Managing Pain in the Older Cancer Patient

Finnerty, Dylan; O'Gara, Aine; Buggy, Donal J.

doi:10.1007/s11912-019-0854-7

Cited by 6 publications

(9 citation statements)

References 86 publications

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“…the study participants were 67.93 ± 9.92 years old. Aging affects the whole body and also influences the response of pain, which may also be a confounding factor in this study (10).…”

Section: Discussionmentioning

confidence: 99%

Comparison of two pain postoperative treatment methods in patients with rectal carcinoma

et al. 2020

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Adequate postoperative analgesia is a fundamental human right. The goal of this study was to determine benefits in the treatment of acute postoperative pain by additionally placing a wound catheter at the end of the operation. We have analyzed the effectiveness of postoperative pain therapy of patients who had surgery for rectal carcinoma at the University Hospital for tumours from 1st april to 30th november 2018. patients were divided into two groups according to pain therapy protocol. Each group had 30 patients. The first group of patients received intravenous multimodal analgesia. the second group received both the intravenous multimodal analgesia and additional local anesthesia through the wound catheter. We measured the pain intensity with the numerical rating scale and the amount of opioid analgesic fentanyl given to the patients. We recorded these data: when the patient came out of the operation theatre (time zero), six hours, twenty-four hours, and forty-eight hours after the surgery. Furthermore, we took registered the timing of the first postoperative bowel movements. Results showed a slightly better pain control in the second group but without statistical significance.

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“…the study participants were 67.93 ± 9.92 years old. Aging affects the whole body and also influences the response of pain, which may also be a confounding factor in this study (10).…”

Section: Discussionmentioning

confidence: 99%

Comparison of two pain postoperative treatment methods in patients with rectal carcinoma

et al. 2020

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“…It is estimated that 40-80% of chronic patients under hospice care experience significant pain, which causes physical distresses, interferes with activities of daily living, increases the risk of adverse outcomes, and impairs quality of life [19][20][21]. The prevalence of pain in adult patients increases with age and rises significantly in the over-65year-old population [22,23].…”

Section: Epidemiology Of Pain In Older Peoplementioning

confidence: 99%

“…Although not all studies included in the analysis concerned patients over 65 years of age, the fact that the vast majority of cancers occur in this population makes it possible to extrapolate the results obtained to the elderly group. In this group of patients, the coexistence of complaints related to cancer and pain resulting from associated diseases is frequent [21]. Brunello et al [25] have shown that almost half of cancer patients over 70 years of age suffer from non-cancer-related pain.…”

Section: Epidemiology Of Pain In Older Peoplementioning

confidence: 99%

“…Pain is a subjective symptom so self-reporting is the golden standard. The comprehensive assessment should include its localization, intensity, character, radiation, duration, exacerbation, and relieving factors as well as pain severity [19,21]. It is standard practice to use pain scales: single-dimensional -the simplest (Table 1) -or multidimensional in the form of complex questionnaires, serving simultaneously to assess the severity and impact of pain on different aspects of a patient's functioning.…”

Section: Assessment Of Pain Intensitymentioning

confidence: 99%

“…When pain estimation based on self-assessment is questionable or impossible, it is necessary to observe symptoms that may be suggestive of the patient's complaints (changes in mood or behaviour, changes in daily activities). Particularly useful in such patients are also the observations of caregivers who have regular contact with the patient and can most effectively observe these symptoms [20,21,28,32].…”

Section: Assessment Of Pain Intensitymentioning

confidence: 99%

See 2 more Smart Citations

Multidisciplinary management of chronic pain in elderly oncology patients

Pysz-Waberski¹,

Sadurska²,

Kędzierska-Jamróz³

et al. 2022

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Chronic pain is one of the most common and most bothersome symptoms in cancer patients, which occurs especially often in the elderly population. Although methods of pain treatment are well known, it is not uncommon for individuals with chronic or terminal illnesses to remain underdiagnosed or untreated. Effective pain management has become the measure of success in oncology therapy. For this reason, effective pain management has become an indispensable success factor of multidisciplinary oncological therapy. Along with the growing interest in the holistic approach in medicine, and hence in interdisciplinary treatment, the management of cancer pain in older patients was presented.

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Trends in strong opioid prescription for cancer patients in Japan from 2010 to 2019: an analysis with large medical claims data

Takahashi

Murakami

Oba

2022

Japanese Journal of Clinical Oncology

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Background Consumption of opioids, essential drugs for pain relief, has seen rapid growth worldwide. In Japan, where total opioid consumption still remains low among developed countries, little is known about trends in the clinical patterns of opioids in terminally ill cancer patients. Methods Patients who died of cancer from 2010 to 2019 were included in this study. Morphine, oxycodone, fentanyl, tapentadol, methadone and hydromorphone were examined as opioids for cancer pain. We calculated the prevalence of prescribed opioids prior to death by year and age group and the average opioid dose 30 days before death. Results The total number of patients was 221 598. We found that the prescription prevalence of opioids increased from 60.8 to 65.9% (5.1%). Morphine was most prescribed in 2010 but had decreased prevalence (−9.0%) during the 10-year period. Oxycodone had the highest increase in prescription prevalence (13.7%), and fentanyl prevalence decreased (−4.9%). In the subgroup comparison, the prescription prevalence of opioids in the elderly was lower than that in the younger group; however, the increasing trend in the elderly was greater than that in the younger group. The percentage of patients prescribed low-dose opioids (<60 mg/day) during the 30 days before death increased by 4.9% and was the highest throughout the study period. Conclusion The prevalence of opioid prescriptions for terminally ill cancer patients has increased from 2010 to 2019 in Japan. The opioid-specific trends were similar to the global trend but differed by palliative care specialty.

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Managing Pain in the Older Cancer Patient

Cited by 6 publications

References 86 publications

Comparison of two pain postoperative treatment methods in patients with rectal carcinoma

Comparison of two pain postoperative treatment methods in patients with rectal carcinoma

Multidisciplinary management of chronic pain in elderly oncology patients

Trends in strong opioid prescription for cancer patients in Japan from 2010 to 2019: an analysis with large medical claims data

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