Evaluating pain management practices for cancer patients among health professionals in cancer and supportive/palliative care units: a Belgian survey

被引：1

作者：

Fontaine, Christel ^{[1
]}

Libert, Isabelle ^{[2
]}

Echterbille, Marie-Aline ^{[3
]}

Bonhomme, Vincent ^{[4
]}

Botterman, Jacky ^{[5
]}

Bourgonjon, Bram ^{[6
]}

Brouillard, Vincent ^{[7
]}

Courtin, Yannick ^{[8
]}

De Buck, Joke ^{[9
]}

Debruyne, Philip R. ^{[10
,11
]}

Delaat, Martine ^{[12
]}

Delperdange, Jean-Michel ^{[13
]}

Duck, Lionel ^{[14
]}

Everaert, Els ^{[15
]}

Lamot, Caroline ^{[15
]}

Holbrechts, Stephane ^{[16
]}

Lossignol, Dominique ^{[16
]}

Krekelbergh, Francis ^{[17
]}

Langenaeken, Christine ^{[18
]}

Lapeire, Lore ^{[19
]}

Naert, Eline ^{[19
]}

Lauwers, Koen ^{[20
]}

Matic, Milica ^{[21
]}

Mebis, Jeroen ^{[22
]}

Miedema, Geertje ^{[23
]}

Pieterbourg, Michele ^{[24
]}

Plehiers, Barbara ^{[25
]}

Punie, Kevin ^{[26
]}

Roblain, Francoise ^{[27
]}

Schrijvers, Dirk ^{[28
]}

Serre, Charles-Henri ^{[29
]}

Vandenborre, Katherine ^{[30
]}

Broecke, Anne Vanden ^{[30
]}

van den Bulk, Heidi ^{[31
]}

Vanopdenbosch, Ludo ^{[32
]}

Van Ryckeghem, Florence ^{[33
]}

Verheezen, Jolanda ^{[34
]}

Verschaeve, Vincent ^{[35
]}

Voordeckers, Mia ^{[23
]}

Klastersky, Jean ^{[2
]}

机构：

[1] Univ Ziekenhuis Brussel, Med Oncol Dept, Jette, Belgium

[2] Univ Libre Bruxelles ULB, Hop Univ Bruxelles HUB, Inst Jules Bordet, Dept Med Oncol, Brussels, Belgium

[3] Univ Libre Bruxelles ULB, Hop Univ Bruxelles HUB, Inst Jules Bordet, Med Direct, Brussels, Belgium

[4] CHU Sart Tilman, Dept Anesthesiol & Intens Care, Liege, Belgium

[5] AZ St Lucas Gent, Dept Radiotherapy, Ghent, Belgium

[6] Ziekenhuis Aan de Stroom Antwerpen, Dept Anesthesiol, Antwerp, Belgium

[7] CHwapi Tournai, Dept Anesthesiol, Tournai, Belgium

[8] Grand Hop Charleroi, Dept Palliat Care, Charleroi, Belgium

[9] Ziekenhuis Aan de Stroom Antwerpen, Dept Anesthesiol, Antwerp, Belgium

[10] az groeninge, Kortrijk Canc Ctr, Kortrijk, Belgium

[11] Anglia Ruskin Univ, Med Technol Res Ctr, Cambridge, England

[12] UZ Gent, Dept Palliat Care, Ghent, Belgium

[13] CHwapi Tournai, Dept Palliat Care, Tournai, Belgium

[14] Clin St Pierre Ottignies, Dept Med Oncol, B-1340 Ottignies, Belgium

[15] VITAZ, Dept Med Oncol, St Niklaas, Belgium

[16] CHU Ambroise Pare Mons, Dept Med Oncol, Mons, Belgium

[17] Heilig Hartziekenhuis Lier, Dept Palliat Care, Lier, Belgium

[18] AZ Klina, Dept Med Oncol Haematol, B-2630 Antwerp, Belgium

[19] UZ Gent, Dept Med Oncol, Ghent, Belgium

[20] AZ Klina, Dept Anesthesiol & Algol, Antwerp, Belgium

[21] Univ Ziekenhuis Brussel, Dept Haematol, Laarbeeklaan, Belgium

[22] Jessa Ziekenuis Campus Virga Jesse, Dept Med Oncol, Campus Virga Jesse, Hasselt, Belgium

[23] Univ Ziekenhuis Brussel, Dept Haematol, Laarbeeklaan, Belgium

[24] Ctr Hosp Jolimont, Dept Gastroenterohepatol, La Louviere, Belgium

[25] CHU Charleroi, Dept Pathol, Charleroi, Belgium

[26] Ziekenhuis Aan de Stroom Antwerpen, MOCA, Antwerp, Belgium

[27] Clin St Pierre Ottignies, Dept Palliat Care, Ottignies, Belgium

[28] ZNA Middelheim, Dept Med Oncol, Antwerp, Belgium

[29] CHU Liege, Dept Palliat Care, Liege, Belgium

[30] AZ Vesalius, Dept Med Oncol, Tongeren, Belgium

[31] Imeldaziekenhuis, Dept Med Oncol, Bonheiden, Belgium

[32] AZ St Jan Brugge Oostende, Dept Palliat Care, Brugge, Belgium

[33] AZ Glorieux, Dept Med Oncol, Ronse, Belgium

[34] St Trudo Ziekenhuis, Dept Cardiol, St Truiden, Belgium

[35] Grand Hop Charleroi, Dept Med Oncol, Charleroi, Belgium

来源：

SUPPORTIVE CARE IN CANCER | 2024年 / 32卷 / 12期

关键词：

Active research; Assessment tools; Guidelines; Multidisciplinary patient-centered approach; Pain management;

D O I：

10.1007/s00520-024-08984-4

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

BackgroundPain is reported in 66% of cancer patients with advanced disease. Adequate pain management is a cornerstone of comprehensive supportive cancer care.PurposeThe purpose of this study was to assess pain management in Oncology Units in Belgium.MethodsA descriptive research design was applied. A structured questionnaire developed by a writing committee was sent to 37 healthcare professionals in 2021. Twenty-four replied.ResultsIn most centers, pain management is organized through the pain clinic (91.7%), followed by a multidisciplinary team (83.3%) and the palliative care unit (75%). Eighty-seven percent use tools to assess the pain, mostly for in-patients. Pain guidelines are applied in 17 centers with the ESMO guidelines being the most often mentioned. Mild to moderate pain is managed with paracetamol, non-steroidal anti-inflammatory drugs, and tramadol. All centers handle severe pain with strong opioids, including buprenorphine and fentanyl. Only 62% are concerned about the side effects of strong opioids. In case of neuropathic pain, treatments with pregabalin, gabapentine, and tricyclic antidepressants are the most common, followed by opioids and interventional therapies for refractory neuropathic pain. Asking advice to the pain clinic, combination therapy and opioid rotation are used for patients with inadequate analgesia. Eighty to 90% of the centers have access to intraspinal and epidural techniques, respectively. An active teaching program on pain relief is offered in 66%, but only 33% of the centers do active research focused on pain management.ConclusionsThis is the first survey on pain management in the Belgian centers. Surprisingly only one-third of the health professionals ask advice to the pain clinic in case of inadequate pain relief, meaning that we are far away from a multidisciplinary patient-centered approach. Therefore, the BSMO Supportive Care Task Force promotes the development of an interdisciplinary committee in every oncology unit.

引用

页数：9

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