Impact of Epidural Analgesia on Quality of Life and Pain in Advanced Cancer Patients

He, Qing; Liu, Qingling; Li, Zhen; Li, Kezhong; Xie, Yonggang

doi:10.1016/j.pmn.2014.08.003

Cited by 12 publications

(9 citation statements)

References 29 publications

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“…The subject of whether the method of postoperative pain control influences outcome parameters, such as major complications or length of hospital stay, is an ongoing debate (6). However, the discussion frequently misses patients' central concern: their suffering and discomfort.…”

Section: Resultsmentioning

confidence: 99%

Regional Catheters for Postoperative Pain Control: Review and Observational Data

Suksompong

Bormann

2020

Anesth Pain Med

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Context: Perioperative analgesia is an essential but frequently underrated component of medical care. The purpose of this work is to describe the actual situation of surgical patients focusing on effective pain control by discarding prejudice against 'aggressive' measures. Evidence Acquisition: This is a narrative review about continuous regional pain therapy with catheters in the postoperative period. Included are the most-relevant literature as well as own experiences. Results: As evidenced by an abundance of studies, continuous regional/neuraxial blocks are the most effective approach for relief of severe postoperative pain. Catheters have to be placed in adequate anatomical positions and meticulously maintained as long as they remain in situ. Peripheral catheters in interscalene, femoral, and sciatic positions are effective in patients with surgery of upper and lower limbs. Epidural catheters are effective in abdominal and thoracic surgery, birth pain, and artery occlusive disease, whereas paravertebral analgesia may be beneficial in patients with unilateral approach of the truncus. However, failure rates are high, especially for epidural catheter analgesia. Unfortunately, many reports lack a comprehensive description of catheter application, management, failure rates and complications and thus cannot be compared with each other. Conclusions: Effective control of postoperative pain is possible by the application of regional/neuraxial catheters, measures requiring dedication, skill, effort, and funds. Standard operating procedures contribute to minimizing complications and adverse side effects. Nevertheless, these methods are still not widely accepted by therapists, although more than 50% of postoperative patients suffer from 'moderate, severe or worst' pain.

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Section: Resultsmentioning

confidence: 99%

Regional Catheters for Postoperative Pain Control: Review and Observational Data

Suksompong

Bormann

2020

Anesth Pain Med

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“… 4 – 9 It is a complex phenomenon comprosed of sensory, affective, cognitive, and behavioral components. 10 Cancer pain is prevalent in almost 50% of all cancer patients 4 , 7 , 8 and more than 70% of patients with advanced cancer. 4 , 8 About half of patients suffer with advanced cancer experience moderate-to-severe pain, while almost a quarter of patients suffer with more severe pain.…”

Section: Introductionmentioning

confidence: 99%

“… 4 , 8 About half of patients suffer with advanced cancer experience moderate-to-severe pain, while almost a quarter of patients suffer with more severe pain. 7 , 9 , 11 Pain is also associated with cancer treatment with more than 25% of patients enduring moderate-to-severe pain during treatment. 7 , 9 , 11 …”

Section: Introductionmentioning

confidence: 99%

“… 7 , 9 , 11 Pain is also associated with cancer treatment with more than 25% of patients enduring moderate-to-severe pain during treatment. 7 , 9 , 11 …”

Section: Introductionmentioning

confidence: 99%

“…Pain negatively impacts daily activity, mobility, functioning, sleep quality, entertainment, social interaction, and the professional life of cancer patients. 6 , 7 , 16 , 17 The duration and intensity of pain affect QoL, 15 , 18 – 20 and in turn, poor QoL exacerbates the severity of the pain. 6 At its worst, severe pain may also lead to an unwillingness to take medications and a desire for death.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Burden of cancer pain in developing countries: a narrative literature review

Li¹,

Aninditha²,

Griene³

et al. 2018

CEOR

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Cancer pain is one of the most common, feared, debilitating, and often undertreated symptoms among cancer patients. It needs attention since it has a significant impact on the quality of life (QoL) of the patients. Also, since cancer has emerged as a major health problem in developing countries, there is a need to strengthen preventive strategies for effective cancer pain management and provide comfort to cancer patients. Nonetheless, various barriers limit developing countries toward optimal cancer pain management. To bridge the gap between adequate pain management and burden of cancer pain in developing countries, a comprehensive understanding of the limitations faced and the prevalence of cancer pain should be addressed. The aim of this literature review is to provide a deeper understanding on the factors associated with cancer pain as well as barriers toward optimal cancer pain management in developing countries. Some of the barriers addressed were administrative, judicial, economic, and professional barriers. Also, estimates on the prevalence of cancer pain and detrimental effects of pain on the QoL of cancer patients have been addressed. In summary, pain, which is one of the most debilitating symptoms of cancer, remains uncontrolled and undertreated in developing countries. It has a profound impact on the patient’s QoL and can have physical, psychological, and social consequences; therefore, it needs to be managed urgently and appropriately. Most importantly, optimal treatment of cancer pain should be highlighted as a priority in developing countries and concerted efforts should be made to eliminate different barriers discussed in this review for effective and humane care.

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Prevalence and Management of Cancer Pain in Developing Countries

Hamid

2020

Palliative Care for Chronic Cancer Patients in the Community

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Impact of Epidural Analgesia on Quality of Life and Pain in Advanced Cancer Patients

Cited by 12 publications

References 29 publications

Regional Catheters for Postoperative Pain Control: Review and Observational Data

Regional Catheters for Postoperative Pain Control: Review and Observational Data

Burden of cancer pain in developing countries: a narrative literature review

Prevalence and Management of Cancer Pain in Developing Countries

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