Is it possible to detect an improvement in cancer pain management? A comparison of two Norwegian cross-sectional studies conducted 5 years apart

Morten Thronæs, Sunil X. Raj, Cinzia Brunelli, Sigrun Saur Almberg, Ola Magne Vagnildhaug, Susanna Bruheim, Birgit Helgheim, Stein Kaasa, Anne Kari Knudsen

Research output: Contribution to journalArticle

Abstract

PURPOSE: Cancer pain (CP) management is challenging. In recent years, efforts were undertaken to achieve better CP management, e.g. clinical research, new treatment modalities, development of guidelines, education and focus on implementation. The aim of the present study was to compare the prevalence and characteristics of pain and breakthrough pain (BTP) between cross-sectional studies conducted in 2008 and 2014. It was hypothesized that an improvement in pain control would be observed the years in between.

METHODS: Two cross-sectional studies were conducted where adult cancer patients answered questions from Brief Pain Inventory and the Alberta Breakthrough Pain Assessment Tool for cancer patients. Physicians reported socio-demographic and medical data. Regression models were applied for analysis.

RESULTS: In total, 168 inpatients, 92 in 2008 and 76 in 2014, and 675 outpatients, 301 in 2008 and 374 in 2014, were included. The patient characteristics of the samples were comparable. Prevalence of CP among inpatients was 55 % in 2008 and 53 % in 2014, and among outpatients, 39 and 35 %, respectively. Inpatients reported average pain intensity (0-10 numerical rating scale, NRS) of 3.60 (standard deviation, SD 1.84) (2008) and 4.08 (SD 2.11) (2014); prevalence of BTP was 52 % (2008) and 41 % (2014). For outpatients, average pain intensity was 3.60 (SD 2.04) (2008) and 3.86 (SD 2.20) (2014); prevalence of BTP was 43 % (2008) and 37 % (2014). None of the differences were statistically significant.

CONCLUSION: Unexpectedly, no improvement in pain control was observed. Efforts are still needed to improve cancer pain management.

Original languageEnglish
Pages (from-to)2565-74
Number of pages10
JournalSupportive Care in Cancer
Volume24
Issue number6
DOIs
Publication statusPublished - Jun 2016

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Pain Management
Breakthrough Pain
Cross-Sectional Studies
Pain
Inpatients
Outpatients
Alberta
Pain Measurement
Cancer Pain
Neoplasms
Demography
Guidelines
Physicians
Education
Equipment and Supplies
Research

Keywords

  • Journal Article

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Is it possible to detect an improvement in cancer pain management? A comparison of two Norwegian cross-sectional studies conducted 5 years apart. / Thronæs, Morten; Raj, Sunil X.; Brunelli, Cinzia; Almberg, Sigrun Saur; Vagnildhaug, Ola Magne; Bruheim, Susanna; Helgheim, Birgit; Kaasa, Stein; Knudsen, Anne Kari.

In: Supportive Care in Cancer, Vol. 24, No. 6, 06.2016, p. 2565-74.

Research output: Contribution to journalArticle

Thronæs, M, Raj, SX, Brunelli, C, Almberg, SS, Vagnildhaug, OM, Bruheim, S, Helgheim, B, Kaasa, S & Knudsen, AK 2016, 'Is it possible to detect an improvement in cancer pain management? A comparison of two Norwegian cross-sectional studies conducted 5 years apart', Supportive Care in Cancer, vol. 24, no. 6, pp. 2565-74. https://doi.org/10.1007/s00520-015-3064-3
Thronæs, Morten ; Raj, Sunil X. ; Brunelli, Cinzia ; Almberg, Sigrun Saur ; Vagnildhaug, Ola Magne ; Bruheim, Susanna ; Helgheim, Birgit ; Kaasa, Stein ; Knudsen, Anne Kari. / Is it possible to detect an improvement in cancer pain management? A comparison of two Norwegian cross-sectional studies conducted 5 years apart. In: Supportive Care in Cancer. 2016 ; Vol. 24, No. 6. pp. 2565-74.
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abstract = "PURPOSE: Cancer pain (CP) management is challenging. In recent years, efforts were undertaken to achieve better CP management, e.g. clinical research, new treatment modalities, development of guidelines, education and focus on implementation. The aim of the present study was to compare the prevalence and characteristics of pain and breakthrough pain (BTP) between cross-sectional studies conducted in 2008 and 2014. It was hypothesized that an improvement in pain control would be observed the years in between.METHODS: Two cross-sectional studies were conducted where adult cancer patients answered questions from Brief Pain Inventory and the Alberta Breakthrough Pain Assessment Tool for cancer patients. Physicians reported socio-demographic and medical data. Regression models were applied for analysis.RESULTS: In total, 168 inpatients, 92 in 2008 and 76 in 2014, and 675 outpatients, 301 in 2008 and 374 in 2014, were included. The patient characteristics of the samples were comparable. Prevalence of CP among inpatients was 55 {\%} in 2008 and 53 {\%} in 2014, and among outpatients, 39 and 35 {\%}, respectively. Inpatients reported average pain intensity (0-10 numerical rating scale, NRS) of 3.60 (standard deviation, SD 1.84) (2008) and 4.08 (SD 2.11) (2014); prevalence of BTP was 52 {\%} (2008) and 41 {\%} (2014). For outpatients, average pain intensity was 3.60 (SD 2.04) (2008) and 3.86 (SD 2.20) (2014); prevalence of BTP was 43 {\%} (2008) and 37 {\%} (2014). None of the differences were statistically significant.CONCLUSION: Unexpectedly, no improvement in pain control was observed. Efforts are still needed to improve cancer pain management.",
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T2 - A comparison of two Norwegian cross-sectional studies conducted 5 years apart

