Cancer Pain Management Education Rectifies Patients’ Misconceptions of Cancer Pain, Reduces Pain, and Improves Quality of Life

Koh, Su‐Jin; Keam, Bhumsuk; Hyun, Min Kyung; Seo, Jae‐Hyun; Park, Keon Uk; Oh, Sung Yong; Ahn, Jin‐Seok; Lee, Ja Youn; Kim, JinShil

doi:10.1093/pm/pny039

Cited by 25 publications

(29 citation statements)

References 31 publications

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“…Although BTcP and its proper management have been widely researched, evidence shows that it is still managed suboptimally [4][5][6][16][17][18]. The aim of this study was to establish consensus on the barriers present in Spanish clinical practice for BTcP management, and to suggest recommendations to address them.…”

Section: Discussionmentioning

confidence: 99%

“…BTcP is a heterogeneous pain [5], that can be related to multiple causes. It can be a consequence of neoplasm (70%-80%) or a result of anticancer treatment (10%-20%) [1,6].…”

Section: Introductionmentioning

confidence: 99%

“…In less than 10% of all cases, the pain is not related to either the malignant disease or its treatment [6]. This variability complicates its diagnosis and treatment [4,5,7].…”

Section: Introductionmentioning

confidence: 99%

“…BTcP is a major indicator of poor clinical outcome and lower effi cacy of opioid treatment [4]. Moreover, it promotes functional deterioration and has a negative impact on Quality of Life (QoL) [5] and bears a signifi cant physical, psychological and economic burden [9]. Therefore, BTcP should be adequately identifi ed and treated (along with anti neoplastic treatment) to minimize the intensity and severity of the episodes and to lessen the impact on patients' QoL [1].…”

Section: Introductionmentioning

confidence: 99%

“…Various evidence suggests that it is often managed suboptimally [4]. Several barriers that prevent proper BTcP management have been identifi ed [1], which arise from healthcare professionals, patients themselves and healthcare settings [5]. Even so, diagnostic and therapeutic inertia makes it necessary to identify more barriers and fi nd solutions to eliminate the defi ciencies or problems detected in BTcP management.…”

Section: Introductionmentioning

confidence: 99%

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Breakthrough cancer pain: A delphi consensus study on expert recommendations for barriers that prevent the proper management of BTcP in Spain

Álvarez¹,

Espinosa²,

Salcedo³

et al. 2020

Open J Pain Med

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Background: The management of Breakthrough cancer Pain (BTcP) remains unsatisfactory. Although many barriers to BTcP management have been identifi ed, oncologists have not been able to overcome them. The aim of this study is to identify the barriers preventing proper BTcP management that Spanish medical oncologists have found, and to reach a consensus in order to draft the appropriate recommendations to overcome them. Methods: This study is based on two surveys conducted by oncologists. The fi rst survey was designed to reach a consensus on the main barriers (related to patients, physicians and healthcare organizations) that stand in the way of BTcP control. The second survey (a Delphi questionnaire) was based on the barriers evaluated in the fi rst survey, including recommendations assessed using the two-round Delphi methodology. Results: The identifi cation of the main barriers to BTcP management to be assessed showed a high consensus regarding the need for greater involvement from health organizations. Eighty-eight experienced oncologists evaluated the proposed recommendations. A consensus was reached on 93% of these recommendations, always in terms of agreement. Only three recommendations did not reach a consensus, one in each block of barriers (patients, physicians and healthcare organizations). Conclusion: Showing a high degree of consensus, the results of this study refl ect that there are overworked medical oncologists, which results in more time and training being taken away from proper BTcP management. Although oncologists considered cancer pain management to be suitable in oncologist consultations, they also revealed that more support and resources are necessary in order to improve BTcP control.

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Section: Discussionmentioning

confidence: 99%

“…BTcP is a heterogeneous pain [5], that can be related to multiple causes. It can be a consequence of neoplasm (70%-80%) or a result of anticancer treatment (10%-20%) [1,6].…”

Section: Introductionmentioning

confidence: 99%

“…In less than 10% of all cases, the pain is not related to either the malignant disease or its treatment [6]. This variability complicates its diagnosis and treatment [4,5,7].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Breakthrough cancer pain: A delphi consensus study on expert recommendations for barriers that prevent the proper management of BTcP in Spain

Álvarez¹,

Espinosa²,

Salcedo³

et al. 2020

Open J Pain Med

View full text Add to dashboard Cite

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The Role of Pain Catastrophizing, Emotional Intelligence, and Pain Intensity in the Quality of Life of Cancer Patients with Chronic Pain

Anagnostopoulos

Paraponiari

Kafetsios

2022

J Clin Psychol Med Settings

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Pain catastrophizing (PC) is a negative cognitive distortion to actual or anticipated pain. This study aims to investigate the relationship between pain catastrophizing, emotional intelligence, pain intensity, and quality of life (QoL) in cancer patients with chronic pain. Eighty-nine outpatients with chronic pain attending pain clinics and palliative care units were recruited. Participants were men (42.7%) and women (57.3%) with an average age of 56.44 years (SD = 14.82). Self-report psychological measures were completed, including a measure of emotional intelligence, a standard measure of PC, a scale assessing pain intensity, and a scale measuring QoL. The PC scale was found to assess three correlated yet different dimensions of pain catastrophizing (helplessness, magnification, and rumination). Moreover, as expected, patients with PC scale scores ≥ 30 had lower scores in functional QoL dimensions and higher scores in the fatigue, pain, and insomnia symptom dimensions. Regression analyses demonstrated that PC (B = − 0.391, p = 0.004), pain intensity (B = − 1.133, p < 0.001), and education (B = 2.915, p = 0.017) remained the only significant variables related to QoL, when controlling for demographic and clinical confounders. Regarding mediating effects, PC and pain intensity were jointly found to be significant mediators in the relationship between emotional intelligence and QoL. Results are discussed in the context of the clinical implications regarding interventions designed to improve cancer patients’ quality of life and offer new insight, understanding, and evaluation targets in the field of pain management.

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Development of a nurse navigation program for cancer pain

Yoo,

Suh,

Jang

et al. 2024

Asia-Pacific Journal of Oncology Nursing

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Cancer Pain Management Education Rectifies Patients’ Misconceptions of Cancer Pain, Reduces Pain, and Improves Quality of Life

Abstract: The present educational intervention was effective in encouraging short-acting analgesic use for breakthrough pain, improving quality of life outcomes, and rectifying patients' misconceptions about analgesic use.

Cited by 25 publications

References 31 publications

Breakthrough cancer pain: A delphi consensus study on expert recommendations for barriers that prevent the proper management of BTcP in Spain

Breakthrough cancer pain: A delphi consensus study on expert recommendations for barriers that prevent the proper management of BTcP in Spain

The Role of Pain Catastrophizing, Emotional Intelligence, and Pain Intensity in the Quality of Life of Cancer Patients with Chronic Pain

Development of a nurse navigation program for cancer pain

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