Evidence map›Paper›PMID 34073907›Full record

ArticleJournal of clinical medicine2021

A Longitudinal Study of Breakthrough Cancer Pain: An Extension of IOPS-MS Study.

Sebastiano Mercadante, Augusto Caraceni, Arturo Cuomo, Massimo Mammucari, Paolo Marchetti, Rocco Domenico Mediati, Silvia Natoli, Giuseppe Tonini

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
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  6. 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

8 authors at 7 institutions in 1 country.

Sebastiano MercadanteAnesthesia and Intensive Care & Pain Relief and Supportive Care, 00185 La Maddalena, Italy.ORCID 0000-0001-9859-6487
Augusto CaraceniPalliative Care, Pain Therapy and Rehabilitation, National Cancer Institute, IRCCS Foundation, 20133 Milan, Italy.
Arturo CuomoAnesthesiology, Resuscitation, and Pain Therapy Department, National Cancer Institute, IRCCS Foundation Pascale, 80131 Naples, Italy.
Massimo MammucariPrimary Care Unit, ASL RM1, 00193 Rome, Italy.ORCID 0000-0002-9515-3549
Paolo MarchettiDepartment of Clinical and Molecular Medicine, La Sapienza University of Rome, 00185 Rome, Italy.ORCID 0000-0002-9064-8761
Rocco Domenico MediatiPalliative Care and Pain Therapy Unit, Careggi Hospital, 50139 Florence, Italy.
Silvia NatoliDepartment of Clinical Science and Translational Medicine-University of Rome Tor Vergata, 00133 Rome, Italy.ORCID 0000-0003-3758-5375
Giuseppe ToniniMedical Oncology Department, Campus Bio-Medico University of Rome, 00128 Rome, Italy.ORCID 0000-0003-4442-8677
Azienda Ospedaliero-Universitaria Careggi · ITAzienda Sanitaria Locale Roma 3 · ITIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITLa Maddalena · ITSapienza University of Rome · ITUniversità Campus Bio-Medico · ITUniversity of Rome Tor Vergata · IT

Funding

Molteni Farmaceutici, Italy only the publication fee for the open access
6 · The paper itself

Abstract

The aim of this study was to longitudinally assess the characteristics of background pain and breakthrough pain (BTcP), analgesic treatment, and satisfaction with treatment four weeks after the first assessment.

methodsAdult cancer patients with a diagnosis of BTcP were included. At T0, age, gender, visit setting, cancer diagnosis, the extent of the disease, ongoing anticancer treatments, and Karnofsky level were recorded. The background pain intensity in the last 24 h (on a numerical scale 0-10), opioids used for background pain, and their doses, expressed as oral morphine equivalents (OME), as well as other analgesic drugs, were recorded. The number of BTcP episodes, their intensity, predictability and precipitating factors, onset duration of untreated episodes, and interference with daily activities were collected. Analgesics and doses used for BTcP, and the mean time to meaningful pain relief after taking medication, were assessed. The level of satisfaction with BTcP medication was also assessed. Adverse effects to be attributed to these medications were also recorded. At T4, the same data were evaluated.

resultsAfter one-month follow-up, patients had a lower number of BTcP episodes and peak intensity, possibly due to the optimization of background analgesia. The principal characteristics of BTcP did not change significantly.

conclusionA careful and continuous assessment should be guaranteed to all patients to limit the burden induced by BTcP, other than treating BTcP episodes with short-onset opioids.

Indexed as

breakthrough paincancer painopioids

Identifiers

PMID34073907
PMCPMC8197313
OpenAlexW3165120503

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.