TY - JOUR
T1 - A Systematic Review of Health Care Interventions for Pain in Patients With Advanced Cancer
AU - Martinez, Kathryn A.
AU - Aslakson, Rebecca A.
AU - Wilson, Renee F.
AU - Apostol, Colleen C.
AU - Fawole, Oluwakemi A.
AU - Lau, Brandyn D.
AU - Vollenweider, Daniela
AU - Bass, Eric B.
AU - Dy, Sydney M.
PY - 2014/2
Y1 - 2014/2
N2 - Purpose: Poorly controlled pain is common in advanced cancer. The objective of this article was to synthesize the evidence on the effectiveness of pain-focused interventions in this population. Methods: We searched MEDLINE, CINAHL, PsycINFO, Cochrane, and DARE from 2000 through December 2011. We included prospective, controlled health care intervention studies in advanced cancer populations, focusing on pain. Results: Nineteen studies met the inclusion criteria; most focused on nurse-led patient-centered interventions. In all, 9 (47%) of the 19 studies found a significant effect on pain. The most common intervention type was patient/caregiver education, in 17 (89%) of 19 studies, 7 of which demonstrated a significant decrease in pain. Conclusions: We found moderate strength of evidence that pain in advanced cancer can be improved using health care interventions, particularly nurse-led patient-centered interventions.
AB - Purpose: Poorly controlled pain is common in advanced cancer. The objective of this article was to synthesize the evidence on the effectiveness of pain-focused interventions in this population. Methods: We searched MEDLINE, CINAHL, PsycINFO, Cochrane, and DARE from 2000 through December 2011. We included prospective, controlled health care intervention studies in advanced cancer populations, focusing on pain. Results: Nineteen studies met the inclusion criteria; most focused on nurse-led patient-centered interventions. In all, 9 (47%) of the 19 studies found a significant effect on pain. The most common intervention type was patient/caregiver education, in 17 (89%) of 19 studies, 7 of which demonstrated a significant decrease in pain. Conclusions: We found moderate strength of evidence that pain in advanced cancer can be improved using health care interventions, particularly nurse-led patient-centered interventions.
KW - advanced cancer
KW - end of life
KW - health care interventions
KW - pain
KW - quality improvement
KW - systematic review
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U2 - 10.1177/1049909113476129
DO - 10.1177/1049909113476129
M3 - Article
C2 - 23408371
AN - SCOPUS:84893189982
SN - 1049-9091
VL - 31
SP - 79
EP - 86
JO - American Journal of Hospice and Palliative Medicine
JF - American Journal of Hospice and Palliative Medicine
IS - 1
ER -