Prevalence of pain in patients with cancer: a systematic review of the past 40 years

Everdingen, M.H.J. van den Beuken-van; Rijke, Janneke M. de; Kessels, Alfons G.H.; Schouten, Harry C.; Kleef, Maarten van; Patijn, Jacob

doi:10.1093/annonc/mdm056

Cited by 1,636 publications

(959 citation statements)

References 170 publications

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“…9,11,[13][14][15] In this study, the main complaint in the emergency room was pain, similar to that reported in a 2007 systematic review. 16 However, even with the recommendation of the World Health Organization (WHO) 17 and the Brazilian MH, 7 as well as a high probability of success in pain control, this symptom is still neglected worldwide. 18 Knowledge and skills development for adequate pain management should be a priority for health professionals.…”

Section: Discussionmentioning

confidence: 99%

Cancer patients, emergencies service and provision of palliative care

Miranda

Vidal

Mello

et al. 2016

Rev. Assoc. Med. Bras.

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Objective: To describe the clinical and sociodemographic profile of cancer patients admitted to the Emergency Center for High Complexity Oncologic Assistance, observing the coverage of palliative and home care. Method: Cross sectional study including adult cancer patients admitted to the emergency service (September-December/2011) with a minimum length of hospital stay of two hours. Student's t-test and Pearson chi-square test were used to compare the means. Results: 191 patients were enrolled, 47.6% elderly, 64.4% women, 75.4% from the city of Recife and greater area. The symptom prevalent at admission was pain (46.6%). 4.2% of patients were linked to palliative care and 2.1% to home care. The most prevalent cancers: cervix (18.3%), breast (13.6%) and prostate (10.5%); 70.7% were in advanced stages (IV, 47.1%); 39.4% without any cancer therapy. Conclusion: Patients sought the emergency service on account of pain, probably due to the incipient coverage of palliative and home care. These actions should be included to oncologic therapy as soon as possible to minimize the suffering of the patient/family and integrate the skills of oncologists and emergency professionals.

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Section: Discussionmentioning

confidence: 99%

Cancer patients, emergencies service and provision of palliative care

Miranda

Vidal

Mello

et al. 2016

Rev. Assoc. Med. Bras.

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“…39 The seemingly lower pain severity in our study compared with that of other studies was noteworthy. 3 Possible reasons for this include Asians' reluctance to report pain because of cultural influences, 34,[40][41][42][43] possible selection bias from attrition, and unique practice characteristics of pain management and palliative care referral in Korea. 18 The current study had limitations.…”

Section: Original Articlementioning

confidence: 99%

“…1 Pain is reported by 60% to 70% of patients with advanced cancer 2,3 and increases as patients approach death. 4 Fortunately, in the vast majority of cases, adequate pain control can be achieved by using the World Health Organization guidelines.…”

Section: Introductionmentioning

confidence: 99%

Variations in pain management outcomes among palliative care centers and the impact of organizational factors

Shin

Hwang

et al. 2012

Cancer

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BACKGROUND:The assessment of pain management outcomes is important for the quality assurance of palliative care. The objective of this study was to determine whether there are significant variations in pain management outcomes among palliative care centers and whether they are affected by organizational factors. METHODS: Data used in this investigation were from the 2009 Korean Terminal Cancer Patient Information System and administrative records of the 34 inpatient palliative care centers designated by the Korean Ministry of Health and Welfare in 2009. Self-reported pain scores (range, from 0 to 10) at admission and 1 week after admission were prospectively collected. Multilevel mixed-effect regression models were used to analyze the variations and the impact of organizational-level factors on 2 pain management outcomes (ie, reduction in average pain score and achievement of adequate pain control at 1 week after admission). RESULTS: In total, 1711 patients with terminal cancer were included in the analyses. The mean reduction in the pain score was 0.69 to 1.91 after 1 week, and most patients (82.8%) achieved adequate pain control. There were significant variations in pain management outcomes among palliative care centers. Higher composite scores for human resources adequacy were associated significantly with a greater reduction in pain score (b, 0.11; 95% confidence interval, 0.01-0.21), and achievement of adequate pain control (adjusted odds ratio, 1.26; 95% confidence interval, 1.10-1.45). CONCLUSIONS: There were significant variations in pain management outcomes among inpatient palliative care centers, and they were affected by organizational factors, such as human resources adequacy. Cancer 2012;118:5688-97.

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“…[2][3][4] Pain is common among persons with advanced cancer, [5][6][7] with studies finding that 75%-90% of those with advanced cancer report severe pain throughout their illness. 8,9 In CRC, mechanisms of pain include tumor infiltration of nerves, bowel obstruction, treatment-induced neuropathy, and hepatic capsular distention, among others.…”

Section: Introductionmentioning

confidence: 99%

Use of Opioid Analgesics Among Older Persons With Colorectal Cancer in Two Health Districts With Palliative Care Programs

Fisher

Urquhart

Johnston

2013

Journal of Pain and Symptom Management

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Context-Prescription of opioid analgesics is a key component of pain management among persons with cancer at the end of life.Objectives-To use a population-based method to assess the use of opioid analgesics within the community among older persons with colorectal cancer (CRC) before death and determine factors associated with the use of opioid analgesics.Methods-Data were derived from a retrospective, linked administrative database study of all persons who were diagnosed with CRC between January 1, 2001 and December 31, 2005 in Nova Scotia, Canada. This study included all persons who 1) were 66 years or older at the date of diagnosis; 2) died between January 1, 2001 and April 1, 2008; and 3) resided in health districts with formal palliative care programs (PCPs) (n = 657). Factors associated with having filled at least one prescription for a so-called "strong" opioid analgesic in the six months before death were examined using multivariate logistic regression.Results-In all, 36.7% filled at least one prescription for any opioid in the six months before death. Adjusting for all covariates, filling a prescription for a strong opioid was associated with enrollment in a PCP (odds ratio [OR] = 3.18, 95% CI = 2.05-4.94), residence in a long-term care facility (OR = 2.19, 95% CI = 1.23-3.89), and a CRC cause of death (OR = 1.75, 95% CI = 1.14-2.68). Persons were less likely to fill a prescription for a strong opioid if they were older (OR = 0.97, 95% CI = 0.95-0.99), male (OR = 0.59, 95% 0.40-0.86), and diagnosed less than six months before death (OR = 0.62, 95% CI = 0.41-0.93).Conclusion-PCPs may play an important role in enabling access to end-of-life care within the community.

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Prevalence of pain in patients with cancer: a systematic review of the past 40 years

Cited by 1,636 publications

References 170 publications

Cancer patients, emergencies service and provision of palliative care

Cancer patients, emergencies service and provision of palliative care

Variations in pain management outcomes among palliative care centers and the impact of organizational factors

Use of Opioid Analgesics Among Older Persons With Colorectal Cancer in Two Health Districts With Palliative Care Programs

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