title: A pan-Canadian practice guideline and algorithm: screening, assessment, and supportive care of adults with cancer-related fatigue.
abstract: OBJECTIVE
  The purpose of the present systematic review was to develop a practice guideline to inform health care providers about screening, assessment, and effective management of cancer-related fatigue (crf) in adults.
  
  
  METHODS
  The internationally endorsed adapte methodology was used to develop a practice guideline for pan-Canadian use. A systematic search of the literature identified a broad range of evidence: clinical practice guidelines, systematic reviews, and other guidance documents on the screening, assessment, and management of crf. The search included medline, embase, cinahl, the Cochrane Library, and other guideline and data sources to December 2009.
  
  
  RESULTS
  Two clinical practice guidelines were identified for adaptation. Seven guidance documents and four systematic reviews also provided supplementary evidence to inform guideline recommendations. Health professionals across Canada provided expert feedback on the adapted recommendations in the practice guideline and algorithm through a participatory external review process.
  
  
  CONCLUSIONS
  Practice guidelines can facilitate the adoption of evidence-based assessment and interventions for adult cancer patients experiencing fatigue. Development of an algorithm to guide decision-making in practice may also foster the uptake of a guideline into routine care.
authors.affiliation: Faculty of Nursing, University Health Network, Toronto, ON.
authors.forename: D
authors.initials: D
authors.lastname: Howell
authors.forename: S
authors.initials: S
authors.lastname: Keller-Olaman
authors.forename: T K
authors.initials: TK
authors.lastname: Oliver
authors.forename: T F
authors.initials: TF
authors.lastname: Hack
authors.forename: L
authors.initials: L
authors.lastname: Broadfield
authors.forename: K
authors.initials: K
authors.lastname: Biggs
authors.forename: J
authors.initials: J
authors.lastname: Chung
authors.forename: D
authors.initials: D
authors.lastname: Gravelle
authors.forename: E
authors.initials: E
authors.lastname: Green
authors.forename: M
authors.initials: M
authors.lastname: Hamel
authors.forename: T
authors.initials: T
authors.lastname: Harth
authors.forename: P
authors.initials: P
authors.lastname: Johnston
authors.forename: D
authors.initials: D
authors.lastname: McLeod
authors.forename: N
authors.initials: N
authors.lastname: Swinton
authors.forename: A
authors.initials: A
authors.lastname: Syme
authors.forename: K
authors.initials: K
authors.lastname: Olson
keywords: Fatigue; adapted guideline; assessment; cancer; screening; supportive care; survivor; survivorship