Pain Quality by Location in Outpatients with Cancer.
Journal
Pain management nursing : official journal of the American Society of Pain Management Nurses
ISSN: 1532-8635
Titre abrégé: Pain Manag Nurs
Pays: United States
ID NLM: 100890606
Informations de publication
Date de publication:
10 2019
10 2019
Historique:
received:
10
12
2018
revised:
21
03
2019
accepted:
24
04
2019
pubmed:
5
6
2019
medline:
17
6
2020
entrez:
5
6
2019
Statut:
ppublish
Résumé
The McGill Pain Questionnaire (MPQ) pain quality descriptors have been analyzed to characterize the sensory, affective, and evaluative domains of pain, but have not been differentiated by pain location. To examine MPQ pain quality descriptors by pain location in outpatients with lung or prostate cancer. Cross sectional. Eleven oncology clinics or patients' homes. 264 adult outpatients (80% male; mean age 62.2 ± 10.0 years, 85% White). Subjects completed a 100 mm visual analogue scale of pain intensity and MPQ clinic or home visit, marking sites where they had pain on a body outline and circling from 78 verbal descriptors those that described their pain. A researcher noted next to the descriptor spontaneous comments about sites feeling like a selected word and queried the subjects about any other words to obtain the site(s). Pain quality descriptors were assigned to all 7 pain locations marked by ≥ 20% of 198 lung or 66 prostate cancer patients. Four pain locations were marked with pain quality descriptors significanlty (p < .05) more frequently for lung cancer (53% chest-aching, burning; 58% back-aching, stabbing; 48% head-aching, sharp; and 19% arms-aching, stabbing) than for prostate cancer, which had significantly more frequent pain locations in the abdomen (64%-aching, burning) and lower back/buttocks (55%-aching, burning). This type of pain characterization is innovative and has the potential to help implement targeted treatments for patients with cancer and other chronic pain conditions.
Sections du résumé
BACKGROUND
The McGill Pain Questionnaire (MPQ) pain quality descriptors have been analyzed to characterize the sensory, affective, and evaluative domains of pain, but have not been differentiated by pain location.
AIM
To examine MPQ pain quality descriptors by pain location in outpatients with lung or prostate cancer.
DESIGN
Cross sectional.
SETTINGS
Eleven oncology clinics or patients' homes.
SUBJECTS
264 adult outpatients (80% male; mean age 62.2 ± 10.0 years, 85% White).
METHODS
Subjects completed a 100 mm visual analogue scale of pain intensity and MPQ clinic or home visit, marking sites where they had pain on a body outline and circling from 78 verbal descriptors those that described their pain. A researcher noted next to the descriptor spontaneous comments about sites feeling like a selected word and queried the subjects about any other words to obtain the site(s).
RESULTS
Pain quality descriptors were assigned to all 7 pain locations marked by ≥ 20% of 198 lung or 66 prostate cancer patients. Four pain locations were marked with pain quality descriptors significanlty (p < .05) more frequently for lung cancer (53% chest-aching, burning; 58% back-aching, stabbing; 48% head-aching, sharp; and 19% arms-aching, stabbing) than for prostate cancer, which had significantly more frequent pain locations in the abdomen (64%-aching, burning) and lower back/buttocks (55%-aching, burning).
CONCLUSIONS
This type of pain characterization is innovative and has the potential to help implement targeted treatments for patients with cancer and other chronic pain conditions.
Identifiants
pubmed: 31160180
pii: S1524-9042(18)30514-9
doi: 10.1016/j.pmn.2019.04.007
pmc: PMC6875614
mid: NIHMS1528401
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
425-431Subventions
Organisme : NICHD NIH HHS
ID : R01 HD091210
Pays : United States
Organisme : NCI NIH HHS
ID : R29 CA062477
Pays : United States
Organisme : NCI NIH HHS
ID : R29 CA062477-05
Pays : United States
Informations de copyright
Copyright © 2019 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.
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