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Characteristics of Chronic Pain among Head and Neck Cancer Patients Treated with Radiation Therapy: A Retrospective Study

Pain is common among patients with head and neck cancer (HNC). However, there are very limited data on chronic pain among HNC patients treated with radiation therapy (XRT). In this retrospective study, we focused on the characteristics of chronic post-XRT pain in such patients. Post-XRT pain is comm...

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Autores principales: Kallurkar, Anusha, Kulkarni, Shreedhar, Delfino, Kristin, Ferraro, Daniel, Rao, Krishna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526547/
https://www.ncbi.nlm.nih.gov/pubmed/31198479
http://dx.doi.org/10.1155/2019/9675654
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author Kallurkar, Anusha
Kulkarni, Shreedhar
Delfino, Kristin
Ferraro, Daniel
Rao, Krishna
author_facet Kallurkar, Anusha
Kulkarni, Shreedhar
Delfino, Kristin
Ferraro, Daniel
Rao, Krishna
author_sort Kallurkar, Anusha
collection PubMed
description Pain is common among patients with head and neck cancer (HNC). However, there are very limited data on chronic pain among HNC patients treated with radiation therapy (XRT). In this retrospective study, we focused on the characteristics of chronic post-XRT pain in such patients. Post-XRT pain is common among HNC patients; however, we found discrepancy between frequency of treatment and frequency of chronic pain, suggesting poor documentation of pain in the medical records. Among patients who reported to have chronic post-XRT pain, most of them described having severe pain and used descriptors of neuropathic pain. Pharynx was the commonest site of cancer as well as the commonest site of cancer-related chronic pain; squamous cell carcinoma was the most frequent histological pattern, and opioids were used most often to treat such chronic pain. There was a significant association between chronic pain and number of sites of pain, and chronic pain was also associated with use of opioids.
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spelling pubmed-65265472019-06-13 Characteristics of Chronic Pain among Head and Neck Cancer Patients Treated with Radiation Therapy: A Retrospective Study Kallurkar, Anusha Kulkarni, Shreedhar Delfino, Kristin Ferraro, Daniel Rao, Krishna Pain Res Manag Research Article Pain is common among patients with head and neck cancer (HNC). However, there are very limited data on chronic pain among HNC patients treated with radiation therapy (XRT). In this retrospective study, we focused on the characteristics of chronic post-XRT pain in such patients. Post-XRT pain is common among HNC patients; however, we found discrepancy between frequency of treatment and frequency of chronic pain, suggesting poor documentation of pain in the medical records. Among patients who reported to have chronic post-XRT pain, most of them described having severe pain and used descriptors of neuropathic pain. Pharynx was the commonest site of cancer as well as the commonest site of cancer-related chronic pain; squamous cell carcinoma was the most frequent histological pattern, and opioids were used most often to treat such chronic pain. There was a significant association between chronic pain and number of sites of pain, and chronic pain was also associated with use of opioids. Hindawi 2019-05-06 /pmc/articles/PMC6526547/ /pubmed/31198479 http://dx.doi.org/10.1155/2019/9675654 Text en Copyright © 2019 Anusha Kallurkar et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Kallurkar, Anusha
Kulkarni, Shreedhar
Delfino, Kristin
Ferraro, Daniel
Rao, Krishna
Characteristics of Chronic Pain among Head and Neck Cancer Patients Treated with Radiation Therapy: A Retrospective Study
title Characteristics of Chronic Pain among Head and Neck Cancer Patients Treated with Radiation Therapy: A Retrospective Study
title_full Characteristics of Chronic Pain among Head and Neck Cancer Patients Treated with Radiation Therapy: A Retrospective Study
title_fullStr Characteristics of Chronic Pain among Head and Neck Cancer Patients Treated with Radiation Therapy: A Retrospective Study
title_full_unstemmed Characteristics of Chronic Pain among Head and Neck Cancer Patients Treated with Radiation Therapy: A Retrospective Study
title_short Characteristics of Chronic Pain among Head and Neck Cancer Patients Treated with Radiation Therapy: A Retrospective Study
title_sort characteristics of chronic pain among head and neck cancer patients treated with radiation therapy: a retrospective study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526547/
https://www.ncbi.nlm.nih.gov/pubmed/31198479
http://dx.doi.org/10.1155/2019/9675654
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