Cargando…
A Korean Nationwide Survey for Breakthrough Cancer Pain in an Inpatient Setting
PURPOSE: We evaluated the prevalence and characteristics of breakthrough cancer pain (BTcP) in Korean patients admitted with cancer pain. MATERIALS AND METHODS: In-hospital patients with cancer pain completed a questionnaire concerning severity of background cancer pain (BCP), prevalence and treatme...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Cancer Association
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843738/ https://www.ncbi.nlm.nih.gov/pubmed/26511815 http://dx.doi.org/10.4143/crt.2015.087 |
_version_ | 1782428678372720640 |
---|---|
author | Baek, Sun Kyung Kim, Do Yeun Kang, Seok Yun Sym, Sun Jin Kim, Young Sung Lee, June Young |
author_facet | Baek, Sun Kyung Kim, Do Yeun Kang, Seok Yun Sym, Sun Jin Kim, Young Sung Lee, June Young |
author_sort | Baek, Sun Kyung |
collection | PubMed |
description | PURPOSE: We evaluated the prevalence and characteristics of breakthrough cancer pain (BTcP) in Korean patients admitted with cancer pain. MATERIALS AND METHODS: In-hospital patients with cancer pain completed a questionnaire concerning severity of background cancer pain (BCP), prevalence and treatment for BTcP, sleep disorders, and satisfaction with cancer pain treatment. Medical records showing medications for BCP and BTcP were also evaluated. RESULTS: Total 609 patients with controlled BCP enrolled. Mean age of the patients was 59.5 years old, and 59% were male. Of all patients, 177 (29%) complained of BTcP. No clinical characteristic predicted BTcP. Of the 177 patients with BTcP, 56% did not receive treatment for BTcP. Patients with BTcP showed significant association with a sleep disorder and dissatisfaction with pain control, compared to those without BTcP (p < 0.0001 and p=0.0498, respectively). Oxycodone-immediate release was the most commonly used short-acting analgesic, followed by intravenous morphine. CONCLUSION: The prevalence of BTcP was 29% in patients admitted with controlled BCP. Although the patients had well-controlled BCP, BTcP showed association with a lower quality of life in patients with cancer. More medical attention is needed for detection and management of BTcP. |
format | Online Article Text |
id | pubmed-4843738 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Korean Cancer Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-48437382016-05-06 A Korean Nationwide Survey for Breakthrough Cancer Pain in an Inpatient Setting Baek, Sun Kyung Kim, Do Yeun Kang, Seok Yun Sym, Sun Jin Kim, Young Sung Lee, June Young Cancer Res Treat Original Article PURPOSE: We evaluated the prevalence and characteristics of breakthrough cancer pain (BTcP) in Korean patients admitted with cancer pain. MATERIALS AND METHODS: In-hospital patients with cancer pain completed a questionnaire concerning severity of background cancer pain (BCP), prevalence and treatment for BTcP, sleep disorders, and satisfaction with cancer pain treatment. Medical records showing medications for BCP and BTcP were also evaluated. RESULTS: Total 609 patients with controlled BCP enrolled. Mean age of the patients was 59.5 years old, and 59% were male. Of all patients, 177 (29%) complained of BTcP. No clinical characteristic predicted BTcP. Of the 177 patients with BTcP, 56% did not receive treatment for BTcP. Patients with BTcP showed significant association with a sleep disorder and dissatisfaction with pain control, compared to those without BTcP (p < 0.0001 and p=0.0498, respectively). Oxycodone-immediate release was the most commonly used short-acting analgesic, followed by intravenous morphine. CONCLUSION: The prevalence of BTcP was 29% in patients admitted with controlled BCP. Although the patients had well-controlled BCP, BTcP showed association with a lower quality of life in patients with cancer. More medical attention is needed for detection and management of BTcP. Korean Cancer Association 2016-04 2015-09-15 /pmc/articles/PMC4843738/ /pubmed/26511815 http://dx.doi.org/10.4143/crt.2015.087 Text en Copyright © 2016 by the Korean Cancer Association This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Baek, Sun Kyung Kim, Do Yeun Kang, Seok Yun Sym, Sun Jin Kim, Young Sung Lee, June Young A Korean Nationwide Survey for Breakthrough Cancer Pain in an Inpatient Setting |
title | A Korean Nationwide Survey for Breakthrough Cancer Pain in an Inpatient Setting |
title_full | A Korean Nationwide Survey for Breakthrough Cancer Pain in an Inpatient Setting |
title_fullStr | A Korean Nationwide Survey for Breakthrough Cancer Pain in an Inpatient Setting |
title_full_unstemmed | A Korean Nationwide Survey for Breakthrough Cancer Pain in an Inpatient Setting |
title_short | A Korean Nationwide Survey for Breakthrough Cancer Pain in an Inpatient Setting |
title_sort | korean nationwide survey for breakthrough cancer pain in an inpatient setting |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843738/ https://www.ncbi.nlm.nih.gov/pubmed/26511815 http://dx.doi.org/10.4143/crt.2015.087 |
work_keys_str_mv | AT baeksunkyung akoreannationwidesurveyforbreakthroughcancerpaininaninpatientsetting AT kimdoyeun akoreannationwidesurveyforbreakthroughcancerpaininaninpatientsetting AT kangseokyun akoreannationwidesurveyforbreakthroughcancerpaininaninpatientsetting AT symsunjin akoreannationwidesurveyforbreakthroughcancerpaininaninpatientsetting AT kimyoungsung akoreannationwidesurveyforbreakthroughcancerpaininaninpatientsetting AT leejuneyoung akoreannationwidesurveyforbreakthroughcancerpaininaninpatientsetting AT baeksunkyung koreannationwidesurveyforbreakthroughcancerpaininaninpatientsetting AT kimdoyeun koreannationwidesurveyforbreakthroughcancerpaininaninpatientsetting AT kangseokyun koreannationwidesurveyforbreakthroughcancerpaininaninpatientsetting AT symsunjin koreannationwidesurveyforbreakthroughcancerpaininaninpatientsetting AT kimyoungsung koreannationwidesurveyforbreakthroughcancerpaininaninpatientsetting AT leejuneyoung koreannationwidesurveyforbreakthroughcancerpaininaninpatientsetting |