目的 总结乳腺癌化疗患者随访管理的最佳证据，为临床随访提供参考依据。方法 参照“ 6S ”证据模型，系统检索国内外数据库中乳腺癌化疗患者随访管理的证据，包括临床决策、指南、专家共识、证据总结及系统评价等，检索时限为建库至2023年5月。由2名研究者独立采用相应工具对纳入文献质量进行评价并提取证据。结果 共纳入19篇文献，其中临床决策2篇、指南6篇、系统评价9篇、专家共识2篇。从随访培训与原则、基础随访、随访检查项目、化疗不良反应随访、化疗并发症随访、伴随疾病随访6个方面总结了40条最佳证据。结论 总结的证据可为乳腺癌化疗期随访工作提供临床实践依据。

Objective To summarize the best evidence for the follow-up management of breast cancer patients undergoing chemotherapy，and to provide a reference basis for clinical follow-up.Methods Following the 6S evidence model，a systematic search was conducted in domestic and international databases for evidence on the follow-up management of breast cancer patients undergoing chemotherapy，including clinical decisions，guidelines，expert consensus，evidence summaries，and systematic reviews，with the search period from the inception to May 2023.Two researchers independently evaluated the quality of the included studies using the corresponding tools and extracted the evidence.Results A total of 19 studies were included，with 2 clinical decisions，6 guidelines，9 systematic reviews，and 2 expert consensuses.Forty pieces of best evidence were summarized from 6 aspects：follow-up training and principles，basic follow-up，follow-up examination items，follow-up of adverse reactions to chemotherapy，follow-up of chemotherapy complications，and follow-up of concomitant diseases.Conclusions The summarized evidence can provide clinical basis for follow-up work during chemotherapy of breast cancer.

R473.73

宁夏自然科学基金项目（2023AAC03582）；宁夏回族自治区重点研发计划项目（2022CMG03082）；复旦大学循证护理中心证据转化与临床应用项目（Fudanebn202303）