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Published in: Supportive Care in Cancer 4/2024

Open Access 01-04-2024 | Expert Opinion | Review

Multinational Association of Supportive Care in Cancer (MASCC) expert opinion/guidance on the use of clinically assisted hydration in patients with advanced cancer

Authors: Jo Hayes, Eduardo Bruera, Gregory Crawford, Mapi Fleury, Marcos Santos, Jo Thompson, Andrew Davies

Published in: Supportive Care in Cancer | Issue 4/2024

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Abstract

Purpose

The provision of clinically assisted hydration (CAH) in patients with advanced cancer is controversial, and there is a paucity of specific guidance and so a diversity in clinical practice. Consequently, the Palliative Care Study Group of the Multinational Association of Supportive Care in Cancer (MASCC) formed a sub-group to develop evidence-based guidance on the use of CAH in patients with advanced cancer.

Methods

This guidance was 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.

Results

Due to the paucity of evidence, the sub-group was not able to develop a prescribed guideline, but was able to generate a number of “expert opinion statements”: these statements relate to assessment of patients, indications for CAH, contraindications for CAH, procedures for initiating CAH, and reassessment of patients.

Conclusions

This guidance provides a framework for the use of CAH in advanced cancer, although every patient requires individualised management.
Appendix
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Metadata
Title
Multinational Association of Supportive Care in Cancer (MASCC) expert opinion/guidance on the use of clinically assisted hydration in patients with advanced cancer
Authors
Jo Hayes
Eduardo Bruera
Gregory Crawford
Mapi Fleury
Marcos Santos
Jo Thompson
Andrew Davies
Publication date
01-04-2024
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 4/2024
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-024-08421-6

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