支持性护理临床实践指南 (CPG) 有助于将最佳现有证据纳入儿科癌症护理中。我们旨在评估儿童肿瘤学组 (COG) 支持性护理指南工作组的工作对机构支持性护理实践的影响。向 209 个 COG 站点的代表分发了一项在线调查，以评估 COG 的认知度、使用情况和帮助性- 认可支持性护理 CPG。还评估了当前 COG 认可的 CPG 涉及的 13 个主题的机构政策的可用性。受访者描述了他们制定支持性护理政策的制度流程。来自 92 个 COG 地点的代表对调查做出了回应，78% (72/92) 的代表“非常了解”COG 认可的支持性护理 CPG。平均而言，站点的政策涉及七个 COG 认可的支持性护理 CPG 主题（中位数 = 7，范围：0-12）。只有 45% (41/92) 的机构报告拥有制定支持性护理政策的制度流程。其中，大多数（76%，31/41）表示 COG 认可的 CPG 对政策制定具有中度或较大影响。与没有支持性护理政策制定流程的网站相比，拥有既定流程的网站拥有更多与当前 COG 认可的 CPG 主题一致的主题政策（平均值 = 6.6，范围：0-12 与平均值 = 7.9，范围：2- 12；p = 0.027）。大多数现场受访者都了解 COG 认可的支持性护理 CPG。调查中不到一半的 COG 站点制定了实施支持性护理政策的流程。需要改进当地实施，以确保 COG 站点的患者获得循证支持性护理。© 2024 Wiley periodicals LLC。

Supportive care clinical practice guidelines (CPGs) facilitate the incorporation of the best available evidence into pediatric cancer care. We aimed to assess the impact of the work of the Children's Oncology Group (COG) Supportive Care Guideline Task Force on institutional supportive care practices.An online survey was distributed to representatives at 209 COG sites to assess the awareness, use, and helpfulness of COG-endorsed supportive care CPGs. Availability of institutional policies regarding 13 topics addressed by current COG-endorsed CPGs was also assessed. Respondents described their institutional processes for developing supportive care policies.Representatives from 92 COG sites responded to the survey, and 78% (72/92) were "very aware" of the COG-endorsed supportive care CPGs. On average, sites had policies that addressed seven COG-endorsed supportive care CPG topics (median = 7, range: 0-12). Only 45% (41/92) of sites reported having institutional processes for developing supportive care policies. Of these, most (76%, 31/41) reported that the COG-endorsed CPGs have a medium or large impact on policy development. Compared with sites without processes for supportive care policy development, sites with established processes had policies on a greater number of topics aligned with current COG-endorsed CPG topics (mean = 6.6, range: 0-12 vs mean = 7.9, range: 2-12; p = 0.027).Most site respondents were aware of the COG-endorsed supportive care CPGs. Less than half of the COG sites represented in the survey have processes in place to implement supportive care policies. Improvement in local implementation is required to ensure that patients at COG sites receive evidence-based supportive care.© 2024 Wiley Periodicals LLC.