Restoring balance to cancer pain management

Cleary, James F.

doi:10.1002/cncr.32592

Cited by 8 publications

(5 citation statements)

References 15 publications

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“…Ferreira et al reported that cancer-related pain negatively affected mood, sleep, and normal walking in breast cancer survivors [37]. Chronic pain affects individuals in all aspects, including activities of daily living, physical and mental health, family, and social life [18]. Pain management guidelines suggest regular and systematic pain assessment is necessary for effective pain management [38].…”

Section: Discussionmentioning

confidence: 99%

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The Pain Characteristics and Caregiver Burden in Patients With Cancer-related Pain and their Associated Factors: A Cross-sectional Study

Tuğba Yangöz,

Korkmaz

2023

JHNM

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Introduction: Pain is the most common symptom among patients with cancer; the pain also affects their caregivers. Objective: This study aimed to explore the pain characteristics and caregiver burden in patients with cancer-related pain and their associated factors. Materials and Methods: This cross-sectional study was conducted on 240 patients and their caregivers (120 patients and 120 caregivers), who were chosen using the convenience sampling method. They completed face-to-face surveys, including information about sociodemographic and disease characteristics, the brief pain inventory, the pain beliefs questionnaire, and the Zarit burden interview scale. The descriptive statistics, frequency distributions, and multiple linear regression model were used to analyze the obtained data according to the two-tailed P<0.05. Results: The mean age of the patients was 58.79±13.46 years, and 50.8% were females. The mean age of the caregivers was 47.84±13.24 years, and 83.3% were females. The linear regression analyses showed demographic and clinical factors of patients were associated with pain severity (R2=0.326, P<0.001). In addition, these factors were associated with all sub-dimension of pain interference and pain beliefs (P<0.001). Furthermore, the linear regression model showed that patients' pain severity, pain interference and pain beliefs were predictive factors of caregiver burden (R2=0.266, P<0.001). Conclusion: These results will help health professionals understand the pain characteristics of patients and caregiver burden to improve cancer-related pain and caregiver burden.

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Section: Discussionmentioning

confidence: 99%

“…have sufficient knowledge and skills in pain mechanisms, assessment, care planning, and management [3,18]. Nurses should support caregivers psychologically, socially, and spiritually [19].…”

Section: Plain Language Summarymentioning

confidence: 99%

The Pain Characteristics and Caregiver Burden in Patients With Cancer-related Pain and their Associated Factors: A Cross-sectional Study

Tuğba Yangöz,

Korkmaz

2023

JHNM

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“…The prevalence of pain in cancer survivors is estimated to be 40%, while close to twothirds of those with advanced disease live with pain (10). Cancer pain management, an often-neglected component of oncological care, is closely associated to the development of the modern hospice measures, and palliative care (11). Additionally, the levels of pain experienced are often difficult to assess due to concerns of patients.…”

Section: Discussionmentioning

confidence: 99%

Low-dose ketamine as an adjuvant for pain control in a cancer patient: a case report

Patel¹,

Tatachar²,

Singh³

et al. 2021

Ann Palliat Med

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patients on these medications endure exacerbating side effects and complications. Additionally, due to opioid tolerance, or reduced responsiveness, 10-fold increases in opioid doses are common in chronic pain management (2). This rapid increase in dosages is problematic due to the narrow therapeutic range of opioids and their high-risk side effects, such as nausea/vomiting, constipation, sedation, drowsiness, and neurological effects such as neuroexcitation, myoclonus, and urinary retention (3,4). The need for non-opioid treatment options for patients undergoing acute, chronic and obstinate pain is of great importance; one alternative is low-dose ketamine (LDK) infusion.

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“…In addition to common opioid adverse reactions such as constipation, nausea, and vomiting, opioids have also been reported to be associated with reduced survival rates in patients with advanced cancer and elevated rates for ischemic heart disease-related morbidity and mortality [21,22]. Although potent opioids remain the rst-line drugs of cancer pain treatment, more and more choices of pain treatment are coming on stream, and HCWs and researchers not only need to expand the selections of analgesic drugs also seek to use them more effectively and safely [23,24]. The main reasons for which analgesic drugs physicians chose in this study consisted of three aspects: e cacy, convenience/accessibility, and safety (low risk of adverse effects is also safety).…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes, And Practices Towards Cancer Pain Management Amongst Healthcare Workers (Physicians, Pharmacists, And Nurses): A Cross-Sectional Study From First-Tier Cities in China

Xie

Zhang

et al. 2021

Preprint

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Purpose China is currently one of the countries with the largest increased number of new cancer cases in the world, but cancer pain management (CPM) is still inadequate. This study, through a questionnaire designed to show the knowledge, attitudes, and practices (KAP) status and differences towards CPM among healthcare workers (HCWs) in developed areas of China and explore areas and advantages of the role of pharmacists and mobile devices.Methods This study used data from a questionnaire on CPM from March to June 2019. The study population consisted of a total of 515 HCWs in four first-tier developed cities in China. The questionnaire has four major components, analysis of differences in KAP of different occupations through one-way analysis of variance (ANOVA).Results Among the respondents, the physicians had the highest knowledge scores towards CPM, pharmacists had the lowest practice scores. Around half of the respondents indicated that their hospital or department have a pharmacist participating in CPM. Physicians, and nurses were more likely to expect pharmacists to provide drug counseling. The HCWs interviewed most expect that the mobile-based pain management system can automatically screen and mark patients with pain.Conclusion From this study, it can be suggested that pharmacists and nurses in the CPM team should actively promote relevant knowledge. Besides, pharmacists should focus on improving practical ability such as increasing the frequency of pain assessment. Multidisciplinary collaboration and the introduction of mobile devices can improve and refine the CPM.

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Restoring balance to cancer pain management

Cited by 8 publications

References 15 publications

The Pain Characteristics and Caregiver Burden in Patients With Cancer-related Pain and their Associated Factors: A Cross-sectional Study

The Pain Characteristics and Caregiver Burden in Patients With Cancer-related Pain and their Associated Factors: A Cross-sectional Study

Low-dose ketamine as an adjuvant for pain control in a cancer patient: a case report

Knowledge, Attitudes, And Practices Towards Cancer Pain Management Amongst Healthcare Workers (Physicians, Pharmacists, And Nurses): A Cross-Sectional Study From First-Tier Cities in China

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