Abstract:
CONTEXT:We know little about how many outpatients of a modern cancer center suffer from clinically significant unrelieved pain and the characteristics of these patients to guide better care. OBJECTIVES:To determine the prevalence of clinically significant pain (CSP) in the outpatients of a regional cancer center and the association with distress and other variables. METHODS:A secondary analysis of cross-sectional, self-reported and clinical data from 2768 patients reattending selected clinics of a regional National Health Service cancer center in the U.K. Pain was measured using the pain severity scale of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, emotional distress was measured by the Hospital Anxiety and Depression Scale, and demographic and clinical data were taken from medical records. RESULTS:Fifty-four percent (95% confidence interval [CI] 52-56) of patients reported pain at least "a little" in the previous week and 18% (95% CI 17-20) at least "quite a bit" (CSP). The strongest independent associations of CSP were active disease (odds ratio [OR] 1.95, 95% CI 1.5-2.5) and emotional distress (OR 4.8, 95% CI 4-6). CONCLUSION:CSP is surprisingly common in outpatients of specialist cancer services, and it is strongly and independently associated with emotional distress. Better symptom management should consider pain and distress together.
journal_name
J Pain Symptom Managejournal_title
Journal of pain and symptom managementauthors
O'Connor M,Weir J,Butcher I,Kleiboer A,Murray G,Sharma N,Thekkumpurath P,Walker J,Fallon M,Storey DJ,Sharpe Mdoi
10.1016/j.jpainsymman.2011.03.010subject
Has Abstractpub_date
2012-01-01 00:00:00pages
29-38issue
1eissn
0885-3924issn
1873-6513pii
S0885-3924(11)00245-4journal_volume
43pub_type
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pub_type: 杂志文章,多中心研究
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journal_title:Journal of pain and symptom management
pub_type: 杂志文章
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journal_title:Journal of pain and symptom management
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pub_type: 临床试验,杂志文章
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