Working towards a consensus on the oncological approach of breakthrough pain: A Delphi survey of Spanish experts
Camps Herrero, C. ; Anton Torres, A. (Universidad de Zaragoza) ; Cruz-Hernández, J.J. ; Carrato, A. ; Constenla, M. ; Díaz-Rubio, E. ; Feyjoo Saus, M.. ; Garcia-Foncillas, J. ; Gascón, P. ; Guillem, V.
Resumen: Purpose: There is a lack of standards for the diagnosis, assessment and management of breakthrough cancer pain (BTcP). La Fundación ECO (the Foundation for Excellence and Quality in Oncology) commissioned a study to establish a consensus and lay the foundations for the appropriate management of BTcP in oncology patients.
Patients and methods: A modified Delphi survey comprising two rounds was used to gather and analyze data, which was conducted over the Internet. Each statement that reached a consensus with the respondents was defined as a median consensus score (MED) of =7, and agreement among panelists as an interquartile range (IQR) of =3.
Results: In total, 69 medical oncologists responded, with a broad consensus that BTcP implied exacerbations of high-intensity pain, as opposed to moderate pain. Furthermore, they concurred that appropriate diagnostic equipment is needed, and that rapid-onset fentanyl formulations should be the preferred treatment for BTcP management. The panelists agreed that a lack of appropriate information and training to attend to patients, as well as limited patient visitation rights, were barriers to effective BTcP management. Regarding gaps in detected knowledge, the panelists were unsure of the measures necessary to assess the burden of the disease on the patient’s quality of life and associated medication costs. Alongside this, there was a lack of awareness of the technical specifics of the different formulations of rapid-onset fentanyl.
Conclusion: These results represent the current status of BTcP management. They may inform recommendations and provide a framework for future research.
Idioma: Inglés
DOI: 10.2147/JPR.S203903
Año: 2019
Publicado en: Journal of Pain Research 12 (2019), 2349-2358
ISSN: 1178-7090
Factor impacto JCR: 2.386 (2019)
Categ. JCR: CLINICAL NEUROLOGY rank: 119 / 204 = 0.583 (2019) - Q3 - T2
Factor impacto SCIMAGO: 0.788 - Anesthesiology and Pain Medicine (Q1)
Tipo y forma: Article (Published version)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes.
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Patients and methods: A modified Delphi survey comprising two rounds was used to gather and analyze data, which was conducted over the Internet. Each statement that reached a consensus with the respondents was defined as a median consensus score (MED) of =7, and agreement among panelists as an interquartile range (IQR) of =3.
Results: In total, 69 medical oncologists responded, with a broad consensus that BTcP implied exacerbations of high-intensity pain, as opposed to moderate pain. Furthermore, they concurred that appropriate diagnostic equipment is needed, and that rapid-onset fentanyl formulations should be the preferred treatment for BTcP management. The panelists agreed that a lack of appropriate information and training to attend to patients, as well as limited patient visitation rights, were barriers to effective BTcP management. Regarding gaps in detected knowledge, the panelists were unsure of the measures necessary to assess the burden of the disease on the patient’s quality of life and associated medication costs. Alongside this, there was a lack of awareness of the technical specifics of the different formulations of rapid-onset fentanyl.
Conclusion: These results represent the current status of BTcP management. They may inform recommendations and provide a framework for future research.
Idioma: Inglés
DOI: 10.2147/JPR.S203903
Año: 2019
Publicado en: Journal of Pain Research 12 (2019), 2349-2358
ISSN: 1178-7090
Factor impacto JCR: 2.386 (2019)
Categ. JCR: CLINICAL NEUROLOGY rank: 119 / 204 = 0.583 (2019) - Q3 - T2
Factor impacto SCIMAGO: 0.788 - Anesthesiology and Pain Medicine (Q1)
Tipo y forma: Article (Published version)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. Exportado de SIDERAL (2022-10-03-14:34:48)
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Record created 2021-02-24, last modified 2022-10-04