Pain in Patients Attending a Specialist Cancer Service: Prevalence and Association with Emotional Distress
| Autor: | Dawn J Storey, Mark J. O'Connor, James Weir, Gordon D Murray, Michael Sharpe, Isabella Butcher, Annet Kleiboer, Jane Walker, Marie Fallon, Neelom Sharma, Parvez Thekkumpurath |
|---|---|
| Přispěvatelé: | Clinical Psychology, EMGO+ - Mental Health |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent prevalence Pain Context (language use) Comorbidity Cancer Care Facilities Hospital Anxiety and Depression Scale Risk Assessment Young Adult Quality of life (healthcare) Age Distribution SDG 3 - Good Health and Well-being Risk Factors Neoplasms Medicine Humans cancer Sex Distribution General Nursing Aged Aged 80 and over business.industry Medical record Cancer distress Odds ratio Middle Aged medicine.disease Confidence interval United Kingdom Distress Anesthesiology and Pain Medicine Physical therapy Female Neurology (clinical) business Stress Psychological associations |
| Zdroj: | O'Connor, M, Weir, J, Butcher, I, Kleiboer, A, Murray, G, Sharma, N, Thekkumpurath, P, Walker, J, Fallon, M, Storey, D J & Sharpe, M 2012, ' Pain in Patients Attending a Specialist Cancer Service: Prevalence and Association With Emotional Distress ', Journal of Pain and Symptom Management, vol. 43, no. 1, pp. 29-38 . https://doi.org/10.1016/j.jpainsymman.2011.03.010 Journal of Pain and Symptom Management, 43(1), 29-38. Elsevier Inc. |
| ISSN: | 0885-3924 |
| DOI: | 10.1016/j.jpainsymman.2011.03.010 |
| Popis: | Context We know little about how many outpatients of a modern cancer center suffer from clinically significant unrelieved pain and the characteristics of these patients to guide better care. Objectives To determine the prevalence of clinically significant pain (CSP) in the outpatients of a regional cancer center and the association with distress and other variables. Methods A secondary analysis of cross-sectional, self-reported and clinical data from 2768 patients reattending selected clinics of a regional National Health Service cancer center in the U.K. Pain was measured using the pain severity scale of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, emotional distress was measured by the Hospital Anxiety and Depression Scale, and demographic and clinical data were taken from medical records. Results Fifty-four percent (95% confidence interval [CI] 52–56) of patients reported pain at least "a little" in the previous week and 18% (95% CI 17–20) at least "quite a bit" (CSP). The strongest independent associations of CSP were active disease (odds ratio [OR] 1.95, 95% CI 1.5–2.5) and emotional distress (OR 4.8, 95% CI 4–6). Conclusion CSP is surprisingly common in outpatients of specialist cancer services, and it is strongly and independently associated with emotional distress. Better symptom management should consider pain and distress together. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect