Cancer pain management in an oncological ward in a comprehensive cancer center with an established palliative care unit

Mercadante, Sebastiano; Guccione, Costanza; Fatta, Simona Di; Alaimo, Valentina; Prestia, Giovanna; Bellingardo, Rosanna; Gebbia, Vittorio; Giarratano, A; Casuccio, Alessandra

doi:10.1007/s00520-013-1899-z

Cited by 20 publications

(18 citation statements)

References 29 publications

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“…Fifty-four (65%) patients were receiving inadequate cancer pain treatment with negative PMI which is higher than those reported by Apolone et al and Mercadante et al [4, 27]. However, a review article by Greco et al reported that inadequate cancer pain treatment can range from 8% to 82% [24].…”

Section: Discussionmentioning

confidence: 94%

“…Several studies have examined undertreatment of cancer pain in different setup and populations [2, 4, 6, 13–27]. The aim of this study was to look into the prevalence of inadequacy of cancer pain management and the subsequent pain interference with functioning of cancer patients visiting oncology ward of GUH.…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of severe pain in this study was found to be 7 (8.4%). Previous studies reported higher percentage of patients with severe pain ranging from 6.2% to 82% [4, 19, 25, 27]. Reporting of patient's pain severity may alert physicians to prescribe analgesics aptly to optimize pain management.…”

Section: Discussionmentioning

confidence: 99%

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Cancer Pain Management and Pain Interference with Daily Functioning among Cancer Patients in Gondar University Hospital

Tegegn

Gebreyohannes

2017

Pain Research and Management

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Cancer is an increasing public health burden for Ethiopia. Pain is among the most common symptoms in patients with cancer. Hence, we aimed to assess cancer pain prevalence, cancer pain interference, and adequacy of cancer pain treatment in the oncology ward of an Ethiopian teaching hospital. Of 83 patients, total of 76 (91.6%) cancer patients experienced pain with varying degree of severity, and 7 (8.4%) patients experienced severe pain. Of the 76 cancer patients with pain, 68 (89.2%) experienced pain interference with their daily activities. Fifty-four (65%) patients were receiving inadequate cancer pain treatment with negative Pain Management Index. Therefore, it is vital to anticipate and assess pain of the cancer patients as routine clinical practice, to optimize analgesic therapy, and to identify and overcome barriers to adequate pain management.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

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Cancer Pain Management and Pain Interference with Daily Functioning among Cancer Patients in Gondar University Hospital

Tegegn

Gebreyohannes

2017

Pain Research and Management

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“…25 Pain management is often better in palliative care, but not all patients access this service. 26 Contextual integration outlines how the technology fits within the organisation where it will be implemented. Health professionals' apprehensions about the integration of PainCheck within current practice are reflected within this component.…”

Section: Discussionmentioning

confidence: 99%

Identifying professionals’ needs in integrating electronic pain monitoring in community palliative care services: An interview study

et al. 2016

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Background: Poor pain assessment is a barrier to effective pain control. There is growing interest internationally in the development and implementation of remote monitoring technologies to enhance assessment in cancer and chronic disease contexts. Findings describe the development and testing of pain monitoring systems, but research identifying the needs of health professionals to implement routine monitoring systems within clinical practice is limited. Aim: To inform the development and implementation strategy of an electronic pain monitoring system, PainCheck, by understanding palliative care professionals' needs when integrating PainCheck into routine clinical practice. Design: Qualitative study using face-to-face interviews. Data were analysed using framework analysis Setting/participants: Purposive sample of health professionals managing the palliative care of patients living in the community Results: A total of 15 interviews with health professionals took place. Three meta-themes emerged from the data: (1) uncertainties about integration of PainCheck and changes to current practice, (2) appraisal of current practice and (3) pain management is everybody's responsibility Conclusion: Even the most sceptical of health professionals could see the potential benefits of implementing an electronic patientreported pain monitoring system. Health professionals have reservations about how PainCheck would work in practice. For optimal use, PainCheck needs embedding within existing electronic health records. Electronic pain monitoring systems have the potential to enable professionals to support patients' pain management more effectively but only when barriers to implementation are appropriately identified and addressed.

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“…An early identification of patients to be referred to a palliative care consultation is of paramount importance [3]. On the other hand, a positive cultural pressure of palliative care teams may positively influence the attitudes of oncologists in cancer pain management [4]. Authors report that 22 % of patients have a significant pain, that I assume to be >4, but overall, the mean intensity was quite low.…”

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confidence: 99%

The pain, the oncologist

Mercadante

2014

Support Care Cancer

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Cancer pain management in an oncological ward in a comprehensive cancer center with an established palliative care unit

Cited by 20 publications

References 29 publications

Cancer Pain Management and Pain Interference with Daily Functioning among Cancer Patients in Gondar University Hospital

Cancer Pain Management and Pain Interference with Daily Functioning among Cancer Patients in Gondar University Hospital

Identifying professionals’ needs in integrating electronic pain monitoring in community palliative care services: An interview study

The pain, the oncologist

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