Pain is not systematically registered in Dutch medical oncology outpatients
| Autor: | Kris Vissers, Yvonne Engels, Anne Jansen, Nienke te Boveldt, Myrra Vernooij-Dassen |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Oncology medicine.medical_specialty Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1] Visual Analog Scale Visual analogue scale Alternative medicine Pain Medical Oncology Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] Young Adult Pain assessment Neoplasms Internal medicine medicine Numeric Rating Scale Humans Pain Management Outpatient clinic Registries Aged Netherlands Pain Measurement Retrospective Studies Aged 80 and over business.industry Medical record Middle Aged Anesthesiology and Pain Medicine Multicenter study Physical therapy Female Cancer pain business |
| Zdroj: | Pain Practice, 15, 364-70 Pain Practice, 15, 4, pp. 364-70 |
| ISSN: | 1530-7085 |
| Popis: | Item does not contain fulltext BACKGROUND: Systematic pain registration and assessment with a visual analog scale (VAS) or numeric rating scale (NRS) at each visit are key recommendations in one of the most recent guidelines on cancer pain management. It is unclear whether this recommendation is applied. OBJECTIVES: The aim was to explore registration of pain in medical records of patients visiting the medical oncology outpatient clinic. METHODS: In a multicenter study in six Dutch hospitals, data were extracted from medical records of 380 outpatients with cancer. Data of the first three visits at the outpatient clinic were studied. Descriptive statistics were conducted. RESULTS: In 23% of all 987 visits at the outpatient clinic, pain or absence of pain was registered, and in an additional 15%, a nonspecific symptom description was given. Regarding all other visits, (62%) pain or absence of pain was not documented at all. Pain measurement using a VAS or NRS was documented in only one visit. Pain was more often registered in medical records of patients with metastasis, as well as in those of patients with urogenital tumors. CONCLUSION: Pain in medical oncology outpatients is not systematically registered in their medical records. With one exception, pain was not registered with a VAS or NRS. Yet, registration and assessment of pain to monitor pain are essential to evaluate and adapt pain treatment over time. Pain registration has not improved since 2001 and therefore implementing the recommendations regarding systematic monitoring of pain is needed. |
| Databáze: | OpenAIRE |
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