Management of somatic pain induced by head-and-neck cancer treatment: Definition and assessment. Guidelines of the French Oto-Rhino-Laryngology- Head and Neck Surgery Society (SFORL)

Binczak, Marie; Navez, M.; Perrichon, C.; Blanchard, D.; Bollet, Marc A.; Calmels, P.; Couturaud, C.; Dreyer, Chantal; Espitalier, F.; Testelin, Sylvie; Albert, S.; Morinière, S.

doi:10.1016/j.anorl.2014.07.003

Cited by 16 publications

(20 citation statements)

References 14 publications

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“…Treatment-related pain can result from multiple mechanisms (ie, nociceptive [eg, tumor expansion, inflammation], neuropathic [eg, RT-induced neuritis]) and occur in multiple locations. 2 While this study included patients with mixed HNC diagnoses, the majority had oropharyngeal cancer that is often associated with HPV infection. Additional research is needed to determine whether pain characteristics differ among the various HNC diagnoses.…”

Section: Pain Characteristicsmentioning

confidence: 99%

Changes in and predictors of pain characteristics in patients with head and neck cancer undergoing radiotherapy

Astrup

Rustøen

Miaskowski

et al. 2015

Pain

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Pain is a common symptom in patients with head and neck cancer (HNC) that is associated with significant decrements in physical and psychological functioning. Only 4 studies have evaluated for changes in and predictors of different pain characteristics in these patients. In this longitudinal study of patients with HNC, changes in pain intensity (i.e., average pain, worst pain), pain interference with function, and pain relief were evaluated from the initiation of radiotherapy and through the following 6 months. Hierarchical linear modeling was used to evaluate for changes over time in these 4 pain characteristics, as well as to identify predictors of interindividual variability in each characteristic. Overall, pain intensity and interference with function scores were in the mild-to-moderate range, while pain relief scores were in the moderate range. The occurrence of pain, as well as scores for each pain characteristic, increased from the initiation to the completion of radiotherapy, followed by a gradual decrease to near pretreatment levels at 6 months. However, interindividual variability existed in patients' ratings of each pain characteristic. Predictors of more severe pain characteristic scores were more comorbidities, worse physical functioning, not having surgery before radiotherapy, difficulty swallowing, mouth sores, sleep disturbance, fatigue, more energy, and less social support. Patients with more depressive symptoms had better pain relief. Although some of the predictors cannot be modified (e.g., rrence of surgery), other predictors (e.g., symptoms) can be treated. Therefore, information about these predictors may result in decreased pain in patients with HNC.

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Section: Pain Characteristicsmentioning

confidence: 99%

Changes in and predictors of pain characteristics in patients with head and neck cancer undergoing radiotherapy

Astrup

Rustøen

Miaskowski

et al. 2015

Pain

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“…The remaining 37 guidelines endorsed rehabilitation referrals but provide no specific recommendations for rehabilitation assessments or interventions and were classified as Category B . The Category B guidelines were not extracted, however, the referral recommendations made by these guidelines are outlined in Table 3 101‐137 …”

Section: Resultsmentioning

confidence: 99%

“…One Category A guideline from Cancer Council Australia focuses on nutritional interventions for individuals with head and neck cancer who are both over and underweight and is reported in detail in the Nutrition section of Table 2. Five Category B guidelines endorse rehabilitation referral based on the type of surgery 108,111 , timing of cancer treatments 109 , and symptom presentation 75,110 …”

Section: Resultsmentioning

confidence: 99%

“…74 One Category A guideline from Cancer Council Australia focuses on nutritional interventions for individuals with head and neck cancer who are both over and underweight and is reported in detail in the Nutrition section of -Cancer survivors should engage in regular physical activity and maintain a healthy weight (BMI 18.5-25 kg/m 2 ) and maintain a healthy lifestyle, which includes being physically active and a diet based on vegetables, fruits and whole grains and low in saturated fat, red meat and alcohol -Offer and implement nutritional interventions in patients with advanced cancer only after considering, together with the patient, the prognosis of the malignant disease and both the expected benefit on quality of life and potentially survival as well as the burden associated with nutritional care Below AGREE II Threshold French Speaking Society of Clinical Nutrition and Metabolism 100 Individuals who are non-surgical candidates being treated for cancer should receive a consultation for nutrition management referral based on the type of surgery 108,111 , timing of cancer treatments 109 , and symptom presentation. 75,110 Lung A single Category A guideline from the American College of Chest Physicians provides recommendations for rehabilitation interventions, to manage persistent cough in lung cancer survivors. 76 Four Category B guidelines advise rehabilitation referrals based on symptom presentation and severity.…”

