Pain severity and adequacy of pain management in terminally ill patients with cancer: An experience from North Palestine

Mallah, Haneen; Mousa, Raghda; Fadl, Nisreen Bani; Musmar, Samar; Ball, Somedeb; Nugent, Kenneth

doi:10.4103/ijpc.ijpc_39_19

Cited by 4 publications

(2 citation statements)

References 27 publications

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“…In this study, 67.5% (95% CI 62.8 to 72) of participants received adequate CRP management. This finding is in line with studies from Palestine (64.9%) 17 and Pakistan (63.95%). 18 However, this finding is higher as compared with a previous study done in Gondar (35%) 8 and Mekelle (56.1%) in Ethiopia, 10 Mozambique (31.3%), 19 the Middle East (55%), 20 Japan (62.7%) (30%) 21 22 and India (23%).…”

Section: Discussionsupporting

confidence: 93%

Adequacy of cancer-related pain management using the Pain Management Index among patients with cancer in the Northwest oncology centres of Ethiopia: an institutional-based cross-sectional study

Mihiretie,

Siyum,

Tamene

2024

BMJ Open

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ObjectiveThe aim of this study was to assess the adequacy of cancer-related pain (CRP) management and associated factors among patients with cancer in the Northwest oncology centres of Ethiopia.Design and settingAn institutional-based multicentre cross-sectional study was conducted among patients with cancer in the Northwest oncology centres of Ethiopia from May to July 2022.ParticipantsAll oncology patients at selected hospitals who fulfilled the inclusion criteria during the data collection period were the study population.Main outcome measuresThe main outcome of this study was the adequacy of CRP management, which was measured by the Pain Management Index (PMI). A systematic random sampling technique was used to select representatives from each study area. Data entry and analysis were done using EpiData V.4.6.1 and SPSS V.26, respectively. Binary logistic regression was conducted to determine independent predictors of the adequacy of CRP management. A p value of <0.05 was considered statistically significant.ResultsFrom a total of 422 included respondents, about 67.5% of the participants had adequate CRP management (95% CI 62.8 to 72). Good performance status (adjusted OR (AOR)=0.44; 95% CI 0.24 to 0.80), presence of comorbidity (AOR=3.28; 95% CI 1.68 to 6.38) and pain history (AOR=0.33; 95% CI 0.01 to 0.11) were significantly associated with the adequacy of cancer pain management.ConclusionUsing PMI status in the Northwest oncology centre of Ethiopia, more than two-thirds of patients with CRP obtained adequate pain management. The adequacy of CRP management was found to be influenced by factors like comorbidity, past pain history and Eastern cooperative oncology group performance status.

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Section: Discussionsupporting

confidence: 93%

Adequacy of cancer-related pain management using the Pain Management Index among patients with cancer in the Northwest oncology centres of Ethiopia: an institutional-based cross-sectional study

Mihiretie,

Siyum,

Tamene

2024

BMJ Open

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“…Um estudo mostrou que cerca de 35% dos pacientes não recebem manejo adequado da dor e cerca de 45% sentem necessidade de aumento da dose de analgésicos ou tratamento adicional, demonstrando que ainda há falhas nesse manejo 30 .…”

Section: Dorunclassified

A atuação médica nos cuidados paliativos de pacientes terminais internados em unidade de terapia intensiva

Oliveira,

Mascarenhas,

Paulino

et al. 2023

GANJ

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ARTIGO DE REVISÃO A atuação médica nos cuidados paliativos de pacientes terminais internados em unidade de terapia intensivaMedical performance in palliative care for terminally ill patients admitted to an intensive care unit Actuación médica en cuidados paliativos del paciente terminal ingresado en una unidad de cuidados intensivos ResumoObjetivou-se dissertar sobre a atuação médica nos cuidados paliativos no ambiente de Unidade Intensiva. Trata-se de uma revisão bibliográfica elaborada e redigida de maneira integrativa. Os cuidados paliativos não são uma novidade na prática médica. No ambiente intensivo, esses cuidados são rotineiramente ignorados ou implantados de forma deficitária. O médico no cuidado intensivo deve estar preparado para encarar dilemas práticos, éticos e culturais. Além de ser apto a indicar a interrupção de tratamentos e ser capaz de passar informações claras e precisas aos pacientes e familiares. O profissional deve também estar apto a indicar extubação paliativa, interrupção da diálise e a manejar os principais sintomas apresentados por pacientes terminais, como a dor, a dispneia, a náuseas e o vômito. Porém, o que se percebe é que a maioria dos profissionais não são capazes de realizar cuidados paliativos no ambiente intensivo. Neste sentido, este estudo busca discutir práticas paliativas no cuidado do paciente terminal internado em

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Living systematic review to assess the analgesic undertreatment in cancer patients

et al. 2022

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Background and aims This living and systematic review aimed to provide an updated summary of the available evidence on pain undertreatment prevalence in patients with cancer; correlations with some potential determinants and confounders were also carried out. Materials and methods We updated a systematic review published on 2014, including observational and experimental studies reporting the use of the pain management index (PMI) in adults with cancer and pain, from 2014 to 2020. We conducted searches in PubMed/MEDLINE, Embase, and Google Scholar. We performed univariate and multivariable regression analyses to describe the relationship between PMI and a list of potential explanatory variables. Results Twenty new papers were identified, yielding a total sample size of 66 studies. The proportion of patients classified as undertreated according to the year of study publication shows a higher decrease from 1994 to 2013 (−13% as relative change) than the most recent years 2014–2020 (−11%). The quality of the included studies has increased over the years (from 80% to 93%). At the multivariable analysis, a statistically significant relationship was confirmed between undertreatment and the year of the publication of the study and with a low–medium economic level of the countries, where the studies were conducted. Discussion Despite the improvement when compared to the period 1994–2000, still about 40% of the cases identified received an analgesic treatment inadequate to the intensity of pain, according to the PMI. Despite its intrinsic limitations, PMI continues to be widely used, and it could allow a continuous monitoring of pain management across a different mix of studies and patients.

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Pain severity and adequacy of pain management in terminally ill patients with cancer: An experience from North Palestine

Cited by 4 publications

References 27 publications

Adequacy of cancer-related pain management using the Pain Management Index among patients with cancer in the Northwest oncology centres of Ethiopia: an institutional-based cross-sectional study

Adequacy of cancer-related pain management using the Pain Management Index among patients with cancer in the Northwest oncology centres of Ethiopia: an institutional-based cross-sectional study

A atuação médica nos cuidados paliativos de pacientes terminais internados em unidade de terapia intensiva

Living systematic review to assess the analgesic undertreatment in cancer patients

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