Evidence map›Paper›PMID 28919809›Full record

ArticleJournal of pain research2017

Adequacy of cancer-related pain management and predictors of undertreatment at referral to a pain clinic.

Paulo Reis-Pina, Peter G Lawlor, António Barbosa

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04726228 (Home-Based Telemedicine for Automatic Pain Assessment in Cancer Patients), which is not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
6.6field-weighted citation impact, top 3% 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.

NCT04726228 recruitingnot on this mapstarted 2021, after this paper: background citation

Home-Based Telemedicine for Automatic Pain Assessment in Cancer Patients: Dataset Creation and Development of Machine Learning Algorithms

TypeobservationalSponsorNational Cancer Institute, NaplesRan2021 to 2025Enrolled40ConditionsOncology, Cancer Pain, Quality of Life
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 60 citations in OpenAlex.

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  9. Comprehensive assessment of pain characteristics, quality of life, and pain management in cancer patients: a multi-center cross-sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
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  20. A window into pain: American Indian cancer survivors' drawings.Frontiers in pain research (Lausanne, Switzerland) · 2022
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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

3 authors at 2 institutions in 3 countries.

Paulo Reis-PinaPalliative Care Unit, Casa de Saúde da Idanha, Sintra.
Peter G LawlorOttawa Hospital Research Institute.
António BarbosaDepartment of Psychiatry, North Lisbon Hospital Centre, Lisbon.
University of Lisbon · PTUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral guidelines have advocated the need for adequate cancer-related pain (CRP) management. The pain management index (PMI) has been proposed as an auditable measure of the appropriateness for analgesic therapy.

objectivesTo determine the adequacy of CRP management based on the PMI status and its patient-related predictors at the point of referral to a pain clinic (PC).

methodsConsecutive patients referred to a PC had standardized initial assessments and status documentation on the Brief Pain Inventory (BPI) ratings; pain mechanism, using a neuropathic pain diagnostic questionnaire (the Douleur Neuropathique 4 tool); episodic pain; oral morphine equivalent daily dose; the Hospital Anxiety Depression Scale and the Emotion Thermometer scores; and cancer diagnosis, metastases, treatment, and pain duration. Predictors of "negative PMI status" [PMI(-)] were examined in logistic regression models. Variables with

resultsOf 371 participants, 95 (25.6%) had PMI(-), suggesting undertreatment of CRP. Both female sex and higher scores on the BPI's "interference with general activity" more strongly predicted PMI(-). Patients who received either radiotherapy or one or more adjuvant analgesics prior to the initial consultation at the PC, those who had neuropathic pain, those who had a greater need for emotional help, and those with higher BPI's "relief " scores were all less likely to be PMI(-).

conclusionThe potential burden of patient and family distress associated with suboptimal CRP management in one in four patients should generate major public health concern and prompt appropriate educational and health policy measures to address the deficit.

Indexed as

cancer painopioid analgesicspain managementpain measurement

Identifiers

PMID28919809
PMCPMC5587145
OpenAlexW2751867995

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.