Interventional anesthesia and palliative care collaboration to manage cancer pain: a narrative review

Lau, Jenny; Flamer, David; Murphy-Kane, Patricia

doi:10.1007/s12630-019-01482-w

Cited by 9 publications

(15 citation statements)

References 67 publications

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“…[24] Historically considered last resort methods, as reflected by the World Health Organization 3-step Analgesic Ladder, [25] increasing evidence is available on the efficacy of interventional analgesia for pain relief and improved quality of life. [26] Percutaneous catheters that chronically infuse spinal analgesics relieve pain in any targeted part of the body, as determined by their placement. [27] Alternatively, neuroaxial blocks relieve pain associated with nerve compression.…”

Section: Discussionmentioning

confidence: 99%

“…[2,[17][18][19][20] A variety of factors that may be linked to the increased burden of LC in minority populations include increased risk of smoking-induced LC, poor access to health care services, and lower success rates in smoking cessation attempts. [21][22][23][24][25][26][27] Currently, no data exists regarding the disparities in PM provision in patients with LC. Therefore, our goal was to determine the prevalence, patterns and determinants of disparities in PM referrals in patients with stage IV small cell LC (SCLC) and non-SCLC (NSCLC), on a national level.…”

Section: The Authors Have No Conflicts Of Interest To Disclosementioning

confidence: 99%

“…[2,17–20] A variety of factors that may be linked to the increased burden of LC in minority populations include increased risk of smoking-induced LC, poor access to health care services, and lower success rates in smoking cessation attempts. [21–27]…”

Section: Introductionmentioning

confidence: 99%

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Social disparities in pain management provision in stage IV lung cancer: A national registry analysis

et al. 2023

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A strong association exists between pain and lung cancer (LC). Focusing on the disparities in pain referral in LC patients, we are aiming to characterize the prevalence and patterns of referrals to pain management (PM) in Stage IV non-small-cell LC (NSLC) and small-cell LC (SCLC). We sampled the National Cancer Database for de novo stage IV LC (2004–2016). We analyzed trends of pain referral using the Cochran–Armitage test. Chi-squared statistics were used to identify the sociodemographic and clinico-pathologic determinants of referral to PM, and significant variables (P < .05) were included in one multivariable regression model predicting the likelihood of pain referral. A total N = 17,620 (3.1%) of NSLC and N = 4305 (2.9%) SCLC patients were referred to PM. A significant increase in referrals was observed between 2004 and 2016 (NSLC: 1.7%–4.1%, P < .001; SCLC: 1.6%–4.2%, P < .001). Patient and disease factors played a significant role in likelihood of referral in both groups. Demographic factors such as gender, age, and facility type played a role in the likelihood of pain referrals, highlighting the gap and need for multidisciplinary PM in patients with LC. Despite an increase in the proportion of referrals to PM issued for terminal stage LC, the overall proportion remains low. To ensure better of quality of life for patients, oncologists need to be made aware of existent disparities and implicit biases.

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Section: Discussionmentioning

confidence: 99%

Section: The Authors Have No Conflicts Of Interest To Disclosementioning

confidence: 99%

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Social disparities in pain management provision in stage IV lung cancer: A national registry analysis

et al. 2023

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“…Ultrasound-guided TAPB reduces the visual field blindness, clearly presents the nerves and surrounding tissues, which minimizes the incidence of complications caused by improper operation, to further attenuate the impact on the body and optimize the overall anesthetic effect (12)(13)(14)(15)(16)(17). For patients undergoing laparoscopic radical resection of cervical cancer, the pain mainly stems from the abdominal incision and mostly intensifies after analgesic recovery.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Transversus Abdominis Plane Block in Patients After Laparoscopic Radical Cervical Cancer Surgery

Gao

Wang

et al. 2022

Front. Surg.

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ObjectiveThis study aimed to evaluate the efficacy of transversus abdominis plane block (TAPB) in patients after laparoscopic radical cervical cancer surgery.MethodsA total of 120 patients with cervical cancer who underwent laparoscopic radical resection in the hospital from January 2019 to January 2020 were selected and concurrently assigned to either patient-controlled intravenous analgesia (PCIA) (Control group) or PCIA plus TAPB (Observation group) according to different methods. The visual analogscale (VAS), Bruggemann comfort scale (BCS), immune function indicators, hemodynamics, analgesia indicators, and postoperative recovery time were recorded and compared.ResultsThe Observation group had a lower VAS score and a higher BCS postoperatively compared with the Control group, and the difference was statistically significant. After the operation, immune function indexes of patients in the two groups were declined, and the difference was statistically significant. At 76 h after operation, the immune function indexes of the Control group were lower than the Observation group, and the difference was statistically significant. After the operation, the Control group obtained a higher mean arterial pressure (MAP) at extubation, and the difference was statistically significant. The Observation group outperformed the Control group in terms of analgesia indicators and postoperative recovery time, and the difference was statistically significant.ConclusionTAPB can enhance the analgesic effect of patients after laparoscopic radical resection of cervical cancer, stabilize their physical signs, has little effect on the patient's immune function, with a high safety profile.

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“…As a result, they do not adequately assess and treat cancer pain, associated with poor physical outcomes [7]. Cancer pain that is not treated adequately will affect the patient's quality of life, perform daily activities, and cause significant psychological distress [8].…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Effectiveness of Counseling and Digital Booklet by Pharmacist on Adherence and Pain Control of Cancer Patients at Dharmais Cancer Hospital

Shavira

Andrajati

Putri

2021

Asian J Pharm Clin Res

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Objective: This study aimed to compare the effectiveness of counseling and digital booklet on the level of treatment adherence through reduced pain scale, Morisky Medication Adherence Scale (MMAS-8) scores, and pill count scores in patients with cancer pain using opioid analgesics. Methods: The author conducted this study at Dharmais Cancer Hospital with a quasi-experimental design. The study sample consisted of 134 respondents who met the inclusion and exclusion criteria, underwent a counseling intervention, and received a digital booklet. The author divided the sample into two groups, the counseling group (n=67) and the digital booklet group (n=67). Adherence level was measured using MMAS-8 and pill count. The pain scale was measured using the Numerical Rating Scale. Those measurements were conducted before the intervention (pre-test) and after 2 weeks of provisioning counseling and receipt of the digital booklet (post-test). Results: The results showed that each counseling and digital booklet improve adherence (p<0.05) and decrease pain scale (p<0.05). There was a significant difference in changes in the level of adherence (p=0.027) between the two groups. However, there was no significant difference in changes in the pain scale (p=0.132) between the two groups. Conclusions: The analysis showed a significant difference (p<0.05) between adherence level and pain scale before and after intervention by both counseling and digital booklet. Nevertheless, adherent increasing and pain scale reduction by counseling is better than a digital booklet.

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Interventional anesthesia and palliative care collaboration to manage cancer pain: a narrative review

Cited by 9 publications

References 67 publications

Social disparities in pain management provision in stage IV lung cancer: A national registry analysis

Social disparities in pain management provision in stage IV lung cancer: A national registry analysis

Efficacy of Transversus Abdominis Plane Block in Patients After Laparoscopic Radical Cervical Cancer Surgery

Analysis of the Effectiveness of Counseling and Digital Booklet by Pharmacist on Adherence and Pain Control of Cancer Patients at Dharmais Cancer Hospital

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