scholarly journals Spiritual interventions for cancer pain: a systematic review and narrative synthesis

2021 ◽  
pp. bmjspcare-2021-003102
Author(s):  
Thomas Hindmarch ◽  
James Dalrymple ◽  
Matthew Smith ◽  
Stephen Barclay
Keyword(s):  
Cancer Pain ◽  
Spiritual Care ◽  
Research Quality ◽  
Weight Of Evidence ◽  
Current Evidence ◽  
Narrative Synthesis ◽  
High Quality Research ◽  
Patients With Cancer ◽  
Spiritual Interventions ◽  
Additional Reference

BackgroundPain is a common and debilitating cancer-related symptom. In palliative care, physical, psychological, social and spiritual factors are thought to contribute to individual experience of pain. Consequently, spiritual care interventions are advocated in the management of cancer-related pain.AimTo systematically review the published literature concerning spiritual interventions in the management of cancer-related pain.MethodologySeven databases (Medline, CINAHL, EMBASE, PsycINFO, Cochrane, Scopus and Web of Science) were searched for quantitative studies of pain in patients with cancer receiving spiritual care interventions, with additional reference and citation searches. Research quality and relevance was appraised using Gough’s ‘Weight of Evidence’ framework prior to narrative synthesis.ResultsThe search identified 12 822 articles, of which 11 were included in the synthesis. Few studies have investigated spiritual interventions in the management of cancer pain: a minority of these demonstrate statistical benefit. Some evidence suggests spiritual care may aid in coping with pain, rather than altering pain intensity. Spiritual interventions are well received by patients with cancer and do not appear to cause harm.ConclusionCurrent evidence provides limited support for the use of spiritual care interventions in the management of cancer pain. The paucity and heterogeneity of literature points to a need for high-quality research with judgements of spiritual intervention efficacy made on an individual basis.PROSPERO registration numberCRD42020190194.

scholarly journals Acupuncture for palliative cancer pain management: systematic review

2021 ◽  
pp. bmjspcare-2020-002638
Author(s):  
Juan Yang ◽  
Dietlind L Wahner-Roedler ◽  
Xuan Zhou ◽  
Lesley A Johnson ◽  
Alex Do ◽  
...  
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Pain Management ◽  
Cancer Pain ◽  
Included Study ◽  
Favourable Effect ◽  
Levels Of Evidence ◽  
Patients With Cancer ◽  
Level 3 ◽  
Randomised Controlled

BackgroundPain is one of the most common and problematic symptoms encountered by patients with cancer. Due to the multifactorial aetiology, pain management of these patients frequently requires multidisciplinary interventions including conventional support and specialty palliative care. Acupuncture has been identified as a possible adjunctive therapy for symptom management in cancer pain, and there is currently no systematic review focused solely on the evidence of acupuncture on cancer pain in palliative care.ObjectiveTo critically analyse currently available publications regarding the use of acupuncture for pain management among patients with cancer in palliative care settings.MethodsMultiple academic databases were searched from inception to 29 October 2020. Randomised controlled trials involving acupuncture in palliative care for treatment of cancer-related pain were synthesised. Data were extracted by two independent reviewers, and methodological quality of each included study was assessed using the Oxford Centre for Evidence-Based Medicine (OCEBM) 2011 Levels of Evidence.ResultsFive studies (n=189) were included in this systematic review. Results indicated a favourable effect of acupuncture on pain relief in palliative care for patients with cancer. According to OCEBM 2011 Levels of Evidence, they were level 2 in one case (20%), level 3 in two cases (40%) and level 4 in the remaining (40%). Low-level evidence adversely affects the reliability of findings.ConclusionsAcupuncture may be an effective and safe treatment associated with pain reduction in the palliative care of patients with cancer. Further high-quality, adequately powered studies are needed in the future.

Pain and Symptom Management in Palliative Care

1996 ◽  
Vol 3 (3) ◽  
pp. 204-213 ◽  
Author(s):  
Carla Ripamonti ◽  
Eduardo Bruera
Keyword(s):  
Palliative Care ◽  
Cancer Pain ◽  
Control Strategy ◽  
Symptom Management ◽  
Pain Control ◽  
Advanced Disease ◽  
Patients With Cancer ◽  
Pharmacologic Management

Background Pain, dyspnea, and anorexia are common symptoms experienced by patients with cancer and often are poorly managed. Methods The incidence and causes of these symptoms are described, as well as factors that exacerbate or ameliorate their impact. Results Pharmacologic management of cancer pain is based on the use of a sequential “ladder” that incorporates nonopioid, opioid, and adjuvant drugs, depending on the severity of the pain. This approach usually is effective. Other symptoms of advanced disease may be more difficult to control. Conclusions Adherence to an adequate pain-control strategy will significantly enhance palliation of pain in patients with cancer.

scholarly journals Evaluation of the 2.5 mg Fentanyl Patch, Applied Using the Half-side Application Procedure in Patients with Cancer Pain

2008 ◽  
Vol 128 (3) ◽  
pp. 447-450 ◽  
Author(s):  
Hideya KOKUBUN ◽  
Motohiro MATOBA ◽  
Miyoko OKAZAKI ◽  
Sumio HOKA ◽  
Kazuo YAGO
Keyword(s):  
Cancer Pain ◽  
Fentanyl Patch ◽  
Patients With Cancer ◽  
Application Procedure

Bacterial meningitis due to infection of a lumbar drug release system in patients with cancer pain

Pain ◽  
1986 ◽  
Vol 25 (1) ◽  
pp. 75-77 ◽  
Author(s):  
P. Schoeffler ◽  
E. Pichard ◽  
R. Ramboatiana ◽  
D. Joyon ◽  
J. P. Haberer
Keyword(s):  
Drug Release ◽  
Bacterial Meningitis ◽  
Cancer Pain ◽  
Release System ◽  
Patients With Cancer ◽  
Drug Release System
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