Guidelines promote high quality cancer care. Rehabilitation recommendations in oncology guidelines have not been characterized and may provide insight to improve integration of rehabilitation into oncology care. This report was developed as a part of the World Health Organization (WHO) Rehabilitation 2030 initiative to identify rehabilitation-specific recommendations in guidelines for oncology care. A systematic review of guidelines was conducted. Only guidelines published in English, for adults with cancer, providing recommendations for rehabilitation referral and assessment or interventions between 2009 and 2019 were included. 13840 articles were identified. After duplicates and applied filters, 4897 articles were screened. 69 guidelines were identified with rehabilitation-specific recommendations. Thirty-seven of the 69 guidelines endorsed referral to rehabilitation services but provided no specific recommendations regarding assessment or interventions. Thirty-two of the 69 guidelines met the full inclusion criteria and were assessed using the AGREE II tool. Twenty-one of these guidelines achieved an AGREE II quality score of ≥ 45 and were fully extracted. Guidelines exclusive to pharmacologic interventions and complementary and alternative interventions were excluded. Findings identify guidelines that recommend rehabilitation services across many cancer types and for various consequences of cancer treatment signifying that rehabilitation is a recognized component of oncology care. However, these findings are at odds with clinical reports of low rehabilitation utilization rates suggesting that guideline recommendations may be overlooked. Considering that functional morbidity negatively affects a majority of cancer survivors, improving guideline concordant rehabilitative care could have substantial impact on function and quality of life among cancer survivors.

中文翻译：

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肿瘤学指南中康复和运动建议的系统回顾

指南促进高质量的癌症护理。肿瘤学指南中的康复建议尚未得到描述，但可能为改善康复与肿瘤护理的整合提供见解。本报告是世界卫生组织 (WHO) 2030 年康复计划的一部分，旨在确定肿瘤护理指南中针对康复的具体建议。对指南进行了系统审查。仅包含针对成人癌症患者的英文版指南，提供 2009 年至 2019 年间康复转诊和评估或干预措施的建议。已识别出 13840 篇文章。经过重复和应用过滤后，筛选出了 4897 篇文章。确定了 69 条指南以及针对康复的具体建议。69 份指南中有 37 份支持转介康复服务，但没有提供有关评估或干预措施的具体建议。69 项指南中有 32 项符合完全纳入标准，并使用 AGREE II 工具进行了评估。其中 21 条指南的 AGREE II 质量评分≥ 45，并已完全提取。专门针对药物干预以及补充和替代干预的指南被排除在外。研究结果确定了针对多种癌症类型和癌症治疗的各种后果推荐康复服务的指南，这表明康复是肿瘤护理的公认组成部分。然而，这些发现与康复利用率低的临床报告不一致，表明指南建议可能被忽视。考虑到功能发病率对大多数癌症幸存者产生负面影响，改善指南一致的康复护理可能会对癌症幸存者的功能和生活质量产生重大影响。