Christel Fontaine, Isabelle Libert, Marie-Aline Echterbille, Vincent Bonhomme, Jacky Botterman, Bram Bourgonjon, Vincent Brouillard, Yannick Courtin, Joke De Buck, Philip R Debruyne, Martine Delaat, Jean-Michel Delperdange, Lionel Duck, Els Everaert, Caroline Lamot, Stéphane Holbrechts, Dominique Lossignol, Francis Krekelbergh, Christine Langenaeken, Lore Lapeire, Eline Naert, Koen Lauwers, Milica Matic, Jeroen Mebis, Geertje Miedema, Michèle Pieterbourg, Barbara Plehiers, Kevin Punie, Françoise Roblain, Dirk Schrijvers, Charles-Henri Serre, Katherine Vandenborre, Anne Vanden Broecke, Heidi Van den Bulk, Ludo Vanopdenbosch, Florence Van Ryckeghem, Jolanda Verheezen, Vincent Verschaeve, Mia Voordeckers, Jean Klastersky
{"title":"评估癌症和支持/姑息治疗科室医护人员对癌症患者的疼痛管理方法：比利时调查。","authors":"Christel Fontaine, Isabelle Libert, Marie-Aline Echterbille, Vincent Bonhomme, Jacky Botterman, Bram Bourgonjon, Vincent Brouillard, Yannick Courtin, Joke De Buck, Philip R Debruyne, Martine Delaat, Jean-Michel Delperdange, Lionel Duck, Els Everaert, Caroline Lamot, Stéphane Holbrechts, Dominique Lossignol, Francis Krekelbergh, Christine Langenaeken, Lore Lapeire, Eline Naert, Koen Lauwers, Milica Matic, Jeroen Mebis, Geertje Miedema, Michèle Pieterbourg, Barbara Plehiers, Kevin Punie, Françoise Roblain, Dirk Schrijvers, Charles-Henri Serre, Katherine Vandenborre, Anne Vanden Broecke, Heidi Van den Bulk, Ludo Vanopdenbosch, Florence Van Ryckeghem, Jolanda Verheezen, Vincent Verschaeve, Mia Voordeckers, Jean Klastersky","doi":"10.1007/s00520-024-08984-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Pain is reported in 66% of cancer patients with advanced disease. Adequate pain management is a cornerstone of comprehensive supportive cancer care.</p><p><strong>Purpose: </strong>The purpose of this study was to assess pain management in Oncology Units in Belgium.</p><p><strong>Methods: </strong>A descriptive research design was applied. A structured questionnaire developed by a writing committee was sent to 37 healthcare professionals in 2021. Twenty-four replied.</p><p><strong>Results: </strong>In 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.</p><p><strong>Conclusions: </strong>This 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.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"32 12","pages":"811"},"PeriodicalIF":2.8000,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluating pain management practices for cancer patients among health professionals in cancer and supportive/palliative care units: a Belgian survey.\",\"authors\":\"Christel Fontaine, Isabelle Libert, Marie-Aline Echterbille, Vincent Bonhomme, Jacky Botterman, Bram Bourgonjon, Vincent Brouillard, Yannick Courtin, Joke De Buck, Philip R Debruyne, Martine Delaat, Jean-Michel Delperdange, Lionel Duck, Els Everaert, Caroline Lamot, Stéphane Holbrechts, Dominique Lossignol, Francis Krekelbergh, Christine Langenaeken, Lore Lapeire, Eline Naert, Koen Lauwers, Milica Matic, Jeroen Mebis, Geertje Miedema, Michèle Pieterbourg, Barbara Plehiers, Kevin Punie, Françoise Roblain, Dirk Schrijvers, Charles-Henri Serre, Katherine Vandenborre, Anne Vanden Broecke, Heidi Van den Bulk, Ludo Vanopdenbosch, Florence Van Ryckeghem, Jolanda Verheezen, Vincent Verschaeve, Mia Voordeckers, Jean Klastersky\",\"doi\":\"10.1007/s00520-024-08984-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Pain is reported in 66% of cancer patients with advanced disease. Adequate pain management is a cornerstone of comprehensive supportive cancer care.</p><p><strong>Purpose: </strong>The purpose of this study was to assess pain management in Oncology Units in Belgium.</p><p><strong>Methods: </strong>A descriptive research design was applied. A structured questionnaire developed by a writing committee was sent to 37 healthcare professionals in 2021. Twenty-four replied.</p><p><strong>Results: </strong>In 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.</p><p><strong>Conclusions: </strong>This 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.</p>\",\"PeriodicalId\":22046,\"journal\":{\"name\":\"Supportive Care in Cancer\",\"volume\":\"32 12\",\"pages\":\"811\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2024-11-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Supportive Care in Cancer\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00520-024-08984-4\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Supportive Care in Cancer","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00520-024-08984-4","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Evaluating pain management practices for cancer patients among health professionals in cancer and supportive/palliative care units: a Belgian survey.
Background: Pain is reported in 66% of cancer patients with advanced disease. Adequate pain management is a cornerstone of comprehensive supportive cancer care.
Purpose: The purpose of this study was to assess pain management in Oncology Units in Belgium.
Methods: A descriptive research design was applied. A structured questionnaire developed by a writing committee was sent to 37 healthcare professionals in 2021. Twenty-four replied.
Results: In 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.
Conclusions: This 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.
期刊介绍：
Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease.
Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.
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