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Evidence Based Practice Clinical Guideline Review

Evidence Based Practice Recommendations to Prevent/Manage Post Lumbar Puncture Headaches in Pediatric Patients Receiving Intrathecal Chemotherapy

Author(s): Rebecca Rusch, MSN RN APNP; Christina Schulta, MS RN APNP; Laura Hughes, MSN RN and Janice S. Withycombe, PhD RN MN CCRP

Date of publication: 2014

Citation: Journal of Pediatric Oncology Nursing, 2014, Vol 31 (4). pp. 230-238

Date of Review: May 10, 2018

Method of Review: A subcommittee of the Evidence Based Practice and Research Committee of the Association of Pediatric Hematology/Oncology Nurses conducted a group review of the clinical recommendations using the AGREE II criteria1. The committee had an overall assessment of approval for endorsement.

Review Summary: These clinical recommendations are the result of a rigorous review of literature, and are clearly presented. However, the recommendations are based on the general pediatric population and may not strictly apply to the specific issues involved in the care of the pediatric oncology population. The authors have cited this as a limitation due to the lack of studies that specifically address Post Lumbar Puncture Headache (PLPH) in children and adolescents with cancer. In spite of the limitations, the evidence is of utmost importance for pediatric oncology nurses. No other guidelines or recommendations for post lumbar puncture headache care are available for pediatric oncology nursing practice. It is clear that further research is needed.

Recommendation for use: Strongly recommend for endorsement

Disclaimer: These are not Evidence Based Practice (EBP) guidelines but are a systematic review of literature with EBP recommendations. Not all components of the AGEE II review instrument are met. The instrument is designed specifically for guideline review. The AGREE II instrument does allow for an objective assessment of quality. The EBP/Nursing Research Committee agrees that the value of these pediatric oncology EBP recommendations merit their posting on the APHON website.

1AGREE Next Steps Consortium (2009). The AGREE II Instrument [Electronic version]. Retrieved May, 2018, from www.agreetrust.org

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