Abordagem da hiperidrose paraneoplásica em cuidados paliativos: revisão de literatura
DOI:
https://doi.org/10.31877/on.2023.47.01Palavras-chave:
Hipersudorese, Hiperidrose, Cuidados paliativos, Medicina paliativa, Cuidados de confortoResumo
Introdução: Com este artigo pretende-se rever a atual evidência científica existente acerca da abordagem da hiperidrose paraneoplásica em doentes em cuidados paliativos.
Métodos: A pesquisa foi realizada na MEDLINE/Pubmed®, Cochrane, DARE®, BMJ EBM®, NICE®, CMAJ® e Bandolier, utilizando-se os termos MeSH “Sweating”, “Hyperhidrosis”, “Palliative Care” e “Palliative Medicine”. Para avaliar a qualidade dos estudos incluídos recorreu-se à escala de Oxford.
Resultados: Nesta revisão foram incluídos 13 artigos sobre a abordagem da hiperidrose paraneoplásica. As intervenções avaliadas nestes estudos incluíram o uso de tioridazina, talidomida, olanzapina, gabapentina, canabinóides, acupunctura e fitoterapia chinesa. Os resultados encontrados foram heterogéneos e, apesar de na sua generalidade parecerem mostrar vantagens no controlo da hiperidrose paraneoplásica em doentes sob cuidados paliativos, não existe evidência robusta que comprove o benefício inequívoco de uma abordagem em relação a outra.
Conclusão: A evidência atual sobre a abordagem terapêutica da hiperidrose paraneoplásica em cuidados paliativos é de qualidade fraca (Nível de evidência 4; Força de recomendação C).
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Direitos de Autor (c) 2023 Sandra Ribeiro, Sara Inês Sousa, Sara Ferreira , Michael Luis
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição-NãoComercial-CompartilhaIgual 4.0.
