Impact of setting of care on pain management in patients with cancer: A multicentre cross-sectional study

D. Sichetti, E. Bandieri, M. Romero, K. Di biagio, M. Luppi, M. Belfiglio, G. Tognoni, C. I. Ripamonti

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Background: No study has so far addressed whether differences do exist in the management of cancer-related pain in patients admitted to oncology and non-oncology settings. Patients and methods: A multicentre cross-sectional study in 48 Italian hospitals has enrolled 819 patients receiving analgesic therapy for cancer-related pain. Demographics and clinical and analgesic therapy information have been prospectively collected by standardized forms. Adequacy of pain management has been evaluated by the Pain Management Index (PMI).Results: Differences in the analgesic drug administration according to settings of care have been evident, non-opioids more frequently being administered in non-oncology units (19.6% versus 7.0%; P <0.0001), while strong opioids are more frequently used in the oncology units (69.5% versus 51.9%; P <0.0001). The number of patients receiving inadequate therapy (PMI <0) has lowered in oncology compared with non-oncology units (11.3% versus 18.8%; P = 0.0024). Results of multiple logistic regression analysis have shown that the admission to non-oncology setting [odds ratio (OR) = 1.75, 95% confidence interval (CI) = 1.15-2.67; P = 0.0096] and the absence of metastatic disease (OR = 1.60, 95% CI = 1.04-2.44; P = 0.0317) were independent factors associated with an increased risk of receiving an inadequate analgesic therapy.Conclusion: Oncology wards provide the most adequate standard of analgesic therapy for cancer-related pain.

Original languageEnglish
Pages (from-to)2088-2093
Number of pages6
JournalAnnals of Oncology
Volume21
Issue number10
DOIs
Publication statusPublished - Mar 31 2010

Fingerprint

Pain Management
Analgesics
Cross-Sectional Studies
Neoplasms
Odds Ratio
Confidence Intervals
Therapeutics
Opioid Analgesics
Logistic Models
Regression Analysis
Demography
Cancer Pain

Keywords

  • Analgesic drugs
  • Neoplasms
  • Pain
  • Settings of care

ASJC Scopus subject areas

  • Oncology
  • Hematology

Cite this

Impact of setting of care on pain management in patients with cancer : A multicentre cross-sectional study. / Sichetti, D.; Bandieri, E.; Romero, M.; Di biagio, K.; Luppi, M.; Belfiglio, M.; Tognoni, G.; Ripamonti, C. I.

In: Annals of Oncology, Vol. 21, No. 10, 31.03.2010, p. 2088-2093.

Research output: Contribution to journalArticle

Sichetti, D, Bandieri, E, Romero, M, Di biagio, K, Luppi, M, Belfiglio, M, Tognoni, G & Ripamonti, CI 2010, 'Impact of setting of care on pain management in patients with cancer: A multicentre cross-sectional study', Annals of Oncology, vol. 21, no. 10, pp. 2088-2093. https://doi.org/10.1093/annonc/mdq155
Sichetti D, Bandieri E, Romero M, Di biagio K, Luppi M, Belfiglio M et al. Impact of setting of care on pain management in patients with cancer: A multicentre cross-sectional study. Annals of Oncology. 2010 Mar 31;21(10):2088-2093. https://doi.org/10.1093/annonc/mdq155
Sichetti, D. ; Bandieri, E. ; Romero, M. ; Di biagio, K. ; Luppi, M. ; Belfiglio, M. ; Tognoni, G. ; Ripamonti, C. I. / Impact of setting of care on pain management in patients with cancer : A multicentre cross-sectional study. In: Annals of Oncology. 2010 ; Vol. 21, No. 10. pp. 2088-2093.
@article{b711a9da167b4b4db7f6612ec58bf74a,
title = "Impact of setting of care on pain management in patients with cancer: A multicentre cross-sectional study",
abstract = "Background: No study has so far addressed whether differences do exist in the management of cancer-related pain in patients admitted to oncology and non-oncology settings. Patients and methods: A multicentre cross-sectional study in 48 Italian hospitals has enrolled 819 patients receiving analgesic therapy for cancer-related pain. Demographics and clinical and analgesic therapy information have been prospectively collected by standardized forms. Adequacy of pain management has been evaluated by the Pain Management Index (PMI).Results: Differences in the analgesic drug administration according to settings of care have been evident, non-opioids more frequently being administered in non-oncology units (19.6{\%} versus 7.0{\%}; P <0.0001), while strong opioids are more frequently used in the oncology units (69.5{\%} versus 51.9{\%}; P <0.0001). The number of patients receiving inadequate therapy (PMI <0) has lowered in oncology compared with non-oncology units (11.3{\%} versus 18.8{\%}; P = 0.0024). Results of multiple logistic regression analysis have shown that the admission to non-oncology setting [odds ratio (OR) = 1.75, 95{\%} confidence interval (CI) = 1.15-2.67; P = 0.0096] and the absence of metastatic disease (OR = 1.60, 95{\%} CI = 1.04-2.44; P = 0.0317) were independent factors associated with an increased risk of receiving an inadequate analgesic therapy.Conclusion: Oncology wards provide the most adequate standard of analgesic therapy for cancer-related pain.",
keywords = "Analgesic drugs, Neoplasms, Pain, Settings of care",
author = "D. Sichetti and E. Bandieri and M. Romero and {Di biagio}, K. and M. Luppi and M. Belfiglio and G. Tognoni and Ripamonti, {C. I.}",
year = "2010",
month = "3",
day = "31",
doi = "10.1093/annonc/mdq155",
language = "English",
volume = "21",
pages = "2088--2093",
journal = "Annals of Oncology",
issn = "0923-7534",
publisher = "NLM (Medline)",
number = "10",

