Complementary and alternative medicine mention and recommendations in pancreatic cancer clinical practice guidelines: A systematic review and quality assessment
Background: Pancreatic cancer is the third leading cause of cancer death in the United States, which is attributed to limited treatment options. Complementary and alternative medicine (CAM) therapies have been proposed to provide benefits in treating pancreatic cancer. Despite its importance in trea...
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Elsevier
2023-03-01
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| Series: | Integrative Medicine Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S221342202300001X |
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| author | Jeremy Y Ng Hardil Anup Bhatt Maheen Raja |
| author_facet | Jeremy Y Ng Hardil Anup Bhatt Maheen Raja |
| author_sort | Jeremy Y Ng |
| collection | DOAJ |
| description | Background: Pancreatic cancer is the third leading cause of cancer death in the United States, which is attributed to limited treatment options. Complementary and alternative medicine (CAM) therapies have been proposed to provide benefits in treating pancreatic cancer. Despite its importance in treatment, clinicians are not generally well equipped to counsel their patients about CAM therapies. This review identified the quantity and assessed the quality of clinical practice guidelines (CPGs) providing CAM recommendations for the treatment and/or management of pancreatic cancer. Methods: A systematic review was conducted to identify pancreatic cancer CPGs. MEDLINE, EMBASE and CINAHL were searched from 2011 to 2022. The Guidelines International Network (GIN) and the National Center for Complementary and Integrative Health (NCCIH) websites were also searched. Eligible CPGs published by non-profit agencies on treatment and/or management of pancreatic cancer for adults were assessed using the Appraisal of Guidelines, Research and Evaluation II (AGREE II) instrument. Results: From 31 eligible search results, 7 CPGs mentioned CAM and 3 CPGs made CAM recommendations. The mean scaled domain percentages of the CPGs in this study (overall, CAM-specific) were as follows: scope and purpose (81.3%, 77.8%), stakeholder involvement (63.9%, 42.6%), rigor-of-development (51.0%, 40.3%), clarity-of-presentation (83.3%, 54.6%), applicability (42.3%, 30.5%), and editorial independence (58.3%, 58.3%). Conclusions: Evaluation of the CPGs demonstrated that quality varied both within and between CPGs. CPGs that scored well could be used by patients and clinicians as the basis for discussion for the use of CAM therapies. Future research should identify other appropriate CAM therapies for further development of CPGs for pancreatic cancer. Registration: The protocol was registered on PROSPERO (registration number: CRD42022334025). |
| format | Article |
| id | doaj-art-c1e2601f031b4bee8229d8eedd56b7b5 |
| institution | DOAJ |
| issn | 2213-4220 |
| language | English |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Integrative Medicine Research |
| spelling | doaj-art-c1e2601f031b4bee8229d8eedd56b7b52025-08-20T03:05:02ZengElsevierIntegrative Medicine Research2213-42202023-03-0112110092110.1016/j.imr.2023.100921Complementary and alternative medicine mention and recommendations in pancreatic cancer clinical practice guidelines: A systematic review and quality assessmentJeremy Y Ng0Hardil Anup Bhatt1Maheen Raja2Corresponding author at: Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, Centre for Learning and Discovery, McMaster University, Room 2112, 1280 Main Street West, Hamilton, Ontario L8S 4K1, Canada.; Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, CanadaDepartment of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, CanadaDepartment of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, McMaster University, Hamilton, ON, CanadaBackground: Pancreatic cancer is the third leading cause of cancer death in the United States, which is attributed to limited treatment options. Complementary and alternative medicine (CAM) therapies have been proposed to provide benefits in treating pancreatic cancer. Despite its importance in treatment, clinicians are not generally well equipped to counsel their patients about CAM therapies. This review identified the quantity and assessed the quality of clinical practice guidelines (CPGs) providing CAM recommendations for the treatment and/or management of pancreatic cancer. Methods: A systematic review was conducted to identify pancreatic cancer CPGs. MEDLINE, EMBASE and CINAHL were searched from 2011 to 2022. The Guidelines International Network (GIN) and the National Center for Complementary and Integrative Health (NCCIH) websites were also searched. Eligible CPGs published by non-profit agencies on treatment and/or management of pancreatic cancer for adults were assessed using the Appraisal of Guidelines, Research and Evaluation II (AGREE II) instrument. Results: From 31 eligible search results, 7 CPGs mentioned CAM and 3 CPGs made CAM recommendations. The mean scaled domain percentages of the CPGs in this study (overall, CAM-specific) were as follows: scope and purpose (81.3%, 77.8%), stakeholder involvement (63.9%, 42.6%), rigor-of-development (51.0%, 40.3%), clarity-of-presentation (83.3%, 54.6%), applicability (42.3%, 30.5%), and editorial independence (58.3%, 58.3%). Conclusions: Evaluation of the CPGs demonstrated that quality varied both within and between CPGs. CPGs that scored well could be used by patients and clinicians as the basis for discussion for the use of CAM therapies. Future research should identify other appropriate CAM therapies for further development of CPGs for pancreatic cancer. Registration: The protocol was registered on PROSPERO (registration number: CRD42022334025).http://www.sciencedirect.com/science/article/pii/S221342202300001XPancreatic cancerComplementary and alternative medicineSystematic reviewAGREE IIClinical practice guideline |
| spellingShingle | Jeremy Y Ng Hardil Anup Bhatt Maheen Raja Complementary and alternative medicine mention and recommendations in pancreatic cancer clinical practice guidelines: A systematic review and quality assessment Integrative Medicine Research Pancreatic cancer Complementary and alternative medicine Systematic review AGREE II Clinical practice guideline |
| title | Complementary and alternative medicine mention and recommendations in pancreatic cancer clinical practice guidelines: A systematic review and quality assessment |
| title_full | Complementary and alternative medicine mention and recommendations in pancreatic cancer clinical practice guidelines: A systematic review and quality assessment |
| title_fullStr | Complementary and alternative medicine mention and recommendations in pancreatic cancer clinical practice guidelines: A systematic review and quality assessment |
| title_full_unstemmed | Complementary and alternative medicine mention and recommendations in pancreatic cancer clinical practice guidelines: A systematic review and quality assessment |
| title_short | Complementary and alternative medicine mention and recommendations in pancreatic cancer clinical practice guidelines: A systematic review and quality assessment |
| title_sort | complementary and alternative medicine mention and recommendations in pancreatic cancer clinical practice guidelines a systematic review and quality assessment |
| topic | Pancreatic cancer Complementary and alternative medicine Systematic review AGREE II Clinical practice guideline |
| url | http://www.sciencedirect.com/science/article/pii/S221342202300001X |
| work_keys_str_mv | AT jeremyyng complementaryandalternativemedicinementionandrecommendationsinpancreaticcancerclinicalpracticeguidelinesasystematicreviewandqualityassessment AT hardilanupbhatt complementaryandalternativemedicinementionandrecommendationsinpancreaticcancerclinicalpracticeguidelinesasystematicreviewandqualityassessment AT maheenraja complementaryandalternativemedicinementionandrecommendationsinpancreaticcancerclinicalpracticeguidelinesasystematicreviewandqualityassessment |