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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 |
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| container_end_page | 2045 |
| container_issue | 3 |
| container_start_page | 2037 |
| container_title | Supportive care in cancer |
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| creator | Sørensen, Jonas Sjøgren, Per Clemmensen, Stine Novrup Sørensen, Tanja Vibeke Heinecke, Katja Kurita, Geana Paula |
| description | 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 |
| doi_str_mv | 10.1007/s00520-021-06614-x |
| format | article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2582807790</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A691221942</galeid><sourcerecordid>A691221942</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-950b848a831efc82be87108b7d88188688824a270c056e69a97b039e2b0326423</originalsourceid><addsrcrecordid>eNp9kc2OFCEUhYnROO3oC7gwJG7cMPJXBbibTHScZBI3uiYUfatlUgUtVM1PfBmfxScbuqt1ojGGBAL3OwcuB6GXjJ4wStXbQmnDKaGcEdq2TJLbR2jFpBBECWEeoxU1khEpmuYIPSvlilKmVMOfoiMh24Y30qzQ94txm9M1jBAnnHq8dSHi0UW3WY7qzmGfKgRfIZZwDdi76CFjX8uQ3x3KLoeS4s5huknY51QKKeCnkKIbcJnmdYCC9c8fd-Bywa4KpufoSe-GAi8O6zH68uH957OP5PLT-cXZ6SXxUvKJmIZ2WmqnBYPea96BVozqTq21Zlq3WmsuHVfU06aF1jijOioM8DrzVnJxjN4svrXTbzOUyY6heBgGFyHNxfJGc02VMrSir_9Cr9KcawuVarlgRhmpHqiNG8CG2KcpO78ztaetYZwzs7_25B9UHWsYg08R-lDP_xDwRbD_vgy93eYwunxnGbW7xO2SuK2J233i9raKXh1ePHcjrH9LfkVcAbEApZbiBvJDS_-xvQdxp7Wk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2623197947</pqid></control><display><type>article</type><title>Improvement of pain management in a comprehensive cancer center: a comparison of two cross-sectional studies 8 years apart</title><source>Social Science Premium Collection</source><source>Springer Nature</source><source>Sociology Collection</source><creator>Sørensen, Jonas ; Sjøgren, Per ; Clemmensen, Stine Novrup ; Sørensen, Tanja Vibeke ; Heinecke, Katja ; Kurita, Geana Paula</creator><creatorcontrib>Sørensen, Jonas ; Sjøgren, Per ; Clemmensen, Stine Novrup ; Sørensen, Tanja Vibeke ; Heinecke, Katja ; Kurita, Geana Paula</creatorcontrib><description>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 < 0.0001) which increased in 2019. Moreover, pain relief significantly improved, and significantly fewer patients with pain were left untreated. Significant increase in opioid and adjuvant analgesic prescription in 2019.
Conclusion
An overall unchanged high symptom burden was observed. However, improvement of pain management was observed in 2019. The establishment of a MPT may possibly have contributed to improved pain management.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-021-06614-x</identifier><identifier>PMID: 34652549</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>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</subject><ispartof>Supportive care in cancer, 2022-03, Vol.30 (3), p.2037-2045</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>COPYRIGHT 2022 Springer</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-950b848a831efc82be87108b7d88188688824a270c056e69a97b039e2b0326423</citedby><cites>FETCH-LOGICAL-c442t-950b848a831efc82be87108b7d88188688824a270c056e69a97b039e2b0326423</cites><orcidid>0000-0002-2055-0953</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2623197947/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2623197947?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,21393,21394,27923,27924,33610,33611,34529,34530,43732,44114,74092,74510</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34652549$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sørensen, Jonas</creatorcontrib><creatorcontrib>Sjøgren, Per</creatorcontrib><creatorcontrib>Clemmensen, Stine Novrup</creatorcontrib><creatorcontrib>Sørensen, Tanja Vibeke</creatorcontrib><creatorcontrib>Heinecke, Katja</creatorcontrib><creatorcontrib>Kurita, Geana Paula</creatorcontrib><title>Improvement of pain management in a comprehensive cancer center: a comparison of two cross-sectional studies 8 years apart</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>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 < 0.0001) which increased in 2019. Moreover, pain relief significantly improved, and significantly fewer patients with pain were left untreated. Significant increase in opioid and adjuvant analgesic prescription in 2019.
