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UICC World Cancer Congress 2006

Bridging the Gap: Transforming Knowledge into Action

July 8-12, 2006, Washington, DC, USA



Sunday, 9 July 2006 - 2:30 PM
34-4

Pain monitoring and treatment in hospitalised patients with metastatic cancer: a pilot study at a Hospital Cancer Centre

Giovanna Vasini, MD, Antonino Musolino, Vittorio Franciosi, Beatrice Pisanelli, Debora Pezzuolo, Simona Bertinelli, Rosanna Carpi, Donatella Sartori, Maria Paola Cellino, Roberta Camisa, and Andrea Ardizzoni. Medical oncology unit, University Hospital of Parma, via Gramsci 14, Parma, 43100, Italy

Objective: An audit was carried out on a 1-year period to identify the prevalence, severity and management of cancer pain in the hospital in-patients referred to the Medical Oncology Unit of the University Hospital of Parma between April 2004 and March 2005.

Methods: A multidisciplinary team of physicians and nurses directly responsible for the patients provided prospective data by reporting both the diagnostic and therapeutic interventions performed and the degree of pain control achieved. Two daily pain assessment, which was based on patients report by a numeric rating scale (NRS), was performed during hospitalisation.

Results:Eight hundred and thirty-four admissions (537 patients) were recorded. Pain was registered in 319 of these (38%) corresponding to 220 patients (106 men and 114 women; median age 66 years, range 21-90 years). The median NRS score (10 = greatest pain severity) was 4 (range 1-10) and a NRS score > 5 was observed in 137 out of 319 cases (43%). A total of 460 therapeutic interventions were undertaken, including chemotherapy and/or radiotherapy, and analgesic medication was changed in 264 admissions (82%). For admissions with pain level score > 5, the quantitative evaluation showed a significant pain reduction between admission and discharge pain levels—mean pain reduction: 4.15 (p<0.0001). Seventy-seven percent of patients with pain level score > 5 at admission reverted to a pain level < 5 after the hospitalisation.


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