Section: Head and Neckmentioning

confidence: 99%

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A systematic review of rehabilitation and exercise recommendations in oncology guidelines

Stout

Mina

Lyons

et al. 2020

CA A Cancer J Clinicians

174

140

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Guidelines promote high quality cancer care. Rehabilitation recommendations in oncology guidelines have not been characterized and may provide insight to improve integration of rehabilitation into oncology care. This report was developed as a part of the World Health Organization (WHO) Rehabilitation 2030 initiative to identify rehabilitation-specific recommendations in guidelines for oncology care. A systematic review of guidelines was conducted. Only guidelines published in English, for adults with cancer, providing recommendations for rehabilitation referral and assessment or interventions between 2009 and 2019 were included. 13840 articles were identified. After duplicates and applied filters, 4897 articles were screened. 69 guidelines were identified with rehabilitation-specific recommendations. Thirtyseven of the 69 guidelines endorsed referral to rehabilitation services but provided no specific recommendations regarding assessment or interventions. Thirty-two of the 69 guidelines met the full inclusion criteria and were assessed using the AGREE II tool. Twenty-one of these guidelines achieved an AGREE II quality score of ≥ 45 and were fully extracted. Guidelines exclusive to pharmacologic interventions and complementary and alternative interventions were excluded. Findings identify guidelines that recommend rehabilitation services across many cancer types and for various consequences of cancer treatment signifying that rehabilitation is a recognized component of oncology care. However, these findings are at odds with clinical reports of low rehabilitation utilization rates suggesting that guideline recommendations may be overlooked. Considering that functional morbidity negatively affects a majority of cancer survivors, improving guideline concordant rehabilitative care could have substantial impact on function and quality of life among cancer survivors. CA Cancer

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“…Chemotherapy can produce severe peripheral neurotoxicity leading to neuropathic pain (57). Orofacial pain of neuropathic origin can arise as a consequence of surgery (tumor resection), chemotherapy, and radiotherapy, or combination therapy (1,58). Most of the patients undergoing chemotherapy and radiotherapy for head and neck cancers develop oral mucositis which is extremely painful (59,60).…”

Section: The Paradox Of Cancer Treatmentmentioning

confidence: 99%

Cancer and orofacial pain

Salvemini

2016

Med Oral

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BackgroundCancer pain is a devastating condition. Pain in the orofacial region, may be present as the single symptom of cancer or as a symptom of cancer in its later stages. This manuscript revises in a comprehensive manner the content of the conference entitled “Orofacial Pain and Cancer” (Dolor Orofacial y Cancer) given at the VI Simposio International “Advances in Oral Cancer” on the 22 July, 2016 in Donostia.Material and MethodsWe have reviewed (pubmed-medline) from the most relevant literature including reviews, systematic reviews and clinical cases, the significant and evidence-based mechanisms and mediators of cancer-associated facial pain, the diverse types of cancers that can be present in the craniofacial region locally or from distant sites that can refer to the orofacial region, cancer therapy that may induce pain in the orofacial region as well as discussed some of the new advancements in cancer pain therapy.ResultsThere is still a lack of understanding of cancer pain pathophysiology since depends of the intrinsic heterogeneity, type and anatomic location that the cancer may present, making more challenging the creation of better therapeutic options. Orofacial pain can arise from regional or distant tumor effects or as a consequence of cancer therapy.ConclusionsThe clinician needs to be aware that the pain may present the characteristics of any other orofacial pain disorder so a careful differential diagnosis needs to be given. Cancer pain diagnosis is made by exclusion and only can be reached after a thorough medical history, and all the common etiologies have been carefully investigated and ruled out. The current management tools are not optimal but there is hope for new, safer and effective therapies coming in the next years. Key words:Pain, orofacial, facial, cancer.

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Management of somatic pain induced by head-and-neck cancer treatment: Definition and assessment. Guidelines of the French Oto-Rhino-Laryngology- Head and Neck Surgery Society (SFORL)

Abstract: The management of somatic pain induced by head-and-neck cancer treatment above all requires identifying and assessing the intensity of the various types of pain involved, their functional impact and their emotional component.

Cited by 16 publications

References 14 publications

Changes in and predictors of pain characteristics in patients with head and neck cancer undergoing radiotherapy

Changes in and predictors of pain characteristics in patients with head and neck cancer undergoing radiotherapy

A systematic review of rehabilitation and exercise recommendations in oncology guidelines

Cancer and orofacial pain

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