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Can patient-reported measurements of pain be used to improve cancer pain management? A systematic review and meta-analysis.
Adam, Rosalind; Burton, Christopher D; Bond, Christine M; de Bruin, Marijn; Murchie, Peter.
Afiliación
  • Adam R; Centre of Academic Primary Care, University of Aberdeen, Aberdeen, UK.
  • Burton CD; Centre of Academic Primary Care, University of Aberdeen, Aberdeen, UK.
  • Bond CM; Centre of Academic Primary Care, University of Aberdeen, Aberdeen, UK.
  • de Bruin M; Aberdeen Health Psychology Group, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK.
  • Murchie P; Centre of Academic Primary Care, University of Aberdeen, Aberdeen, UK.
BMJ Support Palliat Care ; 7(4): 0, 2017 Dec.
Article en En | MEDLINE | ID: mdl-27879472
PURPOSE: Cancer pain is a distressing and complex experience. It is feasible that the systematic collection and feedback of patient-reported outcome measurements (PROMs) relating to pain could enhance cancer pain management. We aimed to conduct a systematic review of interventions in which patient-reported pain data were collected and fed back to patients and/or professionals in order to improve cancer pain control. METHODS: MEDLINE, EMBASE and CINAHL databases were searched for randomised and non-randomised controlled trials in which patient-reported data were collected and fed back with the intention of improving pain management by adult patients or professionals. We conducted a narrative synthesis. We also conducted a meta-analysis of studies reporting pain intensity. RESULTS: 29 reports from 22 trials of 20 interventions were included. PROM measures were used to alert physicians to poorly controlled pain, to target pain education and to link treatment to management algorithms. Few interventions were underpinned by explicit behavioural theories. Interventions were inconsistently applied or infrequently led to changes in treatment. Narrative synthesis suggested that feedback of PROM data tended to increase discussions between patients and professionals about pain and/or symptoms overall. Meta-analysis of 12 studies showed a reduction in average pain intensity in intervention group participants compared with controls (mean difference=-0.59 (95% CI -0.87 to -0.30)). CONCLUSIONS: Interventions that assess and feedback cancer pain data to patients and/or professionals have so far led to modest reductions in cancer pain intensity. Suggestions are given to inform and enhance future PROM feedback interventions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Manejo del Dolor / Dolor en Cáncer / Medición de Resultados Informados por el Paciente Tipo de estudio: Clinical_trials / Systematic_reviews Aspecto: Patient_preference Límite: Humans Idioma: En Revista: BMJ Support Palliat Care Año: 2017 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Manejo del Dolor / Dolor en Cáncer / Medición de Resultados Informados por el Paciente Tipo de estudio: Clinical_trials / Systematic_reviews Aspecto: Patient_preference Límite: Humans Idioma: En Revista: BMJ Support Palliat Care Año: 2017 Tipo del documento: Article Pais de publicación: Reino Unido