Oncologist’s knowledge and implementation of guidelines for breakthrough cancer pain in Spain: CONOCE study

López‐López, Rafael; Herrero, Carlos Camps; Khosravi-Shahi, Parham; Porta, V. Guillem; Carrato, Alfredo; Garcı́a-Foncillas, Jesús; Hernández, Juan Jesús Cruz; Vilaplana, P. Gascón; Torres, A. Antón; Dı́az-Rubio, Eduardo; Saus, Margarita Feyjoo; Aguilar, E. Aranda

doi:10.1007/s12094-017-1756-5

Cited by 21 publications

(11 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Second is the unconsciousness or low compliance of medical members to guideline. Recent study showed despite oncologist's clinical practice on BTP treatment was increasingly guided by clinical guideline, it suffers from limited compliance [ 45 ]. Our study indicated improved dissemination and education were needed to enhance the awareness and guideline implementation in Chinese context.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Observational Study on the Characteristics of Pain and Associated Factors of Breakthrough Pain in Advanced Cancer Patients

Fan

Yang

et al. 2022

Pain Research and Management

View full text Add to dashboard Cite

Objective. This study aimed to conduct a retrospective observational study to understand the status of characteristics of pain and identify potential variables influencing the clinical presentation of breakthrough cancer pain (BTP) in advanced cancer patients. Methods. Advanced cancer patients over 18 years of age; diagnosed with cancer of any type and stage III or IV in the palliative care ward with available data were enrolled between 2018 and 2020. Demographic data and pain-related information were collected by using structured electronic extraction form from Hospital Information System (HIS). Patients who had well-controlled background pain with an intensity ≤4 on a 0–10 numerical scale for >12 hours/day, the presence of transient exacerbations of pain with moderate-severe intensity (≧5), and clearly distinguish from background pain were regarded to have suffered BTP. Spearman correlation was conducted to explore the relationship between pain score and demographics characteristics. Factors significant in univariate analysis were included in the multiple regression model to explore independent predictive factors associated with the BTP. Results. Of 798 advanced cancer patients, the mean age was 56.7 (SD = 11.84) years. Lung cancer (29.95%) was the most common cancer, and pain (93%) was the most common symptom. More than half (n = 428, 53.6%) of the patients experienced BTP. The median number of BTP episodes was 4 (IQR = 2, 7, range: 1–42). The median intensity of BTP was 6 (IQR = 6, 7, range 5–10). Patients with severe background pain or BTP had longer hospital stay and more symptoms. Besides, more severe background pain was related to higher activity of daily living. Intramuscular injection of hydromorphone hydrochloride was the main medication for BTP onset. Younger age, background pain, anorexia, and constipation were independently associated with the presentation of BTP. BTP pain intensity was independently associated with bloating. Symptom numbers were an independent factor and positively associated with BTP episodes. Conclusions. BTP resulted in poor prognosis, which has a variable presentation depending on interdependent relationships among different characteristics. Good controlling of background pain and assessment of pain-related symptoms are essential for BTP management. BTP should be managed individually, especially the invisible pain among aged patients. Furthermore, BTP-related education and training were still needed.

show abstract

Section: Discussionmentioning

confidence: 99%

Retrospective Observational Study on the Characteristics of Pain and Associated Factors of Breakthrough Pain in Advanced Cancer Patients

Fan

Yang

et al. 2022

Pain Research and Management

View full text Add to dashboard Cite

show abstract

“…The literature suggests that adherence to guidelines may be improved through the standardisation of processes and the development of protocols . Another widely reported barrier was lack of resources, such as lack of time and heavy workload . This barrier can be overcome by the provision of sufficient time to use the guidelines in practice …”

Section: Resultsmentioning

confidence: 99%

Barriers and facilitators to the implementation of clinical practice guidelines in sonography

2019

View full text Add to dashboard Cite

Knowledge of the size of the adult liver is an essential factor in diagnosing liver disease and in the monitoring of treatment response over time. Although there are multiple methods to determine liver size using ultrasound, currently, no clinical practice guideline exists. Recently, a reference range and equation to determine liver volume using ultrasound was developed. In order to guide the development of a clinical guideline, a scoping review was conducted in order to identify the potential barriers and facilitators to the implementation of this new measurement technique in clinical practice. A total of 40 articles were included in the review. The most commonly cited barriers to guideline adherence can be divided into categories that are related to individual barriers (knowledge and attitude) and external factors (guideline and environmental). The facilitators to overcome such barriers were also identified. It was reported that implementation is most beneficial when a range of strategies that aim to address the identified barriers are used. In conclusion, this scoping review has identified barriers and facilitators to aid in the development of interventions to improve sonographers' adherence to clinical practice guidelines in the clinical environment.

show abstract

“…Además, a pesar de la prevalencia y de ser un factor pronóstico negativo en pacientes oncológicos, el DIO está infradiagnosticado y poco tratado. Un estudio cualitativo realizado en España para determinar la adherencia a la Guía Clínica del Tratamiento del Dolor Oncológico de la Sociedad Española de Oncología Médica (38) mostró que, aunque los oncólogos (n = 83) fueron unánimes en la necesidad de tratamiento específico para el DIO (100 %), y en el uso de fentanilo como fármaco de primera elección (99 %), la guía adolece de un cumplimiento limitado, en parte debido a su baja difusión y en parte a la posible confusión en ciertas recomendaciones (39). Asimismo, un estudio realizado con oncólogos americanos mostró que una de las barreras identificadas para el tratamiento adecuado del dolor era la necesidad de formación específica en este campo (40).…”

Section: Discussionunclassified

Proyecto ADAPTA: Adecuación del tratamiento en dolor irruptivo oncológico

Álamo

Cabezón-Gutiérrez

2018

Rev. Soc. Esp. Dolor.

View full text Add to dashboard Cite

Este es un archivo PDF de un manuscrito inédito que ha sido aceptado para su publicación en la Revista de la Sociedad Española del Dolor. Como un servicio a nuestros clientes estamos proporcionando esta primera versión del manuscrito en estado de prepublicación. El manuscrito será sometido a la corrección de estilo final, composición y revisión de la prueba resultante antes de que se publique en su forma final. Tenga en cuenta que durante el proceso de producción se pueden dar errores lo que podría afectar el contenido final. El copyright y todos los derechos legales que se aplican al artículo pertenecen a la

show abstract

Oncologist’s knowledge and implementation of guidelines for breakthrough cancer pain in Spain: CONOCE study

Abstract: Despite oncologist's clinical practice is increasingly guided by GPC, it suffers from limited compliance, at least in part due to suboptimal statements. Improved dissemination and education are needed to enhance guideline implementation.

Cited by 21 publications

References 30 publications

Retrospective Observational Study on the Characteristics of Pain and Associated Factors of Breakthrough Pain in Advanced Cancer Patients

Retrospective Observational Study on the Characteristics of Pain and Associated Factors of Breakthrough Pain in Advanced Cancer Patients

Barriers and facilitators to the implementation of clinical practice guidelines in sonography

Proyecto ADAPTA: Adecuación del tratamiento en dolor irruptivo oncológico

Contact Info

Product

Resources

About