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Cancer-Related Pain Management in Suitable Intrathecal Therapy Candidates: A Spanish Multidisciplinary Expert Consensus

A consensus is needed among healthcare professionals involved in easing oncological pain in patients who are suitable candidates for intrathecal therapy. A Delphi consultation was conducted, guided by a multidisciplinary scientific committee. The 18-item study questionnaire was designed based on a l...

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Autores principales: Pérez, Concha, Quintanar, Teresa, García, Carmen, Cuervo, Miguel Ángel, Goberna, María Jesús, Monleón, Manuela, González, Ana I., Lizán, Luís, Comellas, Marta, Álvarez, María, Peña, Isaac
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10453610/
https://www.ncbi.nlm.nih.gov/pubmed/37623011
http://dx.doi.org/10.3390/curroncol30080530
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author Pérez, Concha
Quintanar, Teresa
García, Carmen
Cuervo, Miguel Ángel
Goberna, María Jesús
Monleón, Manuela
González, Ana I.
Lizán, Luís
Comellas, Marta
Álvarez, María
Peña, Isaac
author_facet Pérez, Concha
Quintanar, Teresa
García, Carmen
Cuervo, Miguel Ángel
Goberna, María Jesús
Monleón, Manuela
González, Ana I.
Lizán, Luís
Comellas, Marta
Álvarez, María
Peña, Isaac
author_sort Pérez, Concha
collection PubMed
description A consensus is needed among healthcare professionals involved in easing oncological pain in patients who are suitable candidates for intrathecal therapy. A Delphi consultation was conducted, guided by a multidisciplinary scientific committee. The 18-item study questionnaire was designed based on a literature review together with a discussion group. The first-round questionnaire assessed experts’ opinion of the current general practice, as well as their recommendation and treatment feasibility in the near future (2–3-year period) using a 9-point Likert scale. Items for which consensus was not achieved were included in a second round. Consensus was defined as ≥75% agreement (1–3 or 7–9). A total of 67 panelists (response rate: 63.2%) and 62 (92.5%) answered the first and second Delphi rounds, respectively. The participants were healthcare professionals from multiple medical disciplines who had an average of 17.6 (7.8) years of professional experience. A consensus was achieved on the recommendations (100%). The actions considered feasible to implement in the short term included effective multidisciplinary coordination, improvement in communication among the parties, and an assessment of patient satisfaction. Efforts should focus on overcoming the barriers identified, eventually leading to the provision of more comprehensive care and consideration of the patient’s perspective.
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spelling pubmed-104536102023-08-26 Cancer-Related Pain Management in Suitable Intrathecal Therapy Candidates: A Spanish Multidisciplinary Expert Consensus Pérez, Concha Quintanar, Teresa García, Carmen Cuervo, Miguel Ángel Goberna, María Jesús Monleón, Manuela González, Ana I. Lizán, Luís Comellas, Marta Álvarez, María Peña, Isaac Curr Oncol Article A consensus is needed among healthcare professionals involved in easing oncological pain in patients who are suitable candidates for intrathecal therapy. A Delphi consultation was conducted, guided by a multidisciplinary scientific committee. The 18-item study questionnaire was designed based on a literature review together with a discussion group. The first-round questionnaire assessed experts’ opinion of the current general practice, as well as their recommendation and treatment feasibility in the near future (2–3-year period) using a 9-point Likert scale. Items for which consensus was not achieved were included in a second round. Consensus was defined as ≥75% agreement (1–3 or 7–9). A total of 67 panelists (response rate: 63.2%) and 62 (92.5%) answered the first and second Delphi rounds, respectively. The participants were healthcare professionals from multiple medical disciplines who had an average of 17.6 (7.8) years of professional experience. A consensus was achieved on the recommendations (100%). The actions considered feasible to implement in the short term included effective multidisciplinary coordination, improvement in communication among the parties, and an assessment of patient satisfaction. Efforts should focus on overcoming the barriers identified, eventually leading to the provision of more comprehensive care and consideration of the patient’s perspective. MDPI 2023-08-01 /pmc/articles/PMC10453610/ /pubmed/37623011 http://dx.doi.org/10.3390/curroncol30080530 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pérez, Concha
Quintanar, Teresa
García, Carmen
Cuervo, Miguel Ángel
Goberna, María Jesús
Monleón, Manuela
González, Ana I.
Lizán, Luís
Comellas, Marta
Álvarez, María
Peña, Isaac
Cancer-Related Pain Management in Suitable Intrathecal Therapy Candidates: A Spanish Multidisciplinary Expert Consensus
title Cancer-Related Pain Management in Suitable Intrathecal Therapy Candidates: A Spanish Multidisciplinary Expert Consensus
title_full Cancer-Related Pain Management in Suitable Intrathecal Therapy Candidates: A Spanish Multidisciplinary Expert Consensus
title_fullStr Cancer-Related Pain Management in Suitable Intrathecal Therapy Candidates: A Spanish Multidisciplinary Expert Consensus
title_full_unstemmed Cancer-Related Pain Management in Suitable Intrathecal Therapy Candidates: A Spanish Multidisciplinary Expert Consensus
title_short Cancer-Related Pain Management in Suitable Intrathecal Therapy Candidates: A Spanish Multidisciplinary Expert Consensus
title_sort cancer-related pain management in suitable intrathecal therapy candidates: a spanish multidisciplinary expert consensus
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10453610/
https://www.ncbi.nlm.nih.gov/pubmed/37623011
http://dx.doi.org/10.3390/curroncol30080530
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