AU - Thronæs, Morten

AU - Raj, Sunil X.

AU - Brunelli, Cinzia

AU - Almberg, Sigrun Saur

AU - Vagnildhaug, Ola Magne

AU - Bruheim, Susanna

AU - Helgheim, Birgit

AU - Kaasa, Stein

AU - Knudsen, Anne Kari

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N2 - PURPOSE: Cancer pain (CP) management is challenging. In recent years, efforts were undertaken to achieve better CP management, e.g. clinical research, new treatment modalities, development of guidelines, education and focus on implementation. The aim of the present study was to compare the prevalence and characteristics of pain and breakthrough pain (BTP) between cross-sectional studies conducted in 2008 and 2014. It was hypothesized that an improvement in pain control would be observed the years in between.METHODS: Two cross-sectional studies were conducted where adult cancer patients answered questions from Brief Pain Inventory and the Alberta Breakthrough Pain Assessment Tool for cancer patients. Physicians reported socio-demographic and medical data. Regression models were applied for analysis.RESULTS: In total, 168 inpatients, 92 in 2008 and 76 in 2014, and 675 outpatients, 301 in 2008 and 374 in 2014, were included. The patient characteristics of the samples were comparable. Prevalence of CP among inpatients was 55 % in 2008 and 53 % in 2014, and among outpatients, 39 and 35 %, respectively. Inpatients reported average pain intensity (0-10 numerical rating scale, NRS) of 3.60 (standard deviation, SD 1.84) (2008) and 4.08 (SD 2.11) (2014); prevalence of BTP was 52 % (2008) and 41 % (2014). For outpatients, average pain intensity was 3.60 (SD 2.04) (2008) and 3.86 (SD 2.20) (2014); prevalence of BTP was 43 % (2008) and 37 % (2014). None of the differences were statistically significant.CONCLUSION: Unexpectedly, no improvement in pain control was observed. Efforts are still needed to improve cancer pain management.

AB - PURPOSE: Cancer pain (CP) management is challenging. In recent years, efforts were undertaken to achieve better CP management, e.g. clinical research, new treatment modalities, development of guidelines, education and focus on implementation. The aim of the present study was to compare the prevalence and characteristics of pain and breakthrough pain (BTP) between cross-sectional studies conducted in 2008 and 2014. It was hypothesized that an improvement in pain control would be observed the years in between.METHODS: Two cross-sectional studies were conducted where adult cancer patients answered questions from Brief Pain Inventory and the Alberta Breakthrough Pain Assessment Tool for cancer patients. Physicians reported socio-demographic and medical data. Regression models were applied for analysis.RESULTS: In total, 168 inpatients, 92 in 2008 and 76 in 2014, and 675 outpatients, 301 in 2008 and 374 in 2014, were included. The patient characteristics of the samples were comparable. Prevalence of CP among inpatients was 55 % in 2008 and 53 % in 2014, and among outpatients, 39 and 35 %, respectively. Inpatients reported average pain intensity (0-10 numerical rating scale, NRS) of 3.60 (standard deviation, SD 1.84) (2008) and 4.08 (SD 2.11) (2014); prevalence of BTP was 52 % (2008) and 41 % (2014). For outpatients, average pain intensity was 3.60 (SD 2.04) (2008) and 3.86 (SD 2.20) (2014); prevalence of BTP was 43 % (2008) and 37 % (2014). None of the differences were statistically significant.CONCLUSION: Unexpectedly, no improvement in pain control was observed. Efforts are still needed to improve cancer pain management.

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JO - Supportive Care in Cancer

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