Increased attention to the rehabilitation needs of children with cancer is vital to enhance health, quality-of-life, and productivity outcomes. Among adults with cancer, rehabilitation recommendations are frequently incorporated into guidelines, but the extent to which recommendations exist for children is unknown. Reports included in this systematic review are guideline or expert consensus reports containing recommendations related to rehabilitation referral, evaluation, and/or intervention for individuals diagnosed with cancer during childhood (younger than 18 years). Eligible reports were published in English from January 2000 to August 2022. Through database searches, 42,982 records were identified; 62 records were identified through citation and website searching. Twenty-eight reports were included in the review: 18 guidelines and 10 expert consensus reports. Rehabilitation recommendations were identified in disease-specific (e.g., acute lymphoblastic leukemia), impairment-specific (e.g., fatigue, neurocognition, pain), adolescent and young adult, and long-term follow-up reports. Example recommendations included physical activity and energy-conservation techniques to address fatigue, referral to physical therapy for chronic pain management, ongoing psychosocial surveillance, and referral to speech-language pathology for those with hearing loss. High-level evidence supported rehabilitation recommendations for long-term follow-up care, fatigue, and psychosocial/mental health screening. Few intervention recommendations were included in guideline and consensus reports. In this developing field, it is critical to include pediatric oncology rehabilitation providers in guideline and consensus development initiatives. This review enhances the availability and clarity of rehabilitation-relevant guidelines that can help prevent and mitigate cancer-related disability among children by supporting access to rehabilitation services.

中文翻译：

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癌症儿童康复临床实践指南和专家共识建议：系统评价

更加关注癌症儿童的康复需求对于提高健康、生活质量和生产力至关重要。在患有癌症的成年人中，康复建议经常被纳入指南中，但针对儿童的建议存在程度尚不清楚。本系统评价中包含的报告是指南或专家共识报告，其中包含与儿童期（18 岁以下）诊断患有癌症的个体的康复转诊、评估和/或干预相关的建议。2000年1月至2022年8月期间，符合条件的报告以英文发布。通过数据库检索，确定了42,982条记录；通过引用和网站搜索确定了 62 条记录。审查中包括 28 份报告：18 份指南和 10 份专家共识报告。针对特定疾病（例如急性淋巴细胞白血病）、特定损伤（例如疲劳、神经认知、疼痛）、青少年和年轻人以及长期随访报告确定了康复建议。示例建议包括解决疲劳问题的体力活动和节能技术、转诊用于慢性疼痛管理的物理治疗、持续的社会心理监测以及针对听力损失患者转诊至言语病理学。高水平证据支持针对长期随访护理、疲劳和社会心理/心理健康筛查的康复建议。指南和共识报告中很少包含干预建议。在这个发展中的领域，将儿科肿瘤康复提供者纳入指南和共识制定计划至关重要。本次审查提高了康复相关指南的可用性和清晰度，这些指南可以通过支持获得康复服务来帮助预防和减轻儿童与癌症相关的残疾。