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The prevalence of severe pain, its etiopathological characteristics and treatment profile of patients referred to a tertiary cancer care pain clinic.

Jain PN, Pai K, Chatterjee AS - Indian J Palliat Care (2015 May-Aug)

Bottom Line: A total of 251 patients who had complete pain data were analyzed for etiopathological characteristics and treatment response.Head and neck cancer contributed the highest prevalence among all regions.Oncologists prescribed non-steroidal anti-inflammatory drugs (NSAIDs) or paracetamol with or without mild opioids to 14% patients and pain clinic physicians prescribed opioids and overall 63.7% patients had a better response after pain clinic referral, even then, morphine was not prescribed to many deserving patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesia, Critical Care and Pain, Tata Memorial Hospital, Mumbai, Maharashtra, India.

ABSTRACT
Pain is the most feared symptom in cancer. About 52-77% patients suffer pain despite World Health Organization (WHO) recommendations. Out of total, one-third patients suffer moderate to severe pain. This study was undertaken to determine the prevalence, etiopathogenesis and characteristics of severe pain and treatment response among pain clinic referrals in a busy tertiary care cancer center. This study found a high prevalence (31.5%) of severe pain. A total of 251 patients who had complete pain data were analyzed for etiopathological characteristics and treatment response. Head and neck cancer contributed the highest prevalence among all regions. Oncologists prescribed non-steroidal anti-inflammatory drugs (NSAIDs) or paracetamol with or without mild opioids to 14% patients and pain clinic physicians prescribed opioids and overall 63.7% patients had a better response after pain clinic referral, even then, morphine was not prescribed to many deserving patients. Doctors need pain education about opioids to remove any fear of prescribing opioids in presence of severe pain.

No MeSH data available.


Related in: MedlinePlus

Service-wise distribution (n = 251)
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Figure 1: Service-wise distribution (n = 251)

Mentions: Out of total 251 patients, 29.9% had head and neck cancers, 20.7% had gastrointestinal tract-related cancers, 15.1% thoracic cancers, while breast, bone, and soft tissue cancers had 10.4% each [Figure 1].


The prevalence of severe pain, its etiopathological characteristics and treatment profile of patients referred to a tertiary cancer care pain clinic.

Jain PN, Pai K, Chatterjee AS - Indian J Palliat Care (2015 May-Aug)

Service-wise distribution (n = 251)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4441174&req=5

Figure 1: Service-wise distribution (n = 251)
Mentions: Out of total 251 patients, 29.9% had head and neck cancers, 20.7% had gastrointestinal tract-related cancers, 15.1% thoracic cancers, while breast, bone, and soft tissue cancers had 10.4% each [Figure 1].

Bottom Line: A total of 251 patients who had complete pain data were analyzed for etiopathological characteristics and treatment response.Head and neck cancer contributed the highest prevalence among all regions.Oncologists prescribed non-steroidal anti-inflammatory drugs (NSAIDs) or paracetamol with or without mild opioids to 14% patients and pain clinic physicians prescribed opioids and overall 63.7% patients had a better response after pain clinic referral, even then, morphine was not prescribed to many deserving patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesia, Critical Care and Pain, Tata Memorial Hospital, Mumbai, Maharashtra, India.

ABSTRACT
Pain is the most feared symptom in cancer. About 52-77% patients suffer pain despite World Health Organization (WHO) recommendations. Out of total, one-third patients suffer moderate to severe pain. This study was undertaken to determine the prevalence, etiopathogenesis and characteristics of severe pain and treatment response among pain clinic referrals in a busy tertiary care cancer center. This study found a high prevalence (31.5%) of severe pain. A total of 251 patients who had complete pain data were analyzed for etiopathological characteristics and treatment response. Head and neck cancer contributed the highest prevalence among all regions. Oncologists prescribed non-steroidal anti-inflammatory drugs (NSAIDs) or paracetamol with or without mild opioids to 14% patients and pain clinic physicians prescribed opioids and overall 63.7% patients had a better response after pain clinic referral, even then, morphine was not prescribed to many deserving patients. Doctors need pain education about opioids to remove any fear of prescribing opioids in presence of severe pain.

No MeSH data available.


Related in: MedlinePlus