Colorectal cancer pain upon diagnosis and after treatment: a cross-sectional comparison with healthy matched controls

Background The current study sought to explore whether cancer pain (CP) already exists in patients at colorectal cancer (CRC) diagnosis before treatment compared with patients with colorectal cancer (CRC) after treatment and a healthy matched control group. The study also sought to examine whether f...

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Bibliographic Details
Published in:Supportive care in cancer 2022-04, Vol.30 (4), p.3573-3584
Main Authors: Lopez-Garzon, Maria, Postigo-Martin, Paula, González-Santos, Ángela, Arroyo-Morales, Manuel, Achalandabaso-Ochoa, Alexander, Férnández-Pérez, Antonio Manuel, Cantarero-Villanueva, Irene
Format: Article
Language:English
Subjects:
Abdomen
Body Composition
Cancer
Cancer pain
Cancer Pain - diagnosis
Cancer Pain - etiology
Care and treatment
Colorectal cancer
Colorectal Neoplasms - complications
Colorectal Neoplasms - diagnosis
Comparative analysis
Cross-Sectional Studies
Diagnosis
Humans
Hyperalgesia
Medical diagnosis
Medicine
Medicine & Public Health
Muscles
Nursing
Nursing Research
Oncology
Original
Original Article
Pain
Pain Medicine
Pain Threshold - physiology
Physiological aspects
Rehabilitation Medicine
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Summary:Background The current study sought to explore whether cancer pain (CP) already exists in patients at colorectal cancer (CRC) diagnosis before treatment compared with patients with colorectal cancer (CRC) after treatment and a healthy matched control group. The study also sought to examine whether factors related to physical health status could enhance pain processes. Methods An observational cross-sectional study was conducted following the STROBE checklist. Twenty-nine newly diagnosed and forty post-treatment patients with CRC and 40 healthy age/sex-matched controls were included for comparison. Pain, local muscle function, and body composition outcomes were assessed by a physiotherapist with > 3 years of experience. ANCOVA and Kruskal–Wallis tests were performed, with Bonferroni and Dunn-Bonferroni post hoc analyses and Cohen’s d and Hedge’s effect size, as appropriate. Results The analysis detected lower values of pressure pain threshold (PPT) points, the PPT index, and abdominal strength and higher values of self-reported abdominal pain in newly diagnosed patients, with even more marked results observed in the post-treatment patients, where lower lean mass and skeletal muscle index values were also found than those in the healthy matched controls ( p  
ISSN:0941-4355
1433-7339
DOI:10.1007/s00520-022-06803-2