Evidence map›Paper›PMID 31776408›Full record

Observational studyScientific reports2019

Prevalence and characterization of breakthrough pain in patients with cancer in Spain: the CARPE-DIO study.

Concepción Pérez-Hernández, Ana Blasco, Álvaro Gándara, Ana Mañas, Manuel Jesús Rodríguez-López, Vicente Martínez, Alonso Fernandez-Nistal, Carmen Montoto

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.8field-weighted citation impact, top 5% 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, 37 citations in OpenAlex.

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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

8 authors at 5 institutions in 1 country.

Concepción Pérez-HernándezPain Unit, Hospital Universitario La Princesa, Madrid, Spain.
Ana BlascoMedical Oncology Department, Hospital General Universitario de Valencia, CIBERONC, Valencia, Spain.
Álvaro GándaraPalliative Care Unit, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.
Ana MañasRadiation Oncology Department, Hospital Universitario La Paz, Madrid, Spain.
Manuel Jesús Rodríguez-LópezPain Unit, Hospital Regional Universitario Carlos Haya, Málaga, Spain.
Vicente MartínezMedical Department, Takeda Farmacéutica España, Madrid, Spain. vicente.martinez@takeda.com.
Alonso Fernandez-NistalMedical Department, Takeda Farmacéutica España, Madrid, Spain.
Carmen MontotoMedical Department, Takeda Farmacéutica España, Madrid, Spain.
Centro de Investigación Biomédica en Red de Cáncer · ESHospital Regional Universitario de Málaga · ESHospital Universitario de La Princesa · ESHospital Universitario Fundación Jiménez Díaz · ESHospital Universitario La Paz · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to evaluate the prevalence, characteristics and impact of breakthrough pain (BTP) in patients with cancer attending the main specialties involved in the diagnosis and management of BTP in Spain using a multicenter, observational, cross-sectional, multidisciplinary study. Investigators had to record all patients seen at the clinic during 1 month, determine whether the patients had cancer pain, and apply the Davies algorithm to ascertain whether the patients were suffering from BTP. Of the 3,765 patients with cancer, 1,117 (30%) had cancer-related pain, and of these patients, 539 had BTP (48%, 95%CI:45-51). The highest prevalence was found in patients from palliative care (61%, 95%CI:54-68), and the lowest was found in those from hematology (25%, 95%CI:20-31). Prevalence varied also according to sex and type of tumor. According to the Alberta Breakthrough Pain Assessment Tool duration, timing, frequency, location, severity, quality, causes, and predictability of the BTP varied greatly among these patients. BTP was moderate (Brief Pain Inventory [BPI]-severity median score = 5.3), and pain interference was moderate (BPI-interference median score = 6.1) with a greater interference with normal work, general activity, and enjoyment of life. Patients with BTP showed a mean ± standard deviation score of 28.5 ± 8.0 and 36.9 ± 9.5 in the physical and mental component, respectively, of the SF-12 questionnaire. In conclusion, prevalence of BTP among patients exhibiting cancer-related pain is high. Clinical presentation is heterogeneous, and therefore, BTP cannot be considered as a single entity. However, uniformly BTP has an important impact on a patient's functionality, which supports the need for early detection and treatment.

Indexed as

AdultAgedBreakthrough PainCancer PainFemaleHumansMaleMiddle AgedPrevalenceSpain

Identifiers

PMID31776408
PMCPMC6881364
OpenAlexW2991146986

What OpenQuestion holds

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Registered trials

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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.