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BACKGROUND AND OBJECTIVE Although up to 85% of cancer patients use complementary and alternative medicine (CAM), they commonly do not disclose this information to their health care providers. Cancer-related pain (CRP) is one of the most common symptoms may seek CAM. This study was conducted to identify the quantity and assess the quality of CAM recommendations across clinical practice guidelines (CPGs) for the treatment and/or management of CRP, as this has not been explored in the literature. METHODS A systematic review was conducted to identify cancer pain CPGs. MEDLINE, EMBASE and CINAHL were searched from 2009 to 2020. The Guideline International Network and the National Centre for Complementary and Integrative Health websites were also searched. Eligible CPGs on CRP in adults were assessed using the Appraisal of Guidelines, Research and Evaluation II (AGREE II) instrument. RESULTS Of 771 unique search results, 13 mentioned CAM and 11 made CAM recommendations. Eligible CPGs were published in 2009 or later and focused on the treatment/management of CRP. Scaled domain percentages from highest to lowest ranged from (overall, CAM): scope and purpose (88.1%, 88.1%) to applicability (21.0%, 8.5%). Quality varied within and across CPGs. One CPG was recommended by both appraisers; 6 were recommended as Yes or Yes with modifications. CONCLUSIONS The present study has identified and summarized a number of CPGs which clinicians may consult to understand what CAMs are recommended in the context of the treatment and/or management of CRP.
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Pain_practice_:_the_official_journal_of_World_Institute_of_Pain
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Guidelines for cancer-related pain: A systematic review of complementary and alternative medicine recommendations.
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