}

TY - JOUR

T1 - Impact of setting of care on pain management in patients with cancer

T2 - A multicentre cross-sectional study

AU - Sichetti, D.

AU - Bandieri, E.

AU - Romero, M.

AU - Di biagio, K.

AU - Luppi, M.

AU - Belfiglio, M.

AU - Tognoni, G.

AU - Ripamonti, C. I.

PY - 2010/3/31

Y1 - 2010/3/31

N2 - Background: No study has so far addressed whether differences do exist in the management of cancer-related pain in patients admitted to oncology and non-oncology settings. Patients and methods: A multicentre cross-sectional study in 48 Italian hospitals has enrolled 819 patients receiving analgesic therapy for cancer-related pain. Demographics and clinical and analgesic therapy information have been prospectively collected by standardized forms. Adequacy of pain management has been evaluated by the Pain Management Index (PMI).Results: Differences in the analgesic drug administration according to settings of care have been evident, non-opioids more frequently being administered in non-oncology units (19.6% versus 7.0%; P <0.0001), while strong opioids are more frequently used in the oncology units (69.5% versus 51.9%; P <0.0001). The number of patients receiving inadequate therapy (PMI <0) has lowered in oncology compared with non-oncology units (11.3% versus 18.8%; P = 0.0024). Results of multiple logistic regression analysis have shown that the admission to non-oncology setting [odds ratio (OR) = 1.75, 95% confidence interval (CI) = 1.15-2.67; P = 0.0096] and the absence of metastatic disease (OR = 1.60, 95% CI = 1.04-2.44; P = 0.0317) were independent factors associated with an increased risk of receiving an inadequate analgesic therapy.Conclusion: Oncology wards provide the most adequate standard of analgesic therapy for cancer-related pain.

AB - Background: No study has so far addressed whether differences do exist in the management of cancer-related pain in patients admitted to oncology and non-oncology settings. Patients and methods: A multicentre cross-sectional study in 48 Italian hospitals has enrolled 819 patients receiving analgesic therapy for cancer-related pain. Demographics and clinical and analgesic therapy information have been prospectively collected by standardized forms. Adequacy of pain management has been evaluated by the Pain Management Index (PMI).Results: Differences in the analgesic drug administration according to settings of care have been evident, non-opioids more frequently being administered in non-oncology units (19.6% versus 7.0%; P <0.0001), while strong opioids are more frequently used in the oncology units (69.5% versus 51.9%; P <0.0001). The number of patients receiving inadequate therapy (PMI <0) has lowered in oncology compared with non-oncology units (11.3% versus 18.8%; P = 0.0024). Results of multiple logistic regression analysis have shown that the admission to non-oncology setting [odds ratio (OR) = 1.75, 95% confidence interval (CI) = 1.15-2.67; P = 0.0096] and the absence of metastatic disease (OR = 1.60, 95% CI = 1.04-2.44; P = 0.0317) were independent factors associated with an increased risk of receiving an inadequate analgesic therapy.Conclusion: Oncology wards provide the most adequate standard of analgesic therapy for cancer-related pain.

KW - Analgesic drugs

KW - Neoplasms

KW - Pain

KW - Settings of care

UR - http://www.scopus.com/inward/record.url?scp=77956367979&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77956367979&partnerID=8YFLogxK

U2 - 10.1093/annonc/mdq155

DO - 10.1093/annonc/mdq155

M3 - Article

C2 - 20357032

AN - SCOPUS:77956367979

VL - 21

SP - 2088

EP - 2093

JO - Annals of Oncology

JF - Annals of Oncology

SN - 0923-7534

IS - 10

ER -