Home Telemonitoring Improved Pain Registration in Patients With Cancer

Knegtmans, Mariëtte F; Wauben, L.S.G.L.; Wagemans, M. F. M.; Oldenmenger, Wendy H.

doi:10.1111/papr.12830

Cited by 12 publications

(11 citation statements)

References 15 publications

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“…A total of 24 studies measured at least one dimension within the domain quality of care . Furthermore, 17 studies measured the dimension effectivity [ 21 , 31 , 32 , 36 - 38 , 41 , 46 - 49 , 51 - 54 , 57 , 58 ]. Most of these studies examined the effect of eHealth interventions on psychological complaints (n = 12; eg, depression, anxiety, and psychological distress).…”

Section: Resultsmentioning

confidence: 99%

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eHealth Interventions for Dutch Cancer Care: Systematic Review Using the Triple Aim Lens

Deursen¹,

Versluis²,

Vaart³

et al. 2022

JMIR Cancer

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Background Globally, the burden of cancer on population health is growing. Recent trends such as increasing survival rates have resulted in a need to adapt cancer care to ensure a good care experience and manageable expenditures. eHealth is a promising way to increase the quality of cancer care and support patients and survivors. Objective The aim of this systematic review was 2-fold. First, we aimed to provide an overview of eHealth interventions and their characteristics for Dutch patients with and survivors of cancer. Second, we aimed to provide an overview of the empirical evidence regarding the impact of eHealth interventions in cancer care on population health, quality of care, and per capita costs (the Triple Aim domains). Methods The electronic databases Web of Science, PubMed, Cochrane, and Ovid PsycINFO were searched using 3 key search themes: eHealth interventions, cancer care, and the Netherlands. The identified interventions were classified according to predetermined criteria describing the intervention characteristics (eg, type, function, and target population). Their impact was subsequently examined using the Triple Aim framework. Results A total of 38 interventions were identified. Most of these were web portals or web applications functioning to inform and self-manage, and target psychosocial factors or problems. Few interventions have been tailored to age, disease severity, or gender. The results of this study indicate that eHealth interventions could positively affect sleep quality, fatigue, and physical activity of patients with and survivors of cancer. Inconclusive results were found regarding daily functioning and quality of life, psychological complaints, and psychological adjustment to the disease. Conclusions eHealth can improve outcomes in the Triple Aim domains, particularly in the population health and quality of care domains. Cancer-related pain and common symptoms of active treatment were not targeted in the included interventions and should receive more attention. Further research is needed to fully understand the impact of eHealth interventions in cancer care on participation, accessibility, and costs. The latter can be examined in economic evaluations by comparing eHealth interventions with care as usual.

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Section: Resultsmentioning

confidence: 99%

“…Three studies measured a dimension within the domain per capita costs [ 42 , 54 , 55 ]. Two studies [ 42 , 55 ] measured the dimension costs of care , and both found through economic evaluation that the intervention was likely to be equally cost-effective compared with care as usual.…”

Section: Resultsmentioning

confidence: 99%

eHealth Interventions for Dutch Cancer Care: Systematic Review Using the Triple Aim Lens

Deursen¹,

Versluis²,

Vaart³

et al. 2022

JMIR Cancer

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“… 28 In another study, telemonitoring improved pain reporting and analgesic prescription among patients with cancer pain, translating to a positive effect on QoL. 29 Further essential to patients with chronic pain, continuous monitoring by nursing staff via telemedicine is associated with enhanced feelings of security and safety as well as improved patient outcomes during palliative home care. 21 , 30 , 31 …”

Section: Discussionmentioning

confidence: 99%

What to Do and What Not to Do in the Management of Cancer Pain: A Physician Survey and Expert Recommendations

