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Pregled bibliografske jedinice broj: 998001

Do Physicians Underestimate Pain in Terminal Cancer Patients? A Prospective Study in a Hospice Setting


Golčić, Marin; Dobrila-Dintinjana, Renata; Golčić, Goran; Pavlović-Ružić, Ira; Gović- Golčić, Lidija
Do Physicians Underestimate Pain in Terminal Cancer Patients? A Prospective Study in a Hospice Setting // The Clinical Journal of Pain, 34 (2018), 12; 1159-1163 doi:10.1097/AJP.0000000000000641 (međunarodna recenzija, članak, znanstveni)


CROSBI ID: 998001 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
Do Physicians Underestimate Pain in Terminal Cancer Patients? A Prospective Study in a Hospice Setting

Autori
Golčić, Marin ; Dobrila-Dintinjana, Renata ; Golčić, Goran ; Pavlović-Ružić, Ira ; Gović- Golčić, Lidija

Izvornik
The Clinical Journal of Pain (0749-8047) 34 (2018), 12; 1159-1163

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
cancer ; hospice ; numeric rating scale ; pain perception ; palliative care ; VISUAL ANALOG SCALE ; PALLIATIVE CARE ; PERCEPTION ; DEPRESSION ; SURVIVAL ; LIFE ; END

Sažetak
Objectives:Unrelieved pain is present in a majority of terminal cancer patients. However, the treatment of pain in palliative and hospice care is affected by the lack of validated pain assessment. The goal of this study was to evaluate differences in pain evaluation between terminal cancer patients and physicians and evaluate the pain levels as a survival biomarker.Materials and Methods:Patients were evaluated every 7 days for a total of 4 assessments. Physicians evaluated patients' pain on an numeric rating scale (NRS) scale after clinical examination, after which the patients completed NRS, Quality of Life Questionnaire Core 15 Pal (QLQ-C15-PAL), and Edmonton Symptom Assessment System (ESAS) questionnaires.Results:On average, physicians minimally underestimated the pain level in patients (3.47 vs. 3.94 on an NRS scale). Pain was overestimated in 28% and underestimated in 46% of the patients. However, half of all underestimation was clinically meaningful, compared with 28% of the overestimation. For patients with an NRS score of 7, pain underestimation was both clinically and statistically significant (5.56 vs. 8.17). Pain ratings exhibited a very small correlation to survival (up to r=-0.22), limiting their use as a survival biomarker.Discussion:Although physicians can accurately assess mild pain in terminal cancer patients in the hospice setting, the underestimation of pain is still clinically significant in almost a quarter of patients, and especially pronounced in patients with higher levels of pain and in female patients. Hence, validated pain assessment is a necessity in hospice care, with the choice of pain evaluation tool dependent on patient and physician preference.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti



POVEZANOST RADA


Ustanove:
Medicinski fakultet, Rijeka

doi

Citiraj ovu publikaciju

Golčić, Marin; Dobrila-Dintinjana, Renata; Golčić, Goran; Pavlović-Ružić, Ira; Gović- Golčić, Lidija
Do Physicians Underestimate Pain in Terminal Cancer Patients? A Prospective Study in a Hospice Setting // The Clinical Journal of Pain, 34 (2018), 12; 1159-1163 doi:10.1097/AJP.0000000000000641 (međunarodna recenzija, članak, znanstveni)
Golčić, M., Dobrila-Dintinjana, R., Golčić, G., Pavlović-Ružić, I. & Gović- Golčić, L. (2018) Do Physicians Underestimate Pain in Terminal Cancer Patients? A Prospective Study in a Hospice Setting. The Clinical Journal of Pain, 34 (12), 1159-1163 doi:10.1097/AJP.0000000000000641.
@article{article, year = {2018}, pages = {1159-1163}, DOI = {10.1097/AJP.0000000000000641}, keywords = {cancer, hospice, numeric rating scale, pain perception, palliative care, VISUAL ANALOG SCALE, PALLIATIVE CARE, PERCEPTION, DEPRESSION, SURVIVAL, LIFE, END}, journal = {The Clinical Journal of Pain}, doi = {10.1097/AJP.0000000000000641}, volume = {34}, number = {12}, issn = {0749-8047}, title = {Do Physicians Underestimate Pain in Terminal Cancer Patients? A Prospective Study in a Hospice Setting}, keyword = {cancer, hospice, numeric rating scale, pain perception, palliative care, VISUAL ANALOG SCALE, PALLIATIVE CARE, PERCEPTION, DEPRESSION, SURVIVAL, LIFE, END} }
@article{article, year = {2018}, pages = {1159-1163}, DOI = {10.1097/AJP.0000000000000641}, keywords = {cancer, hospice, numeric rating scale, pain perception, palliative care, VISUAL ANALOG SCALE, PALLIATIVE CARE, PERCEPTION, DEPRESSION, SURVIVAL, LIFE, END}, journal = {The Clinical Journal of Pain}, doi = {10.1097/AJP.0000000000000641}, volume = {34}, number = {12}, issn = {0749-8047}, title = {Do Physicians Underestimate Pain in Terminal Cancer Patients? A Prospective Study in a Hospice Setting}, keyword = {cancer, hospice, numeric rating scale, pain perception, palliative care, VISUAL ANALOG SCALE, PALLIATIVE CARE, PERCEPTION, DEPRESSION, SURVIVAL, LIFE, END} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
  • Scopus
  • MEDLINE


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