Pain assessment and management in paediatric oncology: a cross‐sectional audit

Plummer, Karin; McCarthy, Maria; McKenzie, Ian; Newall, Fiona; Manias, Elizabeth

doi:10.1111/jocn.13643

Cited by 18 publications

(14 citation statements)

References 55 publications

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“…Recovery from HSCT therapy is prolonged, and children often remain hospitalized for many months (Plummer et al, 2017). Little is known about the pain that children experience while hospitalized during HSCT therapy.…”

Section: Introductionmentioning

confidence: 99%

Experiences of Pain in Hospitalized Children During Hematopoietic Stem Cell Transplantation Therapy

et al. 2021

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Children undergoing hematopoietic stem cell transplantation (HSCT) are vulnerable to pain due to the intensity and toxicity of this treatment. An instrumental case study design of two qualitative phases was conducted to examine the pain experiences of hospitalized children during HSCT therapy and how contextual factors related to the pediatric HSCT environment influenced their experience of pain. The Social Communication Model of Pain provided the conceptual framework for the study. In Phase 1, semi-structured interviews were conducted with parents of a child undergoing HSCT therapy at two time points. Phase 2 was conducted as a naturalistic observational study of the clinical care provided to children and semi-structured interviews with health-care providers. Children experienced complex and multifaceted pain with physical, psychological, and contextual contributors. Understanding the many factors contributing to the child’s pain experience can inform strategies to improve the management of pain during HSCT therapy.

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Section: Introductionmentioning

confidence: 99%

Experiences of Pain in Hospitalized Children During Hematopoietic Stem Cell Transplantation Therapy

et al. 2021

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“…Despite the rigorous development of tools such as Pain Squad to assess and manage pain in pediatric oncology, symptom audits reveal that as many as 92% [25] of children with cancer have pain, and many do not benefit from the best available evidence-based approaches to pain care [26]. This phenomenon, known as the knowledge-to-action gap, refers to failure of the translation of the best available research evidence to be used in regular clinical practice [27].…”

Section: Introductionmentioning

confidence: 99%

The Implementation Effectiveness of a Freely Available Pediatric Cancer Pain Assessment App: A Pilot Implementation Study

Tutelman¹,

Chambers²,

Stinson³

et al. 2018

JMIR Cancer

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BackgroundPain Squad is an evidence-based, freely available iOS app designed to assess pain in children with cancer. Once research-based technologies such as Pain Squad are validated, it is important to evaluate their performance in natural settings to optimize their real-world clinical use.ObjectiveThe objective of this study was to evaluate the implementation effectiveness of Pain Squad in a natural setting.MethodsParents of 149 children with cancer (aged 8-18 years) were contacted to invite their child to participate. Participating children downloaded Pain Squad on their own iOS devices from the Apple App Store and reported their pain using the app twice daily for 1 week. Participants then emailed their pain reports from the app to the research team and completed an online survey on their experiences. Key implementation outcomes included acceptability, appropriateness, cost, feasibility, fidelity, penetration, and sustainability.ResultsOf the 149 parents contacted, 16 of their children agreed to participate. More than a third (6/16, 37.5%) of participating children returned their pain reports to the research team. Adherence to the pain assessments was 62.1% (mean 8.7/14 assessments). The 6 children who returned reports rated the app as highly feasible to download and use and rated their overall experience as acceptable. They also reported that they would be willing to sustain their Pain Squad use over several weeks and that they would recommend it to other children with cancer, which suggests that it may have potential for penetration.ConclusionsWhile Pain Squad was well received by the small number of children who completed the study, user uptake, engagement, and adherence were significant barriers to the implementation of Pain Squad in a natural setting. Implementation studies such as this highlight important challenges and opportunities for promoting the use and uptake of evidence-based technologies by the intended end-users.

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“…The relationship between emotional processing and pain sensitivity may be particularly relevant for survivors of childhood cancer. Children with cancer often receive inadequate analgesia for painful procedures, 52 which can lead to a cycle of increased distress and pain in future procedures. 13 , 71 This study demonstrates that the relationship between pain catastrophizing, anxiety, and increased pain sensitivity persists in long-term survivors and underscores the necessity of adequately managing pain during treatment and into survivorship.…”

Section: Discussionmentioning

confidence: 99%

Long-term alterations in somatosensory functioning in survivors of childhood cancer

Tutelman

Chambers

Cornelissen

et al. 2021

Pain

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Pain assessment and management in paediatric oncology: a cross‐sectional audit

Abstract: This study highlights the ongoing problem of pain for children receiving antineoplastic therapy. It is recommended that health professionals routinely screen for the presence of pain during hospitalisation and assess the efficacy of pain-related care.

Cited by 18 publications

References 55 publications

Experiences of Pain in Hospitalized Children During Hematopoietic Stem Cell Transplantation Therapy

Experiences of Pain in Hospitalized Children During Hematopoietic Stem Cell Transplantation Therapy

The Implementation Effectiveness of a Freely Available Pediatric Cancer Pain Assessment App: A Pilot Implementation Study

Long-term alterations in somatosensory functioning in survivors of childhood cancer

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