• Takashi Yamaguchi, Sho Goya, Hiroyuki Kohara, Hiroaki Watanabe, Masanori Mori, Yoshinobu Matsuda, Yoichi Nakamura, Akihiro Sakashita, Tomohiro Nishi, and Keiko Tanaka.
• 1 Department of Palliative Medicine, Kobe University Graduate School of Medicine , Kobe, Japan .
• J Palliat Med. 2016 Sep 1; 19 (9): 925-35.

BackgroundRespiratory symptoms, dyspnea, cough, and death rattle, are common and distressing in advanced cancer patients. Palliation of respiratory symptoms is important to improve quality of life in cancer patients and their families/caregivers. Currently published clinical guidelines for the management of these respiratory symptoms in cancer patients did not cover the topics comprehensively or were not based on formal process for the development of clinical guidelines.MethodsThe Japanese Society for Palliative Medicine (JSPM) decided to develop comprehensive clinical guidelines for the management of respiratory symptoms in cancer patients following the formal guideline developing process.ResultsThis article provides a summary of the recommendations with the rationales, as well as a short summary of the developing process, of the JSPM respiratory symptom management guidelines. We established 26 recommendations and all recommendations are based on the best available evidences and expert consensus.DiscussionMore future clinical researches and continuous guideline updates are required to improve the quality of respiratory symptom management in cancer patients.

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