Improvement of pain management in a comprehensive cancer center: a comparison of two cross-sectional studies 8 years apart
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Improvement of pain management in a comprehensive cancer center : a comparison of two cross-sectional studies 8 years apart. / Sørensen, Jonas; Sjøgren, Per; Clemmensen, Stine Novrup; Sørensen, Tanja Vibeke; Heinecke, Katja; Kurita, Geana Paula.
In: Supportive Care in Cancer, Vol. 30, 2022, p. 2037–2045.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Improvement of pain management in a comprehensive cancer center
T2 - a comparison of two cross-sectional studies 8 years apart
AU - Sørensen, Jonas
AU - Sjøgren, Per
AU - Clemmensen, Stine Novrup
AU - Sørensen, Tanja Vibeke
AU - Heinecke, Katja
AU - Kurita, Geana Paula
N1 - Publisher Copyright: © 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2022
Y1 - 2022
N2 - Context: In 2011, a multidisciplinary palliative team (MPT) was established at Rigshospitalet (DK) and a cross-sectional study in inpatients was carried out at the Departments of Oncology and Hematology. High symptom burden, high prevalence of pain (64%), and insufficient analgesic treatment were demonstrated. In 2019, a similar study was carried out. Objectives: This study compares prevalence of symptoms including pain and analyzes analgesic treatment of adult in-patients in a comprehensive cancer center. Methods: Two cross-sectional studies (May–Jun 2011; Feb–Sep 2019). Inclusion criteria: malignant diseases, age ≥ 18 y, able to understand Danish. EORTC QLQ-C30 and Brief Pain Inventory (BPI) were applied. Results: A total of 134 and 183 inpatients were included in 2011 and 2019, respectively. Differences in the two populations were seen; in 2019 more patients had advanced disease (P = 0.0096), lower performance status (P = 0.0028), and a palliative treatment plan (P = 0.0034). The prevalence of impairments and symptoms was high and similar in the 2 years with exception of severe pain (P = 0.0143) and neuropathic pain (P < 0.0001) which increased in 2019. Moreover, pain relief significantly improved, and significantly fewer patients with pain were left untreated. Significant increase in opioid and adjuvant analgesic prescription in 2019. Conclusion: An overall unchanged high symptom burden was observed. However, improvement of pain management was observed in 2019. The establishment of a MPT may possibly have contributed to improved pain management.
AB - Context: In 2011, a multidisciplinary palliative team (MPT) was established at Rigshospitalet (DK) and a cross-sectional study in inpatients was carried out at the Departments of Oncology and Hematology. High symptom burden, high prevalence of pain (64%), and insufficient analgesic treatment were demonstrated. In 2019, a similar study was carried out. Objectives: This study compares prevalence of symptoms including pain and analyzes analgesic treatment of adult in-patients in a comprehensive cancer center. Methods: Two cross-sectional studies (May–Jun 2011; Feb–Sep 2019). Inclusion criteria: malignant diseases, age ≥ 18 y, able to understand Danish. EORTC QLQ-C30 and Brief Pain Inventory (BPI) were applied. Results: A total of 134 and 183 inpatients were included in 2011 and 2019, respectively. Differences in the two populations were seen; in 2019 more patients had advanced disease (P = 0.0096), lower performance status (P = 0.0028), and a palliative treatment plan (P = 0.0034). The prevalence of impairments and symptoms was high and similar in the 2 years with exception of severe pain (P = 0.0143) and neuropathic pain (P < 0.0001) which increased in 2019. Moreover, pain relief significantly improved, and significantly fewer patients with pain were left untreated. Significant increase in opioid and adjuvant analgesic prescription in 2019. Conclusion: An overall unchanged high symptom burden was observed. However, improvement of pain management was observed in 2019. The establishment of a MPT may possibly have contributed to improved pain management.
KW - Cancer
KW - Neuropathic pain
KW - Pain
KW - Palliative care
KW - Quality of life
KW - Symptom assessment
U2 - 10.1007/s00520-021-06614-x
DO - 10.1007/s00520-021-06614-x
M3 - Journal article
C2 - 34652549
AN - SCOPUS:85117064885
VL - 30
SP - 2037
EP - 2045
JO - Supportive Care in Cancer
JF - Supportive Care in Cancer
SN - 0941-4355
ER -
ID: 284407778