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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Incidence and management of noncancer pain in cancer patients referred to a radiotherapy center
Clinical Journal of Pain, Volume 29, No. 11, Year 2013
Notification
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Description
OBJECTIVES: The incidence of noncancer pain (NCP) in cancer patients is unknown. An analysis of incidence, severity, impact on quality of life (QoL), and appropriateness of NCP treatment in a cohort of cancer patients referred to a radiotherapy center is reported. MATERIALS AND METHODS: Pain was scored from 0 (absence) to 3 (severe) and the adequacy of analgesic therapy was evaluated according to International Guidelines. Correlation between Pain Management Index and World Health Organization Analgesic Ladder was used to analyze the appropriateness of NCP treatment. In addition, pain was differentiated according to its origin and types and a comparison was performed between cancer pain (CP) and NCP. RESULTS: A total of 903 patients were eligible and 865 (95.8%) were considered evaluable. Three hundred ninety-eight patients (46.0%) had pain. CP and NCP pain incidence was 11.2% and 34.8%, respectively. Pain intensity was higher in patients with CP versus NCP (P=0.021). A neuropathic pain lower incidence (P=0.024) in NCP versus CP was recorded. Moreover, NCP was more inadequately treated than CP (P<0.001). QoL was significantly lower in patients with NCP when compared with patients without pain (P<0.001). In addition, QoL of patients with CP was significantly lower than QoL of patients with NCP (P<0.001). DISCUSSION: In a cancer patients' population referred to a radiotherapy center, the NCP incidence was higher than the CP incidence and NCP intensity was only slightly lower than CP. NCP was significantly pharmacologically undertreated and it was related to a decline in QoL. Copyright © 2013 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Massaccesi, Mariangela
Italy, Florence
Radiation Oncology Unit
Deodato, Francesco
Italy, Florence
Radiation Oncology Unit
Caravatta, Luciana
Italy, Florence
Radiation Oncology Unit
Macchia, Gabriella
Italy, Florence
Radiation Oncology Unit
Padula, Gilbert D.A.
United States, Grand Rapids
Saint Mary's Health Care
Di Rito, Sonia
Italy, Florence
Radiation Oncology Unit
Woldemariam, Aynalem Abraha
Ethiopia, Addis Ababa
Black Lion Hospital
Rossi, Marco
Italy
Intensive Care and Pain Medicine
Di Falco, Carlo
Italy, Campobasso
Università Cattolica Del Sacro Cuore, Campobasso
Tambaro, Rosa
Italy
Palliative Therapy Unit
Mignogna, Samantha
Italy
Palliative Therapy Unit
Flocco, Mariano
Unknown Affiliation
Pacelli, Fabio
Italy, Milan
Unit of General Surgery
Valentini, Vincenzo
Italy, Rome
Università Cattolica Del Sacro Cuore, Campus Di Roma
Cellini, Numa
Italy, Rome
Università Cattolica Del Sacro Cuore, Campus Di Roma
Morganti, Alessio G.
Italy, Florence
Radiation Oncology Unit
Italy
Palliative Therapy Unit
Italy, Rome
Università Cattolica Del Sacro Cuore, Campus Di Roma
Statistics
Citations: 16
Authors: 16
Affiliations: 8
Identifiers
Doi:
10.1097/AJP.0b013e31827eb5e6
ISSN:
07498047
e-ISSN:
15365409
Research Areas
Cancer
Disability
Study Design
Cross Sectional Study
Cohort Study