Literature DB >> 15519793

Impact of radiation oncology practice on pain: a cross-sectional survey.

Thierry Pignon1, Lucette Fernandez, Sylvie Ayasso, Marie-Agnés Durand, Delphine Badinand, Didier Cowen.   

Abstract

PURPOSE: A cross-sectional study was performed to evaluate the prevalence of pain in our radiotherapy (RT) department. The impact of RT practice on pain and pain management were analyzed. METHODS AND MATERIALS: Of 126 patients, 93 (73.8%) completed the questionnaire proposed in this survey. It was designed to assess the proportion of patients experiencing pain in the department, the impact of RT practice on pain, and patients' estimate of the quality of management of their pain by the medical staff. Pain intensity and patient satisfaction were assessed using an 11-point numeric rating scale.
RESULTS: Of the 93 patients, 66 experienced pain during RT, 13 of whom were totally relieved by analgesic treatment. The mean pain intensity was 3.9 (SD 2.3). A total of 26 patients had a numeric rating >/=4, indicating that their pain was not sufficiently treated. The objective length of waiting time for a session, transportation, and mobilization for session positioning worsened the pain of a substantial proportion of patients. A total of 56% of patients had a favorable opinion about pain management in our department. A high percentage (72.2%) of patients found that the time spent by the medical staff for pain management was inadequate, and 54.5% believed that the psychological support they received was insufficient. Personnel in the RT department remained the primary source of information regarding pain control. However, 17.5% of patients did not report their pain or talked about it to non-health care professionals.
CONCLUSION: The prevalence of pain was high in the department. The specific practice of RT worsened pain and nearly one-half of patients were not satisfied with its management. The necessity for medical staff to be more available was highlighted by patients.

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Year:  2004        PMID: 15519793     DOI: 10.1016/j.ijrobp.2004.04.040

Source DB:  PubMed          Journal:  Int J Radiat Oncol Biol Phys        ISSN: 0360-3016            Impact factor:   7.038


  10 in total

1.  A simple and effective daily pain management method for patients receiving radiation therapy for painful bone metastases.

Authors:  Regiane S Andrade; Julian W Proctor; Robert Slack; Ursula Marlowe; Karlotta R Ashby; Larry L Schenken
Journal:  Int J Radiat Oncol Biol Phys       Date:  2010-02-19       Impact factor: 7.038

2.  Why do patients with cancer access out-of-hours primary care? A retrospective study.

Authors:  Rosalind Adam; Patrick Wassell; Peter Murchie
Journal:  Br J Gen Pract       Date:  2014-02       Impact factor: 5.386

3.  Cancer patient attitudes toward analgesic usage and pain intervention.

Authors:  Charles B Simone; Neha Vapiwala; Margaret K Hampshire; James M Metz
Journal:  Clin J Pain       Date:  2012-02       Impact factor: 3.442

Review 4.  Operations research for resource planning and -use in radiotherapy: a literature review.

Authors:  Bruno Vieira; Erwin W Hans; Corine van Vliet-Vroegindeweij; Jeroen van de Kamer; Wim van Harten
Journal:  BMC Med Inform Decis Mak       Date:  2016-11-25       Impact factor: 2.796

5.  Effect of systemic injection of heterogenous and homogenous opioids on peripheral cellular immune response in rats with bone cancer pain: A comparative study.

Authors:  Jun-Ying Du; Yi Liang; Jun-Fan Fang; Yong-Liang Jiang; Xiao-Mei Shao; Xiao-Fen He; Jian-Qiao Fang
Journal:  Exp Ther Med       Date:  2016-09-01       Impact factor: 2.447

Review 6.  Assessment and treatment of breakthrough cancer pain: from theory to clinical practice.

Authors:  Renato Vellucci; Rocco Domenico Mediati; Silvia Gasperoni; Massimo Mammucari; Franco Marinangeli; Patrizia Romualdi
Journal:  J Pain Res       Date:  2017-09-12       Impact factor: 3.133

7.  Radiation for Palliation: Role of Palliative Radiotherapy in Allevieating Pain/Symptoms in a Prospective Observational Study at Two Tertiary Care Centers.

Authors:  Ashok Kumar; Hari Mukundan; Sharad Bhatnagar; Arti Sarin; Sachin Taneja; Srimukta Sahoo
Journal:  Indian J Palliat Care       Date:  2019 Jul-Sep

8.  The use of fentanyl in pain management in head and neck cancer patients: a narrative review.

Authors:  Raffaele Giusti; Paolo Bossi; Marco Mazzotta; Marco Filetti; Daniela Iacono; Paolo Marchetti
Journal:  Br J Pain       Date:  2017-10-10

9.  Management of predictable pain using fentanyl pectin nasal spray in patients undergoing radiotherapy.

Authors:  Brent C Bell; E Brian Butler
Journal:  J Pain Res       Date:  2013-12-11       Impact factor: 3.133

10.  Improving workflow control in radiotherapy using discrete-event simulation.

Authors:  Bruno Vieira; Derya Demirtas; Jeroen B van de Kamer; Erwin W Hans; Wim van Harten
Journal:  BMC Med Inform Decis Mak       Date:  2019-10-24       Impact factor: 2.796

  10 in total

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