scholarly journals Current management of cancer pain in Italy: Expert opinion paper

Open Medicine ◽  
2021 ◽  
Vol 17 (1) ◽  
pp. 34-45
Author(s):  
Franco Marinangeli ◽  
Annalisa Saetta ◽  
Antonio Lugini
Keyword(s):  
Cancer Pain ◽  
Expert Opinion ◽  
Multidisciplinary Approach ◽  
Cancer Pain Management ◽  
Current Management ◽  
High Prevalence ◽  
Assessment And Treatment ◽  
Cancer Types ◽  
Multidisciplinary Perspective ◽  
Personalised Therapy

Abstract Introduction Chronic pain and breakthrough cancer pain (BTcP) have a high prevalence in all cancer types and cancer stages, combined with a significant physical, psychological, and economic burden. Despite efforts to improve appropriate management of cancer pain, a poor assessment and guilty undertreatment are still reported in many countries. The purpose of this expert opinion paper is to contribute to reduce and clarify these issues with a multidisciplinary perspective in order to share virtuous paths of care. Methods Common questions about cancer pain assessment and treatment were submitted to a multidisciplinary pool of Italian clinicians and the results were subsequently discussed and compared with the findings of the published literature. Conclusion Despite a dedicated law in Italy and effective treatments available, a low percentage of specialists assess pain and BTcP, defining the intensity with validated tools. Moreover, in accordance with the findings of the literature in many countries, the undertreatment of cancer pain is still prevalent. A multidisciplinary approach, more training programs for clinicians, personalised therapy drug formulations, and virtuous care pathways will be essential to improve cancer pain management.

Assessment of adequacy of pain management in advance cancer patients.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. e283-e287
Author(s):  
Harminder Singh ◽  
Raja Banipal
Keyword(s):  
Pain Management ◽  
Cancer Pain ◽  
Dose Titration ◽  
Cancer Type ◽  
Cancer Pain Management ◽  
Patients With Cancer ◽  
Pain Management Index ◽  
Cancer Types ◽  
New Formulation

e283 Background: Cancer prevalence in India is estimated around 2.0-2.5 million, 0.7- 0.8 million new cases identified every year, and cancer deaths reported per year is 0.4-0.5 Million. The objective of this study was to estimation of the prevalence of inadequate cancer pain management in patients with advanced cancer. Methods: Adequacy of pain management, that is Pain Management Index calculated for each patient. It is simple indexes which usually indicate a connection of the reported level of pain to the potency of the analgesics prescribed Results: 211 patients were recruited with most prevalent cancer type was genitourinary, diagnosed in 28.7% patients, followed by breast cancer 23.1% and head & neck cancer 20.3%. Among 211 patients with cancer, 76.85% patients had inadequate pain management and 23.14% had better control of pain. Association of inadequacy of pain were done with age, gender, occupation, family history, duration and cancer types, signification relation was observed with age group and analgesic use. (See table.) Conclusions: Our inadequate pain management prevalence rate of about 78% was far too high so this study will highlight the importance of true status of cancer pain management. It also emphasized that systematic recording of pain intensity and follow up further enhance the entire pain management mechanism including dose titration to change of new formulation. [Table: see text]

scholarly journals Pain Control in Head and Neck Cancer

2011 ◽  
Vol 3 (2) ◽  
pp. 84-87 ◽  
Author(s):  
Motassim Alroosan ◽  
Afaf Alroosan
Keyword(s):  
Head And Neck Cancer ◽  
Cancer Pain ◽  
Head And Neck ◽  
Neck Cancer ◽  
Performance Status ◽  
World Health ◽  
Analgesic Drugs ◽  
Patients With Cancer ◽  
High Prevalence ◽  
Assessment And Treatment

ABSTRACT Objective To describe the treatment of head and neck cancer pain in KHMC and to evaluate the predictive factors for inadequate management between April 2007 and March 2010. Subjects Twenty-five patients with head and neck cancer. Main measures Patients rated prevalence and severity of pain and functional impairment related to pain. Doctors reported patients’ cancer characteristic, performance status, pain severity, and analgesic drugs ordered. Results 57% (14/25) of patients with cancer reported pain due to their disease, and, of those with pain, 69% (9/13) rated their worst pain at a level that impaired their ability to function. 30% (5/12) were reported as receiving no drugs for their pain. Of the 18 patients in pain for whom information on treatment was available 51% (41/18) were not receiving adequate pain reliefs, according to an index based on the World Health Organization's guidelines. Doctors were found to underestimate the severity of their patients’ pain. Younger patients, patients without metastasis disease, patients with a better performance status, and patients who rated their pain as more severe than their doctors did were at greater risk for under treatment of their pain. Conclusion In the light of the high prevalence and the severity of pain among patients with head and neck cancer, the assessment and treatment of cancer pain was inadequate, emphasizing the need for changes in patient care.

