Improvement of pain management in a comprehensive cancer center: a comparison of two cross-sectional studies 8 years apart

Context In 2011, a multidisciplinary palliative team (MPT) was established at Rigshospitalet (DK) and a cross-sectional study in inpatients was carried out at the Departments of Oncology and Hematology. High symptom burden, high prevalence of pain (64%), and insufficient analgesic treatment were dem...

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Published in:Supportive care in cancer 2022-03, Vol.30 (3), p.2037-2045
Main Authors: Sørensen, Jonas, Sjøgren, Per, Clemmensen, Stine Novrup, Sørensen, Tanja Vibeke, Heinecke, Katja, Kurita, Geana Paula
Format: Article
Language:English
Subjects:
Adult
Analgesics
Cancer
Care and treatment
Clinical outcomes
Comparative analysis
Cross-Sectional Studies
Hospital patients
Humans
Inpatient care
Medicine
Medicine & Public Health
Multidisciplinary teams
Neoplasms - complications
Neoplasms - epidemiology
Neoplasms - therapy
Neuralgia
Nursing
Nursing Research
Oncology
Oncology, Experimental
Original Article
Pain
Pain Management
Pain Medicine
Palliative Care
Quality of care
Quality of Life
Rehabilitation Medicine
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Summary:Context In 2011, a multidisciplinary palliative team (MPT) was established at Rigshospitalet (DK) and a cross-sectional study in inpatients was carried out at the Departments of Oncology and Hematology. High symptom burden, high prevalence of pain (64%), and insufficient analgesic treatment were demonstrated. In 2019, a similar study was carried out. Objectives This study compares prevalence of symptoms including pain and analyzes analgesic treatment of adult in-patients in a comprehensive cancer center. Methods Two cross-sectional studies (May–Jun 2011; Feb–Sep 2019). Inclusion criteria: malignant diseases, age ≥ 18 y, able to understand Danish. EORTC QLQ-C30 and Brief Pain Inventory (BPI) were applied. Results A total of 134 and 183 inpatients were included in 2011 and 2019, respectively. Differences in the two populations were seen; in 2019 more patients had advanced disease (P = 0.0096), lower performance status (P = 0.0028), and a palliative treatment plan (P = 0.0034). The prevalence of impairments and symptoms was high and similar in the 2 years with exception of severe pain (P = 0.0143) and neuropathic pain (P 
ISSN:0941-4355
1433-7339
DOI:10.1007/s00520-021-06614-x