Univ Utah, Huntsman Canc Inst, Wellness & Integrat Hlth Ctr, Salt Lake City, UT USA

[8] Mem Sloan Kettering Canc Ctr, 1275 York Ave, New York, NY 10021 USA

[9] Univ Freiburg, Fac Med, Inst Infect Prevent & Hosp Epidemiol, Ctr Complementary Med,Med Ctr, Freiburg, Germany

[10] Univ Witten Herdecke, Inst Appl Epistemol & Med Methodol, Freiburg, Germany

[11] Shaarei Zedek Med Ctr, Ctr Integrat Complementary Med, Jerusalem, Israel

[12] Tel Aviv Univ, Fac Med, Tel Aviv, Israel

[13] Univ Manitoba, Coll Nursing, Winnipeg, MB, Canada

来源：

SUPPORTIVE CARE IN CANCER | 2021年 / 29卷 / 10期

关键词：

Integrative oncology; Telemedicine; Practice guidelines; Supportive care; Doctor-patient communication; CLINICAL-PRACTICE GUIDELINES; CANCER-RELATED FATIGUE; BREAST-CANCER; CONTROLLED-TRIAL; ACUPUNCTURE; MINDFULNESS; INTERVENTIONS; THERAPIES; PROGRAM; PAIN;

D O I：

10.1007/s00520-021-06205-w

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Objective The Society for Integrative Oncology (SIO) Online Task Force was created in response to the challenges facing continuity of integrative oncology care resulting from the COVID-19 pandemic. The Task Force set out to guide integrative oncology practitioners in providing effective and safe online consultations and treatments for quality-of-life-concerns and symptom management. Online treatments include manual, acupuncture, movement, mind-body, herbal, and expressive art therapies. Methods The SIO Online Practice Recommendations employed a four-phase consensus process: (1) literature review and discussion among an international panel of SIO members, identifying key elements essential in an integrative oncology visit; (2) development, testing, and refinement of a questionnaire defining challenges and strategies; (3) refinement input from integrative oncology experts from 19 countries; and (4) SIO Executive Committee review identifying the most high-priority challenges and strategies. Results The SIO Online Practice Recommendations address ten challenges, providing practical suggestions for online treatment/consultation. These include overcoming unfamiliarity, addressing resistance among patients and healthcare practitioners to online consultation/treatment, exploring ethical and medical-legal aspects, solving technological issues, preparing the online treatment setting, starting the online treatment session, maintaining effective communication, promoting specific treatment effects, involving the caregiver, concluding the session, and ensuring continuity of care. Conclusions The SIO Online Practice Recommendations are relevant for ensuring continuity of care beyond the present pandemic. They can be implemented for patients with limited accessibility to integrative oncology treatments due to geographic constraints, financial difficulties, physical disability, or an unsupportive caregiver. These recommendations require further study in practice settings.

引用

页码：6155 / 6165

页数：11

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