scholarly journals Cancer pain management: Implications for psychologists

2016 ◽  
Vol 5 (1) ◽  
pp. 61-79
Author(s):  
Stacy Ogbeide ◽  
Arissa Fitch-Martin
Keyword(s):  
Pain Management ◽  
Cancer Pain ◽  
Multidisciplinary Approach ◽  
Psychosocial Assessment ◽  
Cancer Pain Management ◽  
Pain Experience ◽  
Behavioural Interventions ◽  
Patients With Cancer ◽  
Pain Syndromes ◽  
Search Terms

AimPain is a common and a complex experience among patients with cancer. The purpose of this review is to provide a rational for a psychologist’s role in cancer pain management and a guide for doing so based on an examination of the current cancer pain literature.MethodA literature review was conducted using the search terms: “cancer pain” AND “nonpharmacological interventions”, “cancer pain”, and “pain management” AND “cancer pain”. Peer-reviewed articles (published between 2000-2015) in which the authors had access to the full-linked text, books, and websites were included.ResultsA total of 451 hits were returned of which 53 were relevant and considered for this review. These were then organized into the following topics: complex cancer pain syndromes, current cancer physiological therapies, the multifactorial model of cancer pain, psychosocial assessment and interventions, barriers to treatment, and clinical implications that impact the future of behavioural interventions as part of cancer treatment.ConclusionEach patient with cancer has a unique pain experience that is shaped by biopsychosocial factors. Because of this, using a multidimensional and multidisciplinary approach is needed to optimize treatment outcomes. To maximize their role, psychologists need to help facilitate this process and to address any attitude and/or knowledge shortcomings they may have.

scholarly journals The Effectiveness of Cancer Pain Management in a Tertiary Hospital Outpatient Pain Clinic in Thailand: A Prospective Observational Study

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Suratsawadee Wangnamthip ◽  
Skaorat Panchoowong ◽  
Carolina Donado ◽  
Kimberly Lobo ◽  
Pimporn Phankhongsap ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Pain Management ◽  
Side Effects ◽  
Cancer Pain ◽  
Multidisciplinary Approach ◽  
Assessment System ◽  
Pain Clinic ◽  
Cancer Pain Management ◽  
Pain Care ◽  
Analgesic Use

Context. In a previous retrospective study, cancer pain management was effective in 47.5% of a cohort assessed after 3 months in a pain clinic at Siriraj Hospital. New guidelines were established, including a multidisciplinary approach, availability of pain interventions, and palliative care referral. Objectives. The objective was to examine the effectiveness of the updated approach. Methods. With IRB approval, outpatients with cancer were enrolled from January to December 2018. Assessments were recorded at baseline and three consecutive visits (BL, FU1, FU2, and FU3), including Numerical Rating Scale (NRS), the Brief Pain Inventory (BPI), the Edmonton Symptom Assessment System (ESAS), side effects, and analgesic use. The primary outcome was a favorable response, defined as an NRS decrease more than 30% or NRS <4. Secondary outcomes included trends over time in BPI, ESAS, side effects, and analgesic use. Pain response predictors at FU3 were analyzed using logistic regression. Results. Among 150 patients, 72 (48%) completed follow-ups. Of these, 61% achieved a favorable response at FU3. Pain interference diminished at all visits relative to baseline ( p < 0.05 ). Median morphine equivalent daily dosage (MEDD) at BL was 20 mg/day, with a statistically significant, but clinically modest increase to 26.4 mg/day at FU3. Radiation therapy during pain care was a predictor of pain responders. Conclusion. The current Siriraj multidisciplinary approach provided effective relief of pain and stabilization of other cancer-related symptoms. Radiation therapy during pain care can be used to predict pain outcomes. Ongoing improvement domains were identified and considered in the context of cultural, economic, and geographic factors.

Cancer pain management

2014 ◽  
Vol 155 (3) ◽  
pp. 93-99
Author(s):  
Péter Heigl
Keyword(s):  
Quality Of Life ◽  
Pain Management ◽  
Pain Relief ◽  
Life Expectancy ◽  
Cancer Pain ◽  
Cancer Pain Management ◽  
Medical Activity ◽  
Short Summary ◽  
Adequate Quality

Pain is a significant and alarming symptom of cancer seriously affecting the activity and quality of life of patients. Recent research proved that inadequate analgesia shortens life expectancy. Therefore, pain relief is not only a possibility but a professional, ethical and moral commitment to relieve patients from suffering, as well as ensure their adequate quality of life and human dignity. Proper pain relief can be achieved with medical therapy in most of the cases and the pharmacological alternatives are available in Hungary. Yet medical activity regarding pain relief is far from the desired. This paper gives a short summary of the guidelines on medical pain management focusing particularly on the use of opioids. Orv. Hetil., 2014, 155(3), 93–99.

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