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Cancer pain management in patients receiving inpatient specialized palliative care services
Article
CONTEXT: Cancer pain is a common complication that is frequently undertreated in patients with cancer.
OBJECTIVES: This study is aimed at assessing the time needed to achieve cancer pain management goals through specialized palliative care (SPC).
METHODS: This was a multicenter, prospective, longitudinal study of inpatients with cancer pain who received SPC. Patients were continuously followed up until they considered cancer pain management successful, and we estimated this duration using the Kaplan-Meier method. We investigated the effectiveness of pain management using multiple patient-reported outcomes (PROs) and quantitative measures, including pain intensity change in the Brief Pain Inventory. A paired-sample t-test was used to compare the pain intensity at the beginning and end of the observation period.
RESULTS: Cancer pain management based on the PROs was achieved in 87.9% (385/438) of all cases. In 94.5% (364/385) of these cases, cancer pain management was achieved within 1 week, and the median time to pain management was 3 days (95% confidence interval [CI], 2-3). The mean worst pain intensity in the last 24 h at the start and end of observation were 6.9±2.2 and 4.0±2.3, respectively, with a difference of -2.9 (95% CI, -3.2- -2.6; p<0.01). Overall, 81.6% of the patients reported satisfaction with cancer pain management, and 62 adverse events occurred.
CONCLUSION: SPC achieved cancer pain management over a short period with a high level of patient satisfaction resulting in significant pain reduction and few documented adverse events.
http://dx.doi.org/10.1016/j.jpainsymman.2023.09.015
Voir la revue «JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 67»
Autres numéros de la revue «JOURNAL OF PAIN AND SYMPTOM MANAGEMENT»
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