Frailty and Persistent Pain in Oncological Patients Undergoing Rehabilitation

Crosignani, Silvia; Orlandini, Laura; Baruffi, S.; Froldi, M.; Cesari, Miriam

doi:10.14283/jfa.2022.26

Cited by 2 publications

(10 citation statements)

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“…Frailty assessments varied depending on the study. Crosignani et al29 used the Frailty Index which was computed from data obtained from the comprehensive geriatric assessment (CGA) 12. Similarly, Brunello et al28 used CGA results to classify subjects as frail or nonfrail.…”

Section: Resultsmentioning

confidence: 99%

“…Analgesics, the fifth most prevalent medication type, were used in 32.2% of the total cohort 30. In the only study29 that examined individuals with cancer in an inpatient rehabilitation unit, frailty was associated with persistent pain and pain intensity. There was no association between persistent pain and the number of prescribed analgesic medications 29…”

Section: Resultsmentioning

confidence: 99%

“…29 Included individuals with cancer were 70 years or older, mostly male with solid tumors and at varying stages of disease. [26][27][28][29][30] Specific details of the population are included in the Table.…”

Section: Resultsmentioning

confidence: 99%

“…A summary of these studies is provided in the Table. Of the 6 studies that were ultimately included in this review, 5 were observational prospective studies that assessed individuals and individual-associated characteristics 26–30. All 6 studies were published between 2010 and 2022.…”

Section: Resultsmentioning

confidence: 99%

“…There was no association between persistent pain and the number of prescribed analgesic medications. 29…”

Section: Characteristics Of Pain Management In the Frail And Elderly ...mentioning

confidence: 99%

See 4 more Smart Citations

Cancer Pain and Frailty: A Scoping Review of How Cancer Pain Is Evaluated and Treated in the Frail and Elderly

McLarney

Johnson

Bajaj

et al. 2023

Rehabilitation Oncology

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Background: Over 50% of individuals with cancer will experience pain at some point from diagnosis to treatment. Many of these individuals are elderly and frail, further complicating their pain management. The purpose of this review is to synthesize what is known about the assessment and management of cancer pain in the frail, elderly individual. Methods: A scoping review was undertaken using the methodology outlined by Arksey and O'Malley with reporting as defined by the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. Three databases were searched for articles that met our inclusion criteria and resulted in a total of 2007 articles of which 6 were ultimately included in our review. Results: Of the 6 studies included 5 focused on individual related characteristics and 1 study focused on provider factors. These studies found that frail and elderly individuals with cancer are at risk of unmanaged pain and polypharmacy; however, the prevalence remains unclear. Additionally, treatment of cancer pain in this population is impacted by clinicians' backgrounds and comfort levels in pain assessments. Discussion: The frail, elderly individual with cancer is at risk for pain. Little is currently known about how to accurately measure and safely treat pain in this population.

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Section: Resultsmentioning

confidence: 99%