Adequacy of cancer-related pain management and predictors of undertreatment at referral to a pain clinic

Detalhes bibliográficos
Autor(a) principal: Reis-Pina, Paulo
Data de Publicação: 2017
Outros Autores: Lawlor, Peter G, Barbosa, António
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/45781
Resumo: © 2017 Reis-Pina et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php)
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spelling Adequacy of cancer-related pain management and predictors of undertreatment at referral to a pain clinicCancer painOpioid analgesicsPain managementPain measurement© 2017 Reis-Pina et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php)Background: Several guidelines have advocated the need for adequate cancer-related pain (CRP) management. The pain management index (PMI) has been proposed as an auditable measure of the appropriateness for analgesic therapy. Objectives: To determine the adequacy of CRP management based on the PMI status and its patient-related predictors at the point of referral to a pain clinic (PC). Methods: Consecutive patients referred to a PC had standardized initial assessments and status documentation on the Brief Pain Inventory (BPI) ratings; pain mechanism, using a neuropathic pain diagnostic questionnaire (the Douleur Neuropathique 4 tool); episodic pain; oral morphine equivalent daily dose; the Hospital Anxiety Depression Scale and the Emotion Thermometer scores; and cancer diagnosis, metastases, treatment, and pain duration. Predictors of “negative PMI status” [PMI(−)] were examined in logistic regression models. Variables with p<0.25 in an initial bivariable analysis were entered into a multivariable model. Results: Of 371 participants, 95 (25.6%) had PMI(−), suggesting undertreatment of CRP. Both female sex and higher scores on the BPI’s “interference with general activity” more strongly predicted PMI(−). Patients who received either radiotherapy or one or more adjuvant analgesics prior to the initial consultation at the PC, those who had neuropathic pain, those who had a greater need for emotional help, and those with higher BPI’s “relief ” scores were all less likely to be PMI(−). Conclusion: The potential burden of patient and family distress associated with suboptimal CRP management in one in four patients should generate major public health concern and prompt appropriate educational and health policy measures to address the deficit.DovepressRepositório da Universidade de LisboaReis-Pina, PauloLawlor, Peter GBarbosa, António2021-01-15T15:32:19Z20172017-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/45781engJ Pain Res. 2017 Aug 31;10:2097-210710.2147/JPR.S1397151178-7090info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:47:47Zoai:repositorio.ul.pt:10451/45781Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:58:07.576177Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Adequacy of cancer-related pain management and predictors of undertreatment at referral to a pain clinic
title Adequacy of cancer-related pain management and predictors of undertreatment at referral to a pain clinic
spellingShingle Adequacy of cancer-related pain management and predictors of undertreatment at referral to a pain clinic
Reis-Pina, Paulo
Cancer pain
Opioid analgesics
Pain management
Pain measurement
title_short Adequacy of cancer-related pain management and predictors of undertreatment at referral to a pain clinic
title_full Adequacy of cancer-related pain management and predictors of undertreatment at referral to a pain clinic
title_fullStr Adequacy of cancer-related pain management and predictors of undertreatment at referral to a pain clinic
title_full_unstemmed Adequacy of cancer-related pain management and predictors of undertreatment at referral to a pain clinic
title_sort Adequacy of cancer-related pain management and predictors of undertreatment at referral to a pain clinic
author Reis-Pina, Paulo
author_facet Reis-Pina, Paulo
Lawlor, Peter G
Barbosa, António
author_role author
author2 Lawlor, Peter G
Barbosa, António
author2_role author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Reis-Pina, Paulo
Lawlor, Peter G
Barbosa, António
dc.subject.por.fl_str_mv Cancer pain
Opioid analgesics
Pain management
Pain measurement
topic Cancer pain
Opioid analgesics
Pain management
Pain measurement
description © 2017 Reis-Pina et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php)
publishDate 2017
dc.date.none.fl_str_mv 2017
2017-01-01T00:00:00Z
2021-01-15T15:32:19Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/45781
url http://hdl.handle.net/10451/45781
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv J Pain Res. 2017 Aug 31;10:2097-2107
10.2147/JPR.S139715
1178-7090
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Dovepress
publisher.none.fl_str_mv Dovepress
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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