publication . Article . 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; Aryelly Rodriguez; Gordon D. Murray; Michael Sharpe;
Open Access
  • Published: 01 May 2018 Journal: Journal of Clinical Oncology, volume 36, pages 1,284-1,290 (issn: 0732-183X, eissn: 1527-7755, Copyright policy)
  • Publisher: American Society of Clinical Oncology (ASCO)
Abstract
<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...
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free text keywords: Cancer Research, Oncology, Medicine, business.industry, business, Distress, MEDLINE, Adverse effect, Pain assessment, Cluster randomised controlled trial, Analgesic, Randomized controlled trial, law.invention, law, Physical therapy, medicine.medical_specialty, Opioid, medicine.drug
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