MASCC recommendations on the management of constipation in patients with advanced cancer

Andrew Davies*, Charlotte Leach, Ricardo Caponero, Andrew Dickman, David Fuchs, Judith Paice, Anton Emmanuel

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations

Abstract

Purpose: The Palliative Care Study Group of the Multinational Association for Supportive Care in Cancer formed a subgroup to develop evidence-based recommendations on the management of constipation in patients with advanced cancer. Methods: These recommendations were developed in accordance with the MASCC Guidelines Policy. A search strategy for Medline was developed, and the Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials were explored for relevant reviews/trials respectively. The recommendations were categorised by the level of evidence and a “category of guideline” based on the level of evidence (i.e. “recommendation”, “suggestion”, or “no guideline possible”). Results: The group produced 15 recommendations, with varying levels of evidence and so varying categories of guideline. The recommendations relate to the assessment, the treatment, and the re-assessment of constipation. Conclusions: These recommendations provide a framework for the management of constipation in advanced cancer, although every patient needs individualised management.

Original languageEnglish (US)
Pages (from-to)23-33
Number of pages11
JournalSupportive Care in Cancer
Volume28
Issue number1
DOIs
StatePublished - Jan 1 2020

Keywords

  • Constipation
  • Neoplasms
  • Palliative care
  • Practice guideline

ASJC Scopus subject areas

  • Oncology

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