Evidence map›Paper›PMID 23204865›Full record

ArticleJournal of pain research2012

Breakthrough cancer pain - still a challenge.

Cesar Margarit, Joaquim Juliá, Rafael López, Antonio Anton, Yolanda Escobar, Ana Casas, Juan Jesús Cruz, Rafael Galvez, Ana Mañas, Francisco Zaragozá

Open access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 12% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. SEOM clinical guideline for treatment of cancer pain (2017).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2018
    Guideline
  2. Pooled it
  3. The efficacy of oral piroxicam fast-dissolving tablets versus sublingual fentanyl in incident breakthrough pain due to bone metastases: a double-blinded randomized study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Breakthrough cancer pain: review and calls to action to improve its management.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2020
    Review
  9. Article
  10. Article
  11. Article
  12. Diagnosis and management of breakthrough cancer pain: Have all the questions been resolved? A Delphi-based consensus assessment (DOIRON).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2016
    Article
  13. Article
  14. Review
  15. Article
  16. Safety profile of intravenous patient-controlled analgesia for breakthrough pain in cancer patients: a case series study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2014
    Article
  17. Single-dose fentanyl sublingual spray for breakthrough cancer pain.Clinical pharmacology : advances and applications · 2013
    Article
  18. Observational
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

10 authors at 9 institutions in 1 country.

Cesar MargaritPain Unit, Alicante University General Hospital, Alicante, Spain.
Joaquim Juliá
Rafael López
Antonio Anton
Yolanda Escobar
Ana Casas
Juan Jesús Cruz
Rafael Galvez
Ana Mañas
Francisco Zaragozá
Hospital General Universitario de Alicante Doctor Balmis · ESHospital General Universitario Gregorio Marañón · ESHospital Universitario La Paz · ESHospital Universitario Miguel Servet · ESHospital Universitario Virgen de las Nieves · ESHospital Universitario Virgen Macarena · ESInstitut d'Investigació en Ciències de la Salut Germans Trias i Pujol · ESUniversidad de Alcalá · ESUniversidad de Salamanca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breakthrough cancer pain is defined as transient pain exacerbation in patients with stable and controlled basal pain. Although variable, the prevalence of breakthrough cancer pain is high (33%-95%). According to the American Pain Foundation, breakthrough pain is observed in 50%-90% of all hospitalized cancer patients, in 89% of all patients admitted to homes for the elderly and terminal-patient care centers, and in 35% of all ambulatory care cancer patients. The management of breakthrough cancer pain should involve an interdisciplinary and multimodal approach. The introduction of new fentanyl formulations has represented a great advance and has notably improved treatment. Among these, the pectin-based intranasal formulation adjusts very well to the profile of breakthrough pain attacks, is effective, has a good toxicity profile, and allows for convenient dosing - affording rapid and effective analgesia with the added advantage of being easily administered by caregivers when patients are unable to collaborate.

Indexed as

diagnosismanagementopioidsprevalence

Identifiers

PMID23204865
PMCPMC3508660
OpenAlexW2137449618

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.