Bossi

Antonuzzo

Armento

et al. 2021

CMAR

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Background Despite the prevalence of pain among patients with cancer and the availability of pertinent guidelines, the clinical management of oncological pain is decisively insufficient. To address this issue, we evaluated current trends in clinical practice and subsequently generated a list of ten corrective actions—five things to do and five things not to do—for the diagnosis, management, and monitoring of cancer pain. Methods The survey included 18 questions about clinical practice surrounding background pain and breakthrough cancer pain (BTcP). Survey questions were developed by a scientific board of 10 physician experts and communicated via email to an expanded panel of physicians in Italy. Responses were tabulated descriptively for analysis. Results Of 51 invited physicians, 32 (63%) provided complete survey responses. The responses revealed several incongruencies with current guideline recommendations: physicians did not always diagnose or monitor pain using diagnostically validated or disease-specific instruments; frequently based clinical decision-making on time availability or convenience; and pharmacological therapy was often inappropriate (eg, prescribing NSAIDs or corticosteroids for BTcP). The list of corrective actions generated by the scientific board favored a guideline-oriented approach that systematically characterizes oncological pain and implements treatment based on pain characteristics (eg, fast-acting transmucosal opioids for BTcP) and evidence-based recommendations. Conclusion Oncologists require better education and training about the diagnosis, treatment, and monitoring of oncological pain. Physicians should be aware of current guideline recommendations as well as available pharmacological tools for BTcP.

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“…The use of modern communication tools such as telemonitoring have been found to be useful for early detection and management of moderate to severe cancer pain, and pain recall. Other benefits include improved self-management skills, less hospital visits and an increased patient satisfaction and compliance with care agreements ( Knegtmans et al , 2020 ; Oldenmenger et al , 2018 ).…”

Section: Discussionmentioning

confidence: 99%

Pain assessment and registration in medical oncology clinics: operationalised through the lens of health care professionals and patients

2021

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Background: Pain is a common symptom in patients who survive cancer and in those who live with progressive advanced disease. Systematic screening and documentation of pain are necessary to improve the quality of cancer pain treatment, because a key pain-related barrier is that patients are reluctant to discuss pain, due to fear that reporting pain will distract the healthcare professional from their cancer treatment. Methods: This study adopted an explanatory sequential mixed-methods design. Data collection incorporated three strands. The first strand involved a quantitative enquiry in which medical chart reviews of patients (n=100) attending the medical oncology outpatient clinic were examined. The second qualitative strand comprised of semi-structured interviews with patients (n=10) attending that service. The third strand was qualitative and consisted of focus group discussions with healthcare professionals (n=12). Results: All 100 patients had cancer. The quantitative findings confirmed the suboptimum assessment and subsequent recording of patient’s pain, that seemed to afford a reality check for all healthcare professionals. For patients, the outcomes of the anti-cancer treatment were their priority, and pain was perceived as inevitable, being associated with a cancer diagnosis. There were multifaceted complexities voiced amongst healthcare professionals associated with balancing the benefits and harms aligned with treating cancer pain. Conclusions: Pain assessment in medical records was not systematically recorded by healthcare professionals. Patients were reluctant to self-report pain during their medical oncology outpatient review. The expectation that patients will self-report pain can be accommodated by healthcare professionals if a personalized pain goal is part of the cancer pain management plan during each clinical encounter. Healthcare professionals reported a need to take distinct responsibility for supplementing their dearth of knowledge, skills and beliefs regarding assessing and managing patients’ cancer pain. Optimal pain management stems from an interprofessional approach that was applied in this study design.

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Home Telemonitoring Improved Pain Registration in Patients With Cancer

Cited by 12 publications

References 15 publications

eHealth Interventions for Dutch Cancer Care: Systematic Review Using the Triple Aim Lens

eHealth Interventions for Dutch Cancer Care: Systematic Review Using the Triple Aim Lens

What to Do and What Not to Do in the Management of Cancer Pain: A Physician Survey and Expert Recommendations

Pain assessment and registration in medical oncology clinics: operationalised through the lens of health care professionals and patients

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