Reality, Delays, and Challenges within Pain Prevalence and Treatment in Palliative Care Patients: A Survey of First-Time Patients at the National Cancer Institute in Mexico.
Mexico
opioids
pain management
palliative care
Journal
Journal of palliative care
ISSN: 2369-5293
Titre abrégé: J Palliat Care
Pays: United States
ID NLM: 8610345
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
pubmed:
6
8
2019
medline:
27
8
2021
entrez:
6
8
2019
Statut:
ppublish
Résumé
Cancer is a major burden of disease and a public health problem, as it is one of the main causes of morbidity and mortality worldwide. It is estimated that 25% of cancer patients die without receiving proper pain management. To acknowledge the epidemiological profile of first-time patients at the palliative care service of a referral center, along with the pharmaceutical treatment and social and familiar implications of the treatment costs in first-time patients. A survey including 28 questions was conducted including 490 first-time patients at the National Cancer Institute in Mexico City. Median age was 53 years; 63.3% (n = 310) were females; 72% were married or single (50.5% and 21.2%, respectively). The most frequent diagnoses were gastrointestinal tumors, followed by urological, and skin/soft tissue carcinomas (19.8%, 12.5%, and 12%, respectively). Pain prevalence was 50.4% among the cohort. From the subgroup of participants with pain, 26.7% presented an intensity ≥7. As most patients in our study presented pain, there is a need of strengthening public policy about opioid treatments.
Sections du résumé
BACKGROUND
BACKGROUND
Cancer is a major burden of disease and a public health problem, as it is one of the main causes of morbidity and mortality worldwide. It is estimated that 25% of cancer patients die without receiving proper pain management.
OBJECTIVE
OBJECTIVE
To acknowledge the epidemiological profile of first-time patients at the palliative care service of a referral center, along with the pharmaceutical treatment and social and familiar implications of the treatment costs in first-time patients.
METHODS
METHODS
A survey including 28 questions was conducted including 490 first-time patients at the National Cancer Institute in Mexico City.
RESULTS
RESULTS
Median age was 53 years; 63.3% (n = 310) were females; 72% were married or single (50.5% and 21.2%, respectively). The most frequent diagnoses were gastrointestinal tumors, followed by urological, and skin/soft tissue carcinomas (19.8%, 12.5%, and 12%, respectively). Pain prevalence was 50.4% among the cohort. From the subgroup of participants with pain, 26.7% presented an intensity ≥7.
CONCLUSIONS
CONCLUSIONS
As most patients in our study presented pain, there is a need of strengthening public policy about opioid treatments.
Identifiants
pubmed: 31379254
doi: 10.1177/0825859719861946
doi:
Substances chimiques
Analgesics, Opioid
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM