Retrospective analysis of self-reporting pain scores and pain management during head and neck IMRT radiotherapy: A single institution experience

Abstract Aims Head and neck carcinomas are relatively rare in the United Kingdom with an estimated 9000 cases diagnosed annually. However, pain associated with disease and treatment side effects such as oral mucositis present a major issue for therapy radiographers in providing effective care and ma...

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Bibliographic Details
Published in:Radiography (London, England. 1995) England. 1995), 2017-05, Vol.23 (2), p.103-106
Main Authors: O'Connor, P, Bisson, J, Asplin, P, Gahir, D
Format: Article
Language:English
Subjects:
Activities of Daily Living
Aged
Antineoplastic Agents - adverse effects
Female
Head and neck
Head and Neck Neoplasms - radiotherapy
Humans
IMRT
Male
Middle Aged
Pain
Pain - etiology
Pain Management
Pain Measurement
Patient Compliance
Radiology
Radiotherapy
Radiotherapy, Intensity-Modulated - adverse effects
Retrospective Studies
Self Report
United Kingdom
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Summary:Abstract Aims Head and neck carcinomas are relatively rare in the United Kingdom with an estimated 9000 cases diagnosed annually. However, pain associated with disease and treatment side effects such as oral mucositis present a major issue for therapy radiographers in providing effective care and maintaining radiotherapy treatment compliance, all factors that can compromise patient outcome if not managed appropriately. Method This retrospective analysis of self-reporting pain scores collected during a course of radiotherapy aims to assess the perceived pain intensity scores in 30 patients. Data was collected during radiographer review sessions held weekly to determine if any variables to perceived pain scores occurred during a course of radiotherapy. Results As treatment progressed, the self-reporting pain scores within the cohort increased, in week one the total cohort pain score was 35, this increased to 114 in week 3 and in the final week had totalled 151. An escalation in pain was observed in week 3 of treatment possibly as a result of radiation induced inflammation alongside cytotoxic chemotherapy. Conclusions The findings of this study provide further evidence to an individualised approach to patient pain relief and providing regular on treatment reviews, thus maintaining patient comfort and ensuring continued treatment compliance.
ISSN:1078-8174
1532-2831
DOI:10.1016/j.radi.2017.02.003