Have We Improved Pain Control in Cancer Patients? A Multicenter Study of Ambulatory and Hospitalized Cancer Patients

Porta-Sales, Josep; Nabal-Vicuña, María; Vallano, Antonio; Espinosa, José; Planas-Domingo, Josep; Verger-Fransoy, Eugènia; Julià-Torras, Joaquim; Serna, Judith; Pascual-López, Antonio; Rodríguez, Dulce; Grimau, Isidre; Morlans, G.; Sala-Rovira, Carme; Calsina-Berna, Agnès; Borràs, Josep M.; Gómez-Batiste, Xavier

doi:10.1089/jpm.2015.29002.jps

Cited by 26 publications

(20 citation statements)

References 43 publications

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“…Indeed, as early as 2002 the International Association Study for the Pain (IASP) advocated recognizing pain intensity as the fifth vital sign, in addition to the traditional 4 vital signs of body temperature, blood pressure, pulse, and breathing [ 2 ]. During recent decades, important progress has been made in the study and treatment of several painful conditions, but pain is still underestimated and under-treated in medical practices [ 3 – 7 ], especially in developing countries [ 8 ]. As a result, the presence of pain among hospitalized patients is extensive, and significantly more would be expected.…”

Section: Introductionmentioning

confidence: 99%

Pain Prevalence and Pain Management in a Chinese Hospital

Hong

Liu

et al. 2018

Med Sci Monit

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BackgroundPain prevalence has been investigation in many developed countries, but integrated information about pain prevalence in Chinese hospitals is lacking. To achieve better pain treatment of hospitalized patients, pain management needs to be investigated. The present descriptive and cross-sectional study was performed to demonstrate the prevalence of pain by comparison with the 4 traditional vital signs, and to investigate pain management in a Chinese teaching hospital.Material/MethodsStructured and systematic interviews were undertaken by independent researchers. During a patient’s hospitalization, the prevalence of pain and the 4 vital signs were recorded. Then, the catalog, severity, causes, duration of pain, and pain management were assessed.ResultsWe found: (1) 63.36% of patients (3248 in total) suffered from pain while in hospital, which was 1.8~2.8 times higher than the prevalence of abnormality of the 4 vital signs. (2) 76% of patients had moderate pain and 21.98% had severe pain. (3) Pain intensity differed among patients with different diseases, but did not differ by demographic factors. (4) Acute and chronic pain were present in 68% and 26% of patients, respectively. In addition, 16% of the patients had neuropathic pain. (5) More than half of the patients with pain refused to receive pain-relief medication because they worried about addiction to opioids and the adverse effects of analgesics. (6) Most medical staff properly understood the 3 ladder analgesics.ConclusionsThe prevalence of pain is higher than the abnormality of the 4 traditional vital signs in a Chinese hospital. Although pain management has broadly improved, more patient education is necessary.

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Section: Introductionmentioning

confidence: 99%

Pain Prevalence and Pain Management in a Chinese Hospital

Hong

Liu

et al. 2018

Med Sci Monit

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“…11 y Niscola y cols. 18 demuestran que el MM es la patología hematológica con mayor incidencia de dolor, 90 y 86 %, respectivamente, aunque hay trabajos que reportan menor incidencia, 43-73 % [29][30][31] . El dolor se debe a destrucción ósea por aumento de la actividad osteoclástica y ausencia de actividad osteoblástica, produciendo fracturas patológicas y compresión medular 18,21 .…”

Section: Discussionunclassified

Caracterización del dolor en neoplasias hematológicas avanzadas del adulto en la red pública. Ministerio de Salud de Chile

