Pain Management in Hospitalized Cancer Patients: A Systematic Review

Goldberg, Gabrielle R.; Morrison, R. Sean

doi:10.1200/jco.2006.07.9038

Cited by 77 publications

(72 citation statements)

References 46 publications

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“…Global trends in cancer incidence and mortality rates are rising, and an increasing number of people are suffering from cancer pain [1,2]. Cancer pain, if left untreated, can significantly affect the patient's quality of life, will to live, or willingness to cooperate during treatment [3].…”

Section: Introductionmentioning

confidence: 99%

A survey on physician knowledge and attitudes towards clinical use of morphine for cancer pain treatment in China

Wang

Weng

et al. 2009

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Section: Introductionmentioning

confidence: 99%

A survey on physician knowledge and attitudes towards clinical use of morphine for cancer pain treatment in China

Wang

Weng

et al. 2009

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“…Physical symptoms were also considered as outcome measures in a number of studies on "early" or "simultaneous" palliative care [22][23][24][25], but not all works assessed the impact of the palliative care approach on pain. The authors who did focus on this specific aspect reported conflicting results, some showing a negative [26][27][28] or positive impact [29][30][31][32][33][34][35][36], while others did not reach statistical significance [37,38].…”

Section: Patients Admitted To Hospice Jan-sept 2013 N = 194mentioning

confidence: 96%

Impact of admission to hospice on pain intensity and type of pain therapies administered

Petracci

Nanni

Maltoni

et al. 2015

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Mean ± SD pain NRS values of the entire group were 2.58 ± 2.61 on day 1 and 1.40 ± 1.72 on day 7 (P = 0.002). Restricting the analysis to patients with moderate to severe pain at the time of hospice admission, results were even more significant. In fact, mean ± SD pain NRS was 5.51 ± 1.24 for patients with pain ≥4 at admission and 1.76 ± 1.91 for the same patients after 7 days (P < 0.001). A significant increase in the number of patients receiving morphine was observed from day 1 to day 7 (24 to 41, respectively, P = 0.001) and in those receiving drugs via parenteral routes (subcutaneous or intravenous) from 10 to 27 (P = 0.002) CONCLUSIONS: Admission to a hospice and the hospice environment led to a significant reduction in reported pain intensity for the patients included in this study, mainly those with moderate to severe pain at the time of admission. This decrease in pain was accompanied by a significant increase in the use of morphine, especially via parenteral routes, but not by a higher mean equivalent daily dose of oral morphine per patient.

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“…Despite the great progress in the knowledge of cancer-related pain and its treatment, the availability of a therapeutic arsenal, which should achieve cost-effective control in most cases, and the development of multiple professional [7][8][9][10] and institutional [11,12] initiatives aimed at reducing discomfort for patients, it remains a fact that cancer pain is still inadequately treated, as some evaluations carried out in various developed countries have demonstrated [13,14]. It is tragic that, even nowadays, suffering from uncontrolled pain is one of the most feared aspects, by both patients and their families, as soon as the diagnosis of a neoplasm is made.…”

Section: Introductionmentioning

confidence: 99%

Professional survey on knowledge and clinical patterns of pain management in Spanish medical oncology

et al. 2010

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Cancer pain is still not treated adequately. The barriers impeding its appropriate treatment include lack of knowledge, erroneous beliefs and inappropriate attitudes with regard to pain, which are sustained by some or all of those involved in the problem. The present study shows the results of an exploratory survey using a large sample of specialists in clinical oncology. Its main objective is to evaluate daily analgesic practices and compliance with clinical guidelines in order to identify areas that should be improved in this particular therapeutic field. Information collection from the responders was in the form of a self-administered written questionnaire, structured in three thematic areas: clinical patterns and resources used in pain treatment in clinical practice, pain and pain-relief therapy, and theoretical knowledge and decision-making in clinical practice. The study identified those skills that most need improvement in the treatment of pain (scientific and technical knowledge and clinical decision-making capacity of professionals) in order to reduce the unjustified variability in current clinical practice.

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Pain Management in Hospitalized Cancer Patients: A Systematic Review

Cited by 77 publications

References 46 publications

A survey on physician knowledge and attitudes towards clinical use of morphine for cancer pain treatment in China

A survey on physician knowledge and attitudes towards clinical use of morphine for cancer pain treatment in China

Impact of admission to hospice on pain intensity and type of pain therapies administered

Professional survey on knowledge and clinical patterns of pain management in Spanish medical oncology

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