Diagnosis, management and impact on patients' lives of cancer-related neuropathic pain (CRNP): A European survey.

Autor: Dupoiron D; Institut de Cancérologie de l'Ouest, Angers, France., Brill S; European Pain Federation EFIC, Brussels, Belgium.; Pain Institute, Tel Aviv Medical Center, Tel Aviv, Israel., Eeltink C; Amsterdam UMC, Amsterdam, Netherlands., Barragán B; Grupo Español de Pacientes con Cáncer, Madrid, Spain., Bell D; Macmillan Cancer Support, London, UK., Petersen G; Grünenthal GmbH, Aachen, Germany., Eerdekens M; Grünenthal GmbH, Aachen, Germany., Ryan D; Pain Alliance Europe, Brussels, Belgium., Rakuša M; University Medical Centre, Maribor, Slovenia.
Jazyk: angličtina
Zdroj: European journal of cancer care [Eur J Cancer Care (Engl)] 2022 Nov; Vol. 31 (6), pp. e13728. Date of Electronic Publication: 2022 Oct 12.
DOI: 10.1111/ecc.13728
Abstrakt: Objective: This study assessed the impact of cancer-related neuropathic pain (CRNP) on patients and the importance of the patient-healthcare professional (HCP) relationship in diagnosis and management.
Methods: A quantitative online survey was conducted involving adult patients from 13 European countries who had been diagnosed with treatable cancer and experienced symptoms of peripheral neuropathy.
Results: Of 24,733 screened respondents, 549 eligible persons met the inclusion criteria and completed the questionnaire. Among individuals still experiencing pain, 75% rated it as 'severe' or 'moderate'. In addition, 61% reported a negative impact on day-to-day activities, and 30% said they had stopped working as a result. A third of respondents had received no diagnosis of CRNP despite reporting painful symptoms to an HCP. HCPs spending enough time discussing pain and understanding the impact on patients' lives were each associated with an increased likelihood of a formal CRNP diagnosis. Compared with individuals currently in active cancer treatment, cancer survivors were less likely to have a diagnosis of CRNP or regular pain conversations with HCPs.
Conclusion: CRNP remains under-recognised despite its substantial impact on patients' lives. Clinical practice may be improved by strengthening patient-HCP relationships around pain discussions and increasing the focus on pain management among cancer survivors.
(© 2022 The Authors. European Journal of Cancer Care published by John Wiley & Sons Ltd.)
Databáze: MEDLINE