publication . Article . Conference object . 2018

Pain management in cancer center inpatients: a cluster randomized trial to evaluate a systematic integrated approach—The Edinburgh Pain Assessment and Management Tool

Marie Fallon; Jane Walker; Lesley Colvin; A Rodriguez; Gordon D. Murray; Michael Sharpe;
Open Access
  • Published: 01 Mar 2018 Journal: Journal of Clinical Oncology, volume 36, issue 13 (issn: 0732-183X, eissn: 1527-7755, Copyright policy)
  • Country: United Kingdom
<jats:sec><jats:title>Purpose</jats:title><jats:p> Pain is suboptimally managed in patients with cancer. We aimed to compare the effect of a policy of adding a clinician-delivered bedside pain assessment and management tool (Edinburgh Pain Assessment and management Tool [EPAT]) to usual care (UC) versus UC alone on pain outcomes. </jats:p></jats:sec><jats:sec><jats:title>Patients and Methods</jats:title><jats:p> In a two-arm, parallel group, cluster randomized (1:1) trial, we observed pain outcomes in 19 cancer centers in the United Kingdom and then randomly assigned the centers to either implement EPAT or to continue UC. The primary outcome was change in the pe...
Persistent Identifiers
free text keywords: ORIGINAL REPORTS, Palliative and Supportive Care, Cancer Research, Oncology, Pain assessment, Analgesic, Adverse effect, Randomized controlled trial, law.invention, law, Opioid, medicine.drug, medicine, Physical therapy, medicine.medical_specialty, Cluster randomised controlled trial, MEDLINE, Distress, business.industry, business
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34 references, page 1 of 3

1.van den Beuken-van Everdingen MH de Rijke JM Kessels AG et al: Prevalence of pain in patients with cancer: A systematic review of the past 40 years. Ann Oncol 18:1437-1449, 2007 17355955 [PubMed]

2.Strohbuecker B Mayer H Evers GC et al: Pain prevalence in hospitalized patients in a German university teaching hospital. J Pain Sym ptom Manage 29:498-506, 2005 15904752 [PubMed]

3.O’Connor M Weir J Butcher I et al: Pain in patients attending a specialist cancer service: Prevalence and association with emotional distress. J Pain Symptom Manage 43:29-38, 2012 21680140 [PubMed]

4.Jacox A Carr D Payne R et al: Management of cancer pain, clinical practice guideline No. 9. Anesth Prog 43: 97-98, 1996

5.Hanks GW Conno F Cherny N et al: Morphine and alternative opioids in cancer pain: The EAPC recommendations. Br J Cancer 84:587-593, 2001 11237376 [OpenAIRE] [PubMed]

6.Cohen MZ Easley MK Ellis C et al: Cancer pain management and the JCAHO’s pain standards: An institutional challenge. J Pain Symptom Manage 25:519-527, 2003 12782432 [PubMed]

7.Scottish Intercollegiate Guidelines Network: Control of pain in adults with cancer: A national clinical guideline.

8.Caraceni A Hanks G Kaasa S et al: Use of opioid analgesics in the treatment of cancer pain: Evidence-based recommendations from the EAPC. Lancet Oncol 13:e58-e68, 2012 22300860 [PubMed]

9.World Health Organization: Cancer Pain Relief. Geneva, Switzerland, World Health Organization, 1986

10.Deandrea S Montanari M Moja L et al: Prevalence of undertreatment in cancer pain: A review of published literature. Ann Oncol 19:1985-1991, 2008 18632721 [OpenAIRE] [PubMed]

11.Oldenmenger WH Sillevis Smitt PA van Dooren S et al: A systematic review on barriers hindering adequate cancer pain management and interventions to reduce them: A critical appraisal. Eur J Cancer 45:1370-1380, 2009 19201599 [PubMed]

12.Kwon JH: Overcoming barriers in cancer pain management. J Clin Oncol 32:1727-1733, 2014 24799490 [PubMed]

13.Purser L Warfield K Richardson C: Making pain visible: An audit and review of documentation to improve the use of pain assessment by implementing pain as the fifth vital sign. Pain Manag Nurs 15:137-142, 2014 24602432 [OpenAIRE] [PubMed]

14.Fudin J Wegrzyn E Raouf M: An Important View on Pain as the 5th Vital Sign. Kansas City, MO, PAINS Project, 2017

34 references, page 1 of 3
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