Palacios¹,

Contreras²,

Chacón³

et al. 2019

j.medipa

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Editorial 1 Veinticinco años y toda una vida por delante Originales 3 Versión española del Hospice Comfort Questionnaire para evaluar el confort en pacientes en cuidados paliativos: adaptación transcultural y validación 12 Construcción de un instrumento de screening sobre la priorización de la evaluación de trabajo social sanitario en una unidad de cuidados paliativos de agudos 22 Adaptación transcultural y validación del cuestionario PG-13 para la detección precoz de duelo prolongado 36 Caracterización del dolor en neoplasias hematológicas avanzadas del adulto en la red pública. Ministerio de salud de Chile 43 Exploración de los valores y deseos de pacientes con enfermedad crónica avanzada y con enfermedad crónica compleja. Conversaciones acerca del final de la vida 50 Prevalencia de la adherencia terapéutica a opioides mayores en una muestra de pacientes oncológicos avanzados. Estudio piloto 55 Actitudes ante la muerte en voluntarios acompañando pacientes al final de la vida: estilos de apego y fatiga por compasión Original breve 62 Neurólogos y demencias avanzadas, ¿estamos preparados para los mejores cuidados? Revisión 67 Aproximación terapéutica al síndrome de anorexia-caquexia en pacientes con cáncer. Revisión sistemática de la literatura Artítulo especial 76 Propuesta de un repertorio bibliográfico sobre enfermedad crónica avanzada y cuidados paliativos Imagen del mes 83 Diplopia en un paciente con cáncer de próstata avanzado Cartas al Director Biblioteca temática

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“…Etkili ağrı yönetimi ağrının dikkatli bir şekilde değerlendirilmesini gerektirir 22 . Özellikle ağrı şiddeti ve süresi düzenli olarak değerlendirilmelidir 31 22 . Özellikle yaşlı bireylerin ağrı yönetiminde; kapsamlı geriatrik değerlendirme yapılmalı, hastanın ağrısı sistematik olarak değerlendirilmelidir.…”

Section: Ağrı Yönetimiunclassified

Multipl Miyelom Tanısı Alan Geriatrik Hastalarda Ağrı ve Yönetimi

Ovayolu

Ovayolu²

2018

Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi

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ÖZMultipl myelom (MM) plazma hücrelerinin malign bir hastalığı olup, hematolojik kanserler içinde en sık görülen kanser türü olarak karşımıza çıkar ve ileri yaş hastalığı olarak da bilinmektedir. MM tanısı alan hastalar hangi yaş grubunda olursa olsun genellikle ağrı nedeniyle sağlık kurumuna başvurmaktadır. Yapılan çalışmalarda geriatrik bireylerin dışında da MM'li hastaların en sık yaşadığı semptomun ağrı olduğu tespit edilmiştir. Özellikle geriatrik kanser hastalarının yaşadıkları ağrının günlük yaşam aktivitelerini ve kaygı düzeylerini olumsuz etkilediği, ağrı düzeyi arttıkça anksiyetenin de arttığı ve yaşam kalitesinin kötüleştiği bildirilmektedir. Tüm bunlar göz önüne alındığında; kanser tanısı alan hastalarda bu semptomun iyi yönetilmesi son derece önemlidir. Ancak son yıllarda kanser tedavisi ve bakımındaki gelişmelere rağmen tüm kanser hastalarında olduğu gibi özellikle geriatrik MM'li hastalarda da etkili ağrı yönetimi sorun olmaya devam etmektedir. Bu nedenle bu makalede multipl miyelom tanısı alan geriatrik hastalarda ağrı yönetimi incelenecektir.Anahtar Kelimeler: Ağrı yönetimi, geriatri, multipl miyelom ABSTRACT Multiple myeloma (MM) is a malignant disease of plasma cells and the most common type of cancer a mong hematological cancers, and is also known as advanced age disease. Patients diagnosed with MM usually apply to the health institution due to pain regardless of their age group. The studies have shown that the most common symptom experienced by patients with MM other than geriatric individuals is pain. It is reported that the pain experienced especially by the geriatric cancer patients affect their activities of daily life and anxiety levels negatively

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Have We Improved Pain Control in Cancer Patients? A Multicenter Study of Ambulatory and Hospitalized Cancer Patients

Abstract: Background: Pain in cancer patients is recognised as a major health problem yet few

Cited by 26 publications

References 43 publications

Pain Prevalence and Pain Management in a Chinese Hospital

Pain Prevalence and Pain Management in a Chinese Hospital

Caracterización del dolor en neoplasias hematológicas avanzadas del adulto en la red pública. Ministerio de Salud de Chile

Multipl Miyelom Tanısı Alan Geriatrik Hastalarda Ağrı ve Yönetimi

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