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.

中文翻译：

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MASCC 对晚期癌症患者便秘管理的建议。

目的 多国癌症支持治疗协会的姑息治疗研究小组成立了一个小组，以制定关于晚期癌症患者便秘管理的循证建议。方法 这些建议是根据 MA​​SCC 指南政策制定的。制定了 Medline 的搜索策略，并分别探索了 Cochrane 系统评价数据库和 Cochrane 对照试验中央注册库以获取相关评价/试验。建议按证据水平和基于证据水平的“指南类别”（即“推荐”、“建议”或“没有指南可能”）进行分类。结果 该小组提出了 15 条建议，有不同程度的证据和不同类别的指南。这些建议涉及便秘的评估、治疗和重新评估。结论 这些建议为晚期癌症便秘的管理提供了一个框架，尽管每位患者都需要个体化管理。