Evidence map›Paper›PMID 20471542›Full record

Trial reportJournal of pain and symptom management2010

Assessing and treating pain in hospices: current state of evidence-based practices.

Keela Herr, Marita Titler, Perry Fine, Sara Sanders, Joe Cavanaugh, John Swegle, Chris Forcucci, Xiongwen Tang

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of pain and symptom management, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02127086 (Managing Acute Pain in Critically Ill Non-communicative Palliative Care Patients), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02127086 nacompletednot on this mapstarted 2015, after this paper: background citation

Managing Acute Pain in Critically Ill Non-communicative Palliative Care Patients

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2015 to 2017Enrolled377ConditionsCritically IllArmsIntervention Group
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 60 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Benefits of using the Brief Pain Inventory in patients with cancer pain: an intervention study conducted in Swedish hospitals.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Evaluation of Evidence-based Nursing Pain Management Practice.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2015
    Article
  10. Article
  11. Translating Evidence into Practice at the End-of-Life: Information needs, access and usage by hospice and palliative nurses.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2015
    Article
  12. Pain: a descriptive study in patients with cancer.Clinical journal of oncology nursing · 2014
    Article
  13. Satisfaction with pain treatment in older cancer patients: Identifying variants of discrimination, trust, communication, and self-efficacy.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2013
    Article
  14. Article
  15. Article
  16. Predictors of Quality of Life in Elderly Hospice Patients with Cancer.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2011
    Article
  17. Nursing's role in cancer pain management.Current pain and headache reports · 2011
    Review
  18. Factors associated with recovery from early postoperative delirium.Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · 2011
    Article
  19. Article
  20. Health Care Reform and Concurrent Curative Care for Terminally Ill Children: A Policy Analysis.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2011
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Keela HerrCollege of Nursing, University of Iowa, Iowa City, Iowa 52242, USA. keela-herr@uiowa.edu
Marita Titler
Perry Fine
Sara Sanders
Joe Cavanaugh
John Swegle
Chris Forcucci
Xiongwen Tang
University of Iowa · USUniversity of Michigan–Ann Arbor · USUniversity of Utah · US

Funding

Cancer Pain in Elders: Promoting EBPs in HospicesR01CA115363 · NCI · UNIVERSITY OF IOWA · PI HERR, KEELA A · 2005 to 2010
$2.7M
NCI NIH HHS R01 CA115363NCI NIH HHS R01CA115363
6 · The paper itself

Abstract

The aim of this study was to report on current provider evidence-based assessment and treatment practices for older adults with cancer in community-based hospice settings. Using the Cancer Pain Practices Index, a tool developed by the researchers to measure evidence-based pain management practices, patients received an average of 32% of those key evidence-based practices (EBPs) that were applicable to their situations. When examining individual practices, most of the patients had their pains assessed at admission using a valid pain scale (69.7%) and had primary components of a comprehensive assessment completed at admission (52.7%); most patients with admission reports of pain had an order for pain medication (83.5%). However, data revealed a number of practice gaps, including additional components of a comprehensive assessment completed within 48 hours of admission (0%); review of the pain treatment plan at each reassessment (35.7%); reassessment of moderate or greater pain (5.3%); consecutive pain reports of 5 or greater followed by increases in pain medication (15.8%); monitoring of analgesic-induced side effects (19.3%); initiation of a bowel regimen for patients with an opioid order (32.3%); and documentation of both nonpharmacological therapies (22.5%) and written pain management plans (0.6%). Findings highlight positive EBPs and areas for improving the translation of EBPs into practice. Data suggest that cancer pain is not being documented as consistently assessed, reassessed, or treated in a manner consistent with current EBP recommendations for older adults with cancer in community-based hospices.

Indexed as

AgedAged, 80 and overAge FactorsAnalgesicsAnalgesics, OpioidDatabases, FactualEvidence-Based MedicineFemaleGuideline AdherenceHospice CareHospicesHumansMaleNeoplasmsNursing AssessmentNursing Evaluation ResearchAnalgesicsAnalgesics, Opioid

Identifiers

PMID20471542
PMCPMC2884963
OpenAlexW2046376594

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.