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<a href="http://doi.org/10.1093/annonc/mdq155" target="_blank" rel="noreferrer">http://doi.org/10.1093/annonc/mdq155</a>
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Title
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Impact of setting of care on pain management in patients with cancer: a multicentre cross-sectional study
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Annals Of Oncology : Official Journal Of The European Society For Medical Oncology / Esmo
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2010
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Biomarkers of Pain
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Sichetti D; Bandieri E; Romero M; Di Biagio K; Luppi M; Belfiglio M; Tognoni G; Ripamonti CI; Working Group for ECAD
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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.
2010
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<a href="http://doi.org/10.1093/annonc/mdq155" target="_blank" rel="noreferrer">10.1093/annonc/mdq155</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2010
Annals Of Oncology : Official Journal Of The European Society For Medical Oncology / Esmo
Backlog
Bandieri E
Belfiglio M
Biomarkers of Pain
Di Biagio K
Journal Article
Luppi M
Ripamonti CI
Romero M
Sichetti D
Tognoni G
Working Group for ECAD