Evidence map›Paper›PMID 32887560›Full record

Trial reportBMC cancer2020

WeChat app-based reinforced education improves the quality of opioid titration treatment of cancer-related pain in outpatients: a randomized control study.

Zhiyou Peng, Lin Li, Yuan Chen, Zhiying Feng, Xiangming Fang

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

5 authors at 3 institutions in 1 country.

Zhiyou PengDepartment of Pain Medicine, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Lin LiDepartment of Anesthesiology, Yuyao people's Hospital, Ningbo, China.
Yuan ChenDepartment of Anesthesiology, Hangzhou first people's Hospital, Hangzhou, China.
Zhiying FengDepartment of Pain Medicine, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. fzy1972@zju.edu.cn.
Xiangming FangDepartment of Anesthesiology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. xmfang@zju.edu.cn.
First Affiliated Hospital Zhejiang University · CNHangzhou First People's Hospital · CNYuxian People's Hospital · CN

Funding

Hangzhou Science and Technology Bureau 20180533B36Zhejiang Province Public Welfare Technology Application Research Project Grant no. 2019RC173
6 · The paper itself

Abstract

backgroundAs inadequate pain communication contributes to difficulties in optimizing outcomes of outpatients, we investigated the effect of reinforced education using WeChat App to the opioid titration treatment of cancer-related pain in the outpatient setting.

methodsWe conducted a prospective study to compare reinforced education using Wechat with care as usual from February to December 2019. Patients in the reinforced education group received reinforced education via Wechat, while those in the control group received care as usual. Effect measurements for both groups are carried out with questionnaires at the baseline and 3 days later. Questionnaires include pain intensity (NRS), treatment-related adverse events, cancer-related quality of life (QOL), sleep (PSQI), satisfaction, anxiety (GAD-7) and depression (PHQ-9). Number of patients whose NRS reduced to less than three points in 24 h was the primary outcomes. Secondary outcomes included treatment-related adverse events, cancer-related quality of life, sleep, satisfaction, anxiety and depression.

resultsAlthough there was no significant difference regarding pain intensity (NRS) between the two groups at 72 h, the rate of NRS that reduced to less than three points in 24 h was significantly higher in the Wechat group than in the control group. Patients' satisfaction was significantly higher in the Wechat group than in the control group. There was no significant difference between the two groups regarding the other findings at 72 h, including pain intensity (NRS), cancer-related quality of life (QOL), anxiety (GAD-7), depression (PHQ-9), and sleep (PSQI). However, no significant difference was found between the two groups for constipation, nausea, vomiting, dizziness, somnolence, pruritus, loss of consciousness, and death.

conclusionsOur results indicated that receiving instructions delivered by Wechat resulted an increased number of patients with good pain control and better satisfaction. The study provided insight into the effectiveness of the reinforced education using a Wechat app delivered by a doctor to outpatients in the titration treatment of cancer-related pain.

trial registrationThis study was registered at chictr.org (Registration number: ChiCTR1900021150 , Date of Registration: January 30, 2019).

Indexed as

Mobile ApplicationsAnalgesics, OpioidAnxietyCancer PainConstipationDepressionEducation, DistanceFemaleHumansMaleMiddle AgedNauseaOutpatientsPain ManagementPatient SatisfactionProspective StudiesAnalgesics, OpioidCancer-related painOpioid titration treatmentOutpatientsWeChat app

Identifiers

PMID32887560
PMCPMC7472406
OpenAlexW3083066222

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.