The assessment of cancer pain

Cherny, Nathan I.

doi:10.1016/b0-443-07287-6/50075-8

Cited by 7 publications

(5 citation statements)

References 197 publications

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“…The prevalence of acute and chronic pain in cancer patients is high: approximately 30% in patients with newly diagnosed cancer, 50–70% in patients receiving active anti‐cancer therapy and 60–80% in patients with far advanced disease (1). For most patients (up to 90%), sufficient pain relief can be obtained if adequate treatment, as suggested by various guidelines, is provided (2–5).…”

Section: Introductionmentioning

confidence: 99%

Patient‐related barriers to cancer pain management: a systematic exploratory review

Jacobsen

Møldrup

Christrup

et al. 2009

Scandinavian Caring Sciences

111

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The aim of this review was to systemically explore the current evidence regarding patient-related barriers to cancer pain management to find new areas that might be important for better understanding of patient barriers' phenomenon. The method used in this study was a computerised literature search, carried out in Cochrane Library, Medline (through PubMed), Web of Science and EMBASE databases for the period 1994-2005. Thirty-seven studies, dealing with cognitive, sensory and affective patient-related barriers, as well as studies, describing patients' pain communication and their adherence to analgesic regimen were included and analysed. The dominant part of articles studied cognitive patient-related barriers to cancer pain management, while affective, sensory barriers, as well as pain communication and pain medication adherence were studied in much less extend. However, the findings from different studies regarding relationships between cognitive barriers and pain intensity were not consistent. On the contrary, the quality of pain communication was consistently found to be not satisfactory in some key areas. The associations between more expressed attitudinal as well as sensory barriers and less optimal adherence were also consistent. In conclusions suggestion for the new research areas on patient-related barriers to cancer pain management are made. Firstly, further research is needed to differentiate the role of cognitive, affective and sensory factors with respect to their impact on pain relief, pain communication and medication adherence. Besides that, validated instruments to assess patients' pain communication and adherence to analgesic regimen are lacking.

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Section: Introductionmentioning

confidence: 99%

Patient‐related barriers to cancer pain management: a systematic exploratory review

Jacobsen

Møldrup

Christrup

et al. 2009

Scandinavian Caring Sciences

111

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“…The prevalence of acute and chronic pain in patients with cancer is high: approximately 30% in patients with newly diagnosed cancer, 50–70% in patients receiving active anti‐cancer therapy and 60–80% in patients with far advanced disease (1). In the majority of the patients (up to 90%), sufficient pain relief can be obtained if adequate treatment, as suggested by various guidelines, is provided (2–5).…”

Section: Introductionmentioning

confidence: 99%

Psychological and behavioural predictors of pain management outcomes in patients with cancer

Jacobsen

Møldrup

Christrup

et al. 2010

Scandinavian Journal of Caring Sciences

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To better understand the phenomenon of patient-related barriers to cancer pain management and address them more effectively in interventional studies, a theoretical model related to psychological aspects of pain experience and pain-related behaviours was elaborated. The aim of the study was to analyse the impact of patient-related barriers on cancer pain management outcomes following this model. Thirty-three patients responded to the Brief Pain Inventory Pain scale, the Danish Barriers Questionnaire II (DBQ-II), the Hospital Anxiety and Depression scale (HADS), the Danish version of Patient Perceived Involvement in Care Scale measuring the quality of patient-physician pain communication, and the Danish version of Medication Adherence Report Scale (DMARS-4). Statistical analysis was performed with SPSS 16.00. The results of the multivariable linear regression analyses showed that pain intensity was explained by patients' emotional distress (symptoms of anxiety and depression) and that pain relief was explained by cognitive barriers. In conclusion, interventions in emotional distress and patients' concerns may supposedly result in better cancer pain management outcomes.

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“…The prevalence of acute and chronic pain in cancer patients is high: up to 80% of patients with far advanced disease suffer from pain 1 . The majority of these patients could be relieved from the pain if adequate treatment, as suggested by various guidelines, would be provided 2–5 .…”

Section: Introductionmentioning

confidence: 99%

“…To support the construct validity of the instrument, an exploratory factor analysis was conducted. In addition, relationships between the DMARS‐4 and patients' beliefs about pain management, pain communication, pain severity/relief levels and demographic variables, in particular, education and age, were assessed, as in previous studies on pain mediation adherence in cancer patients' settings such relationships have been identified 1–13,19,25 . To evaluate the reliability of the questionnaire, internal consistency of the instrument was assessed.…”

Section: Introductionmentioning

confidence: 99%

The Danish version of the Medication Adherence Report Scale: Preliminary Validation in Cancer Pain Patients

et al. 2009

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The assessment of cancer pain

Cited by 7 publications

References 197 publications

Patient‐related barriers to cancer pain management: a systematic exploratory review

Patient‐related barriers to cancer pain management: a systematic exploratory review

Psychological and behavioural predictors of pain management outcomes in patients with cancer

The Danish version of the Medication Adherence Report Scale: Preliminary Validation in Cancer Pain Patients

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