Patient-Clinician Communication: ASCO Guideline Update.

It is intended for voluntary use by clinicians and should be used in conjunction with independent professional judgment.

它们旨在供临床医生自愿使用，并应与独立的专业判断相结合使用。

Guidance may not be applicable to all patients, interventions, diseases or stages of diseases.

该指导可能不适用于所有患者、干预措施、疾病或疾病阶段。

Guidance is based on review and analysis of relevant literature and is not intended as a statement of the standard of care.

该指导基于相关文献的回顾和分析，并不旨在作为照护标准的声明。

ASCO does not endorse third-party drugs, devices, services, or therapies and assumes no responsibility for any harm arising from or related to the use of this information.

美国临床肿瘤学会（ASCO）不支持第三方药物、设备、服务或疗法，并不对由此信息使用引起的任何伤害承担责任。

See complete disclaimer in Appendix 1 and Appendix 2 (online only) for more.

更多完整免责声明请参见附录1和附录2（仅在线上）。

Background

To provide guidance to oncology clinicians on using effective communication to optimize the patient-clinician relationship, patient and clinician well-being, and caregiver well-being.

为了向肿瘤科临床医生提供有效沟通的指导，以优化患者与医生的关系、患者和医生的福祉以及照顾者的福祉。

Methods

ASCO convened a multidisciplinary panel of medical oncologists, hematologists, nurses, hospice and palliative medicine clinicians, and communication skills and advocacy experts to develop recommendations.

ASCO召集了一个由医学肿瘤学家、血液学家、护士、临终关怀和姑息治疗临床医生以及沟通技巧和倡导专家组成的多学科小组，以制定建议。

Guideline development involved a systematic reviewof the literature and a formal consensus process.

指南的制定涉及了文献的系统性回顾和正式的共识过程。

The systematic reviewencompassed systematic reviews and randomized controlled trials (RCTs) published from October 1, 2016, through January 16, 2025.

系统性回顾包括了从2016年10月1日至2025年1月16日发表的系统性回顾和随机对照试验(RCTs)。

Results

The systematic reviewidentified 73 publications (54 systematic reviews and 19 RCTs).

系统综述共识别出73篇出版物（54篇系统综述和19项随机对照试验）。

Included studies varied with respect to setting and the interventions and outcomes evaluated.

纳入的研究在设置、干预措施和评估的结局方面存在差异。

Recommendations were developed using a formal consensus process.

建议是通过正式的共识过程制定的。

Draft recommendations underwent two rounds of consensus voting before being finalized.

初稿建议在最终确定前经过了两轮共识投票。

recommendations

Recommendations address core communication skills and tasks that apply across the continuum of cancer care, as well as specific topics such as discussion of goals of care and prognosis, treatment selection, end-of-life care, facilitating involvement of the patient's support network, and clinician training in communication skills.

建议涵盖了癌症护理全过程中适用的核心沟通技巧和任务，以及特定主题，例如讨论护理目标和预后、治疗选择、临终关怀、促进患者支持网络的参与，以及临床医生在沟通技巧方面的培训。

In addition, new topics addressed by this update include telehealth, interprofessional communication, and boundary setting.

此外，本次更新还涉及了新的主题，包括远程医疗、跨专业沟通和界限设定。

Recommendations are accompanied by suggested strategies for implementation.

建议伴随着实施策略。

Full implementation of communication best practices will require that health systems provide adequate time, training, and support for clinicians.Additional information is available at www.asco.org/supportive-care-guidelines.

全面实施沟通最佳实践将需要卫生系统为临床医生提供充足的时间、培训和支持。更多详细信息可在www.asco.org/supportive-care-guidelines查阅。