A systematic review of health care interventions for pain in patients with advanced cancer.

Authors :: Martinez KA
Aslakson RA
Wilson RF
Apostol CC
Fawole OA
Lau BD
Vollenweider D
Bass EB
Dy SM
Source :: The American journal of hospice & palliative care [Am J Hosp Palliat Care] 2014 Feb; Vol. 31 (1), pp. 79-86. Date of Electronic Publication: 2013 Feb 12.
Publication Year :: 2014
Abstract: Purpose: Poorly controlled pain is common in advanced cancer. The objective of this article was to synthesize the evidence on the effectiveness of pain-focused interventions in this population.<br />Methods: We searched MEDLINE, CINAHL, PsycINFO, Cochrane, and DARE from 2000 through December 2011. We included prospective, controlled health care intervention studies in advanced cancer populations, focusing on pain.<br />Results: Nineteen studies met the inclusion criteria; most focused on nurse-led patient-centered interventions. In all, 9 (47%) of the 19 studies found a significant effect on pain. The most common intervention type was patient/caregiver education, in 17 (89%) of 19 studies, 7 of which demonstrated a significant decrease in pain.<br />Conclusions: We found moderate strength of evidence that pain in advanced cancer can be improved using health care interventions, particularly nurse-led patient-centered interventions.

Subjects :: Clinical Trials as Topic
Humans
Patient Education as Topic
Patient Satisfaction
Severity of Illness Index
Health Knowledge, Attitudes, Practice
Neoplasms complications
Pain etiology
Pain Management methods
Palliative Care methods

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