Conclusion
An overall unchanged high symptom burden was observed. However, improvement of pain management was observed in 2019. The establishment of a MPT may possibly have contributed to improved pain management.</description><subject>Adult</subject><subject>Analgesics</subject><subject>Cancer</subject><subject>Care and treatment</subject><subject>Clinical outcomes</subject><subject>Comparative analysis</subject><subject>Cross-Sectional Studies</subject><subject>Hospital patients</subject><subject>Humans</subject><subject>Inpatient care</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Multidisciplinary teams</subject><subject>Neoplasms - complications</subject><subject>Neoplasms - epidemiology</subject><subject>Neoplasms - therapy</subject><subject>Neuralgia</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Oncology, Experimental</subject><subject>Original Article</subject><subject>Pain</subject><subject>Pain Management</subject><subject>Pain Medicine</subject><subject>Palliative Care</subject><subject>Quality of care</subject><subject>Quality of Life</subject><subject>Rehabilitation Medicine</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2R</sourceid><sourceid>M2S</sourceid><recordid>eNp9kc2OFCEUhYnROO3oC7gwJG7cMPJXBbibTHScZBI3uiYUfatlUgUtVM1PfBmfxScbuqt1ojGGBAL3OwcuB6GXjJ4wStXbQmnDKaGcEdq2TJLbR2jFpBBECWEeoxU1khEpmuYIPSvlilKmVMOfoiMh24Y30qzQ94txm9M1jBAnnHq8dSHi0UW3WY7qzmGfKgRfIZZwDdi76CFjX8uQ3x3KLoeS4s5huknY51QKKeCnkKIbcJnmdYCC9c8fd-Bywa4KpufoSe-GAi8O6zH68uH957OP5PLT-cXZ6SXxUvKJmIZ2WmqnBYPea96BVozqTq21Zlq3WmsuHVfU06aF1jijOioM8DrzVnJxjN4svrXTbzOUyY6heBgGFyHNxfJGc02VMrSir_9Cr9KcawuVarlgRhmpHqiNG8CG2KcpO78ztaetYZwzs7_25B9UHWsYg08R-lDP_xDwRbD_vgy93eYwunxnGbW7xO2SuK2J233i9raKXh1ePHcjrH9LfkVcAbEApZbiBvJDS_-xvQdxp7Wk</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Sørensen, Jonas</creator><creator>Sjøgren, Per</creator><creator>Clemmensen, Stine Novrup</creator><creator>Sørensen, Tanja Vibeke</creator><creator>Heinecke, Katja</creator><creator>Kurita, Geana Paula</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2055-0953</orcidid></search><sort><creationdate>20220301</creationdate><title>Improvement of pain management in a comprehensive cancer center: a comparison of two cross-sectional studies 8 years apart</title><author>Sørensen, Jonas ; Sjøgren, Per ; Clemmensen, Stine Novrup ; Sørensen, Tanja Vibeke ; Heinecke, Katja ; Kurita, Geana Paula</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-950b848a831efc82be87108b7d88188688824a270c056e69a97b039e2b0326423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Analgesics</topic><topic>Cancer</topic><topic>Care and treatment</topic><topic>Clinical outcomes</topic><topic>Comparative analysis</topic><topic>Cross-Sectional Studies</topic><topic>Hospital patients</topic><topic>Humans</topic><topic>Inpatient care</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Multidisciplinary teams</topic><topic>Neoplasms - complications</topic><topic>Neoplasms - epidemiology</topic><topic>Neoplasms - therapy</topic><topic>Neuralgia</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Oncology, Experimental</topic><topic>Original Article</topic><topic>Pain</topic><topic>Pain Management</topic><topic>Pain Medicine</topic><topic>Palliative Care</topic><topic>Quality of care</topic><topic>Quality of Life</topic><topic>Rehabilitation Medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sørensen, Jonas</creatorcontrib><creatorcontrib>Sjøgren, Per</creatorcontrib><creatorcontrib>Clemmensen, Stine Novrup</creatorcontrib><creatorcontrib>Sørensen, Tanja Vibeke</creatorcontrib><creatorcontrib>Heinecke, Katja</creatorcontrib><creatorcontrib>Kurita, Geana Paula</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sørensen, Jonas</au><au>Sjøgren, Per</au><au>Clemmensen, Stine Novrup</au><au>Sørensen, Tanja Vibeke</au><au>Heinecke, Katja</au><au>Kurita, Geana Paula</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improvement of pain management in a comprehensive cancer center: a comparison of two cross-sectional studies 8 years apart</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2022-03-01</date><risdate>2022</risdate><volume>30</volume><issue>3</issue><spage>2037</spage><epage>2045</epage><pages>2037-2045</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>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 < 0.0001) which increased in 2019. Moreover, pain relief significantly improved, and significantly fewer patients with pain were left untreated. Significant increase in opioid and adjuvant analgesic prescription in 2019.
Conclusion
An overall unchanged high symptom burden was observed. However, improvement of pain management was observed in 2019. The establishment of a MPT may possibly have contributed to improved pain management.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>34652549</pmid><doi>10.1007/s00520-021-06614-x</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-2055-0953</orcidid></addata></record> |
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| ispartof | Supportive care in cancer, 2022-03, Vol.30 (3), p.2037-2045 |
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| source | Social Science Premium Collection; Springer Nature; Sociology Collection |
| 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 |
| title | Improvement of pain management in a comprehensive cancer center: a comparison of two cross-sectional studies 8 years apart |
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