由于缺乏临床管理指南，医疗保健专业人员对癌症相关认知障碍（CRCI）的关注度不够。这项欧洲德尔菲研究向医疗保健专业人员提出了治疗非中枢神经系统 (non-CNS) 癌症患者的 CRCI 的建议。根据文献综述和作者的临床经验制定了 22 条建议，分为三类：筛查、认知评估、干预。此次调查包括欧洲专业人士、CRCI专家。采用德尔菲法：专家采用 9 点李克特量表分三轮对建议的临床相关性进行评分。如果所有票数在 7 到 9 之间，则建议被接受。在第 1 轮和第 2 轮中未接受的建议将被删除，或在第 3 轮中进行修改和评级。18 名专业人士（心理学家、医生、研究人员）投票并接受了 15 条建议。专家建议对 CRCI 进行系统筛查，如果对投诉进行筛查，则进行简短的客观认知评估。如果治疗后 6 个月 CRCI 持续存在，建议进行全面评估。应提供认知康复、身体活动、冥想运动疗法和多模式干预。关于干预措施的频率和持续时间、实施认知康复的专业人员以及在没有心理教育的情况下使用冥想和认知训练的建议均未被接受。这项调查提供了 15 条建议，以帮助医疗保健专业人员检测、评估和提供 CRCI 干预措施。这些建议应纳入支持性护理，以帮助医疗保健专业人员检测 CRCI 并为有认知障碍的患者提出最佳的干预措施。在临床环境中开展 CRCI 管理将改善患者的生活质量。© 2023。作者。

Cancer-related cognitive impairment (CRCI) is under-addressed by healthcare professionals owing to a lack of clinical management guidelines. This European Delphi study proposes recommendations to healthcare professionals for the management of CRCI in patients with non-central nervous system (non-CNS) cancers.Twenty-two recommendations were developed based on a literature review and authors' clinical experience, split into three categories: screening, cognitive assessment, intervention. The survey included European professionals, experts in CRCI. The Delphi method was used: experts rated the clinical relevancy of recommendations on a 9-point Likert scale in three rounds. A recommendation was accepted if all votes were between 7 and 9. Recommendations not accepted in round 1 and round 2 were deleted, or modified and rated in round 3.Eighteen professionals (psychologists, physicians, researchers) voted and accepted 15 recommendations. Experts recommended the systematic screening of CRCI, followed by a short objective cognitive assessment, if complaints screened. A comprehensive evaluation is recommended if CRCI persists 6 months post-treatment. Cognitive rehabilitation, physical activity, meditative-movement therapy, and multimodal intervention should be offered. Recommendations about frequency and duration of interventions, the professional to administer cognitive rehabilitation and the use of meditation and cognitive training without psychoeducation were not accepted.This survey provides 15 recommendations to assist healthcare professionals in detecting, assessing and offering interventions for CRCI.These recommendations should be included in supportive care to help healthcare professionals to detect CRCI and propose the best available intervention for patients with cognitive complaints. Developing CRCI management in clinical settings would improve patients' quality of life.© 2023. The Author(s).