A systematic review of orofacial pain in patients receiving cancer therapy.
Purpose: We present the findings of a structured systematic review of the literature assessing orofacial pain induced by malignant disease and/or its therapy (excluding mucositis). This evaluation of the literature published after the 1989 NIH Development Consensus conference on the oral complicatio...
| Publicado en: | Supportive Care in Cancer Vol. 18; no. 8; pp. 1023 - 1032 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | research systematic review Journal Article |
| Publicado: |
Springer Nature
Aug2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104914341&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104914341 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Aug2010 vid: 18 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104914341 52671234 NLM20544225 2010734824 10.1007/s00520-010-0897-7 NLM20544225 104914341 ppf: 1023 ppct: 9 formats: fmt: @attributes: type: P tig: atl: A systematic review of orofacial pain in patients receiving cancer therapy. aug: au: Epstein JB Hong C Logan RM Barasch A Gordon SM Oberlee-Edwards L McGuire D Napenas JJ Elting LS Spijkervet FK Brennan MT Epstein, Joel B Hong, Catherine Logan, Richard M Barasch, Andrei Gordon, Sharon M Oberle-Edwards, Loree Oberlee-Edwards, Lorree McGuire, Deborah Napenas, Joel J affil: Department Oral Medicine and Diagnostic Sciences, University of Illinois, Chicago, IL 60612, USA sug: subj: Facial Pain Etiology Neoplasms Complications Quality of Life Facial Pain Epidemiology Facial Pain Therapy Head and Neck Neoplasms Complications Head and Neck Neoplasms Therapy Human Neoplasms Therapy Severity of Illness Indices Systematic Review Time Factors ab: Purpose: We present the findings of a structured systematic review of the literature assessing orofacial pain induced by malignant disease and/or its therapy (excluding mucositis). This evaluation of the literature published after the 1989 NIH Development Consensus conference on the oral complications of cancer therapies is an effort to assess the prevalence of pain, quality of life and economic impact, and management strategies for cancer therapy-induced orofacial pain.Methods: A systematic medical literature search was conducted with assistance from a research librarian in MEDLINE/PubMed and EMBASE databases for articles published between January 1, 1990 and December 31, 2008. Each study was independently assessed by two reviewers with expertise in the field of oral oncology.Results: Thirty-nine studies assessed pain in the head and neck region. The measure was commonly embedded in quality of life studies. Most of these studies described pain in head and neck cancer (HNC) patients, which therefore became the focus of the report. Pain is common in patients with HNC and is reported by approximately half of patients prior to cancer therapy, 81% during therapy, 70% at the end of therapy, and by 36% at 6 months after treatment. Pain is experienced beyond the 6-month period by approximately one third of patients and is typically more severe than pre-treatment cancer-induced pain.Conclusions: This systematic review identified the presence of pain before cancer therapy, likely attributable to the cancer; an increase in pain during therapy and the common persistence of pain following cancer treatment. Continuing research should use validated tools to prospectively assess orofacial pain, its causes and pathophysiology, and its effect on quality of life and economic impact. Clinical trials of pain management in this setting are also warranted. pubtype: Academic Journal doctype: research systematic review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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