Pain and Interventions in Stage IV Non-Small Cell Lung Cancer: A Province-Wide Analysis.
Pain is a common symptom in stage IV non-small cell lung cancer (NSCLC). The objective of the study was to examine the use of interventions and factors associated with interventions for pain. A population-based cohort study in Ontario, Canada was conducted with patients diagnosed with stage IV NSCLC...
| Published in: | Current Oncology Vol. 30; no. 3; pp. 3461 - 3473 |
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| Main Authors: | , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Published: |
MDPI
Mar2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162747229&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162747229 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11980052 5EKK jtl: Current Oncology issn: 11980052 maglogo: N pubinfo: dt: Mar2023 vid: 30 iid: 3 pid: 97109 pub: MDPI artinfo: ui: 162747229 10.3390/curroncol30030262 162747229 ppf: 3461 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Pain and Interventions in Stage IV Non-Small Cell Lung Cancer: A Province-Wide Analysis. aug: au: Tan, Vivian S. Tjong, Michael C. Chan, Wing C. Yan, Michael Delibasic, Victoria Darling, Gail Davis, Laura E. Doherty, Mark Hallet, Julie Kidane, Biniam Mahar, Alyson Mittmann, Nicole Parmar, Ambika Tan, Hendrick Wright, Frances C. Coburn, Natalie G. Louie, Alexander V. affil: Department of Radiation Oncology, University of Western Ontario, London, ON N6A 5W9, Canada sug: ab: Pain is a common symptom in stage IV non-small cell lung cancer (NSCLC). The objective of the study was to examine the use of interventions and factors associated with interventions for pain. A population-based cohort study in Ontario, Canada was conducted with patients diagnosed with stage IV NSCLC from January 2007 to September 2018. An Edmonton Symptom Assessment System (ESAS) score of ≥4 defined moderate-to-severe pain following diagnosis. The study cohort included 13,159 patients, of which 68.5% reported at least one moderate-to-severe pain score. Most patients were assessed by a palliative care team (85.4%), and the majority received radiation therapy (73.2%). The use of nerve block was rare (0.8%). For patients ≥65 years of age who had drug coverage, 59.6% received an opiate prescription. Patients with moderate-to-severe pain were more likely to receive palliative assessment or radiation therapy compared to patients with none or mild pain. Patients aged ≥70 years and with a greater comorbidity burden were associated with less likelihood to receive radiation therapy. Patients from rural/non-major urban residence and with a greater comorbidity burden were also less likely to receive palliative care assessment. Factors associated with interventions for pain are described to inform future symptom management in this population. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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