Multidisciplinary Management of Cancer Pain: A Longitudinal Retrospective Study on a Cohort of End-Stage Cancer Patients

Wen Ling Peng, Gong Jhe Wu, Wei Zen Sun, Jeffrey C. Chen, Andrew T. Huang

Research output: Contribution to journalArticlepeer-review

39 Citations (Scopus)

Abstract

The epidemiology of cancer pain and the outcomes associated with pain treatments were investigated through a retrospective survey of 772 patients with advanced cancer. The cumulative prevalence of pain was 87%, including all types of cancer. Mean duration of pain was 6.9 ± 8.1 months. The prevalence of pain was 28%, 46%, 67%, 75%, and 79% at 6 months, 3 months, 1 month, 1 week, and 1 day before the time of death, respectively. The so-called "strong" opioids had been used in 85% of the 669 patients with pain. Seventy-nine percent of patients with pain received nonsurgical antineoplastic treatment for pain control. No more than 11% of patients ultimately experienced substantial pain in the last 6 months of life (defined as pain score 5-10 on a 0-10 numeric rating scale). We conclude that the application of a multidisciplinary approach to pain management offers effective pain control for most patients with advanced cancer.

Original languageEnglish
Pages (from-to)444-452
Number of pages9
JournalJournal of Pain and Symptom Management
Volume32
Issue number5
DOIs
Publication statusPublished - Nov 2006
Externally publishedYes

Keywords

  • Cancer pain
  • end-stage cancer patient
  • multidisciplinary pain management
  • WHO guidelines

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology
  • Neurology
  • Nursing(all)

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