Josep Porta-Sales1, Maria Nabal-Vicuna2, Antonio Vallano3, Jose Espinosa4, Josep Planas-Domingo5, Eugènia Verger-Fransoy6, Joaquim Julià-Torras1, Judith Serna7, Antonio Pascual-López8, Dulce Rodríguez9, Isidre Grimau10, Germà Morlans11, Carme Sala-Rovira12, Agnes Calsina-Berna1, Josep Ma Borras-Andrés13, Xavier Gomez-Batiste14. 1. 1 Palliative Care Service, Catalan Institute of Oncology , Barcelona, Spain . 2. 2 Palliative Care Department, University Hospital Arnau de Vilanova , Lleida, Spain . 3. 3 Clinical Pharmacology Department, University Hospital Bellvitge , Spain . 4. 4 The Qualy Observatory, Barcelona, Spain . 5. 5 Palliative Care Department, Hospital del Mar , Barcelona, Spain . 6. 6 Radiation Oncology Department, Hospital Clinic , Barcelona, Spain . 7. 7 Palliative Care Department, University Hospital Vall d'Hebron , Barcelona, Spain . 8. 8 Palliative Care Department, University Hospital de la Sta. Creu i St. Pau , Barcelona, Spain . 9. 9 Palliative Care Department, University Hospital St. Joan , Reus, Spain . 10. 10 Palliative Care Department, Parc Taulí Health Coorporation , Sabadell, Spain . 11. 11 Palliative Care Department, Hospital Asil de Granollers , Granollers, Spain . 12. 12 Palliative Care Department, Terrassa Health Consortium , Terrassa, Spain . 13. 13 Department of Clinical Sciences, University of Barcelona , Barcelona, Spain . 14. 14 WHO Collaborating Centre for Public Health Palliative Care Programmes , Barcelona, Spain .
Abstract
BACKGROUND:Pain in cancer patients is recognized as a major health problem, yet few studies of both inpatient and outpatient populations have been carried out. OBJECTIVE: The study objective was to assess the frequency, type, and characteristics of pain in adult cancer patients, including both inpatients and outpatients. METHODS: This cross-sectional study involved 1064 adult cancer patients (437 outpatients and 627 inpatients) from 44 hospitals and/or long-term-care centers in Catalonia, Spain. Cancer patients suffering from pain of any etiology for ≥2 weeks and/or under analgesic treatment ≥2 weeks were enrolled. Demographic and pain data were collected. The Spanish version of the Brief Pain Inventory was used to assess pain. RESULTS:Pain frequency was 55.3%. Pain was less frequent in outpatients than inpatients (41.6% versus 64.7%; p<0.001), although median pain duration was longer in outpatients (20 versus 6 weeks; p<0.001). Pain was assessable in 333 patients, and intensity was similar in both out- and inpatients; however, outpatients reported less improvement, less pain interference with daily life, and less pain related to the cancer per se. In both groups, patients with multiple myeloma (73%), breast (65%), and lung cancer (61%) were most likely to report pain. CONCLUSIONS:Pain in cancer patients, both ambulatory and hospitalized, remains a challenge for health care professionals, health administrators, and stakeholders. Our study reveals the high level of pain and distress that cancer patients continue to suffer, a problem that is particularly notable in outpatients due to the intensity and duration of the pain.
RCT Entities:
BACKGROUND:Pain in cancerpatients is recognized as a major health problem, yet few studies of both inpatient and outpatient populations have been carried out. OBJECTIVE: The study objective was to assess the frequency, type, and characteristics of pain in adult cancerpatients, including both inpatients and outpatients. METHODS: This cross-sectional study involved 1064 adult cancerpatients (437 outpatients and 627 inpatients) from 44 hospitals and/or long-term-care centers in Catalonia, Spain. Cancerpatients suffering from pain of any etiology for ≥2 weeks and/or under analgesic treatment ≥2 weeks were enrolled. Demographic and pain data were collected. The Spanish version of the Brief Pain Inventory was used to assess pain. RESULTS:Pain frequency was 55.3%. Pain was less frequent in outpatients than inpatients (41.6% versus 64.7%; p<0.001), although median pain duration was longer in outpatients (20 versus 6 weeks; p<0.001). Pain was assessable in 333 patients, and intensity was similar in both out- and inpatients; however, outpatients reported less improvement, less pain interference with daily life, and less pain related to the cancer per se. In both groups, patients with multiple myeloma (73%), breast (65%), and lung cancer (61%) were most likely to report pain. CONCLUSIONS:Pain in cancerpatients, both ambulatory and hospitalized, remains a challenge for health care professionals, health administrators, and stakeholders. Our study reveals the high level of pain and distress that cancerpatients continue to suffer, a problem that is particularly notable in outpatients due to the intensity and duration of the pain.
Authors: C Jara; S Del Barco; C Grávalos; S Hoyos; B Hernández; M Muñoz; T Quintanar; J A Meana; C Rodriguez; R de Las Peñas Journal: Clin Transl Oncol Date: 2017-11-10 Impact factor: 3.405
Authors: Hong Xiao; Hui Liu; Jin Liu; Yunxia Zuo; Li Liu; Hong Zhu; Yan Yin; Li Song; Bangxiang Yang; Jun Li; Ling Ye Journal: Med Sci Monit Date: 2018-11-01