Chronic pain, health-related quality of life, and employment in working-age cancer survivors

Cox-Martin, Emily; Anderson-Mellies, Amy; Borges, Virginia F.

doi:10.1007/s11764-019-00843-0

Cited by 38 publications

(40 citation statements)

References 37 publications

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“…Due to our conservative definition of cancer-related pain, it is likely that our analysis under-reported the prevalence of pain potentially related to cancer or its treatment. These values (∼4-10%) were slightly lower than those reported in a survey of working-age female cancer survivors, 17% of whom reported cancer-related pain, with or without analgesics or treatment, in response to a question that assessed the presence of pain related to the patient's cancer or cancer treatment [25]. Documenting the absolute prevalence of cancer-related pain was not possible in this analysis, and data on AEs reported during the ATAC study have been previously reported [17,18].…”

Section: Discussioncontrasting

confidence: 58%

Oral Analgesic Use in Postmenopausal Women After Curative Breast Cancer Treatment: Post Hoc Analysis of the ATAC Trial

Datto

Johansen

Leon‐Casasola

2020

Breast Cancer Manag.

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Aim: To evaluate analgesic use and associated conditions in postmenopausal women who had undergone curative breast cancer treatment. Materials & methods: This post hoc analysis used the Arimidex, Tamoxifen, Alone or in Combination (ATAC) trial database, which included patient reports of concomitant medications and associated indications during follow-up. Results: Of 3434 women with eligible concomitant medication data, 71.8% reported oral analgesic use. Of 2321 patients using analgesics ≥30 days, 47.9% reported opioid use. Musculoskeletal pain was the most common indication for oral analgesic use. Of patients using opioids, 28.1% reported concomitant laxative use. Conclusion: Approximately half of the patients reported opioid use, most commonly for noncancer (musculoskeletal) pain, suggesting that breast cancer survivors experience chronic pain that should be appropriately managed.

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Section: Discussioncontrasting

confidence: 58%

Oral Analgesic Use in Postmenopausal Women After Curative Breast Cancer Treatment: Post Hoc Analysis of the ATAC Trial

Datto

Johansen

Leon‐Casasola

2020

Breast Cancer Manag.

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“…Among those who experienced pain, the majority were female, white, non-Hispanic, married/ partnered and non-employed, with breast as the most common cancer site. As expected, cancer-related pain decreased the odds of being employed, however only in female survivors [20]. The authors suggest that that women, in particular, may benefit from interventions that target persistent cancer-related pain.…”

Section: Cognitive Functioning and Painsupporting

confidence: 51%

“…In a cross-sectional study focusing on pain, Cox-Martin et al [20] reported on 1702 heterogeneous cancer survivors posttreatment of which 32% were breast cancer survivors. The authors indicated that nearly 17% of the working-age cancer survivors reported cancer-related pain.…”

Section: Cognitive Functioning and Painmentioning

confidence: 99%

Introduction to special section on: current topics in cancer survivorship and work

et al. 2020

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Work is a key contributor to quality of life and an important aspect of cancer survivorship. We call attention to current topics in cancer survivorship and work with 12 articles on cancer survivorship and work in this special section. The focus is on less studied diagnostic groups such as gastrointestinal cancer and prostate cancer, and on long-term effects of cancer diagnosis and treatment on work. Furthermore, studies are included on topics not generally studied including cognitive limitations and pain, the role of the employer on work outcomes among different types of cancer survivors and some countries not typically covered in the existing literature on work and cancer survivorship. We conclude that to improve sustainable work participation in cancer survivors, personalised, tailored interventions should be provided. A prerequisite for this is the identification of groups and individuals at high risk for adverse work outcomes. In order to develop such interventions, research involving new approaches such as matching data registries, participatory approaches and the involvement of many stakeholders and survivors with these different types of cancer diagnoses is necessary. Implications for Cancer Survivors The goal of sustainable work participation in cancer survivors can be improved by the delivery of a personalised or risk-based tailored intervention. Furthermore, successful work outcomes often involve many stakeholders who should all be included Implications for Cancer Survivors. The goal of sustainable work participation in cancer survivors can be improved by the delivery of a personalised or risk-based tailored intervention. Furthermore, successful work outcomes often involve many stakeholders who should all be included.

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“…Despite reports of breast pain affecting their sleep, work and sexual activity, obtaining breast pain information during a routine visit may not be seen as a priority for either the clinician or patient. Whereas in a survivorship group setting, discussions are commonly center around quality of life issues, suggesting that part of why people are in the group is because they want to share these concerns 22 .…”

Section: Summary Of Findingsmentioning

confidence: 99%

Breast pain in a diverse population of breast cancer patients

Fukui

Bantum

Meister

et al. 2020

Preprint

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Abstract Background Breast cancer is the most common cancer in women. The majority of women with breast cancer present with early stage disease requiring surgical management. Post-operative breast pain has been reported to be anywhere from 25–60%. Racial disparities in cancer treatment-related symptom burden are known and linked to worse treatment outcomes. There is sparse data regarding racial/ethnic differences in breast pain among breast cancer patients. We evaluated the prevalence of breast pain in breast cancer patients and characterized the pain using a modified short-form McGill pain questionnaire in our diverse population. Methods We performed a cross sectional study, including 237 patients from various outpatient oncology clinics and breast cancer survivorship groups on Oahu and Maui. Participants had the option to complete the survey in person at the clinic or online. Results Eight-four respondents (35.4%) reported breast pain. There were no statistical differences seen in breast pain likelihood according to racial/ethnic group. On multivariate analysis, we did however find significant racial/ethnic differences in the amount of breast pain, where Chinese, Native Hawaiian and Mixed Asian participants reported significantly less pain compared to White participants (1.36, 2.16 and 2.22 vs 2.92, p = < 0.0001, 0.03 and 0.05) on a 10-point pain scale. We found differences in breast pain according to age, chemotherapy, radiation therapy and endocrine therapy use as well as survey location. No differences were seen according to the type of breast or axillary surgery. The most common descriptors of breast pain were sensory compared to affective characteristics. The average self-reported pain score found was 3/10. Overall, in women with breast pain, 33.4% reported the breast pain affected their sleep with 16.7% reporting it affected their work and 15.4% reporting it affected their sexual activity. Conclusions Breast pain is a significant problem in our breast cancer community. This survey assessment has informed our understanding of breast pain in our diverse population. In turn we are developing culturally appropriate pain management strategies to treat this challenging symptom common in breast cancer survivors.

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Chronic pain, health-related quality of life, and employment in working-age cancer survivors

Cited by 38 publications

References 37 publications

Oral Analgesic Use in Postmenopausal Women After Curative Breast Cancer Treatment: Post Hoc Analysis of the ATAC Trial

Oral Analgesic Use in Postmenopausal Women After Curative Breast Cancer Treatment: Post Hoc Analysis of the ATAC Trial

Introduction to special section on: current topics in cancer survivorship and work

Breast pain in a diverse population of breast cancer patients

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