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Cancer-related pain in long-term survivors of oncological diseases: results of a survey on the current care situation

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Title: Cancer-related pain in long-term survivors of oncological diseases: results of a survey on the current care situation
Authors: H. Hofbauer, K. Kieselbach, S. Wirz, A. Bundscherer, U. M. Stamer, F. Rapp
Source: Support Care Cancer
Publisher Information: Springer Science and Business Media LLC, 2024.
Publication Year: 2024
Subject Terms: Male, Pain chronification, Research, Long-term survivors, Cancer Pain, Middle Aged, 03 medical and health sciences, Cross-Sectional Studies, 0302 clinical medicine, Cancer Survivors, Healthcare research, Surveys and Questionnaires [MeSH], Pain Management/methods [MeSH], Cancer Survivors/statistics, Female [MeSH], Humans [MeSH], Interdisciplinary multimodal pain therapy, Middle Aged [MeSH], Chronic Pain/therapy [MeSH], Cross-Sectional Studies [MeSH], Cancer-related pain, Germany/epidemiology [MeSH], Cancer Pain/etiology [MeSH], Male [MeSH], Neoplasms/complications [MeSH], Chronic Pain/etiology [MeSH], Cancer Pain/therapy [MeSH], Germany, Surveys and Questionnaires, Neoplasms, Humans, Pain Management, Female, Chronic Pain
Description: Purpose The increasing survival rates of oncology patients have led to a corresponding increase in long-time survivors living with chronic cancer-related pain. Data is scarce on the care situation for this distinct clinical entity and on specific therapy requirements, such as interdisciplinary, multimodal pain therapy (IMPT). Our cross-sectional study aimed to assess the current care situation, distinct chronification factors, and optimization potential. This survey addresses this need in Germany, but also provides results with international implications. Methods Via an online survey, German Pain Society members involved in the treatment of long-time survivors with chronic cancer-related pain assessed the current care situation, chronification factors, specific treatment needs, and the required practitioner’s expertise. The German Pain Society’s Cancer Pain Working Group created the non-validated questionnaire using the Delphi method. Results One hundred fifty-nine Pain Society members across 70% of Germany’s postal regions answered our survey. Respondents (primarily physicians, and 75% with + 6 years of experience) assessed the care situation as worse for chronic cancer-related pain compared to acute pain. Only 10% of the sites provided specific therapy for chronic cancer-related pain (mostly via outpatient treatment). Compared to non-cancer-related pain, additional, cancer-specific chronification factors were assumed, especially at psychological levels, and these need incorporating into therapies. A majority of practitioners recommended cancer-specific IMPT and specific pain expertise for this distinct clinical entity. Conclusions Members from the German Pain Society assume that there are relevant deficits in the care of long-term survivors with chronic cancer-related pain. The situation may be assessed differently by other groups, e.g., oncologists, and the data relates to Germany. Nevertheless, considering the raising survival rates, it can be supposed that there is reason to be concerned about an increasing care deficit. Thus, besides expanding the range of available treatment and raising awareness, IMPT with specially trained personnel should be developed to address the care needs of cancer survivors experiencing chronic cancer-related pain.
Document Type: Article
Other literature type
File Description: pdf
Language: English
ISSN: 1433-7339
0941-4355
DOI: 10.1007/s00520-024-09081-2
DOI: 10.48620/84627
Access URL: https://pubmed.ncbi.nlm.nih.gov/39704876
https://repository.publisso.de/resource/frl:6523362
Rights: CC BY
Accession Number: edsair.doi.dedup.....4914b6cb34529a7eb4d85f57a5fd29da
Database: OpenAIRE
Description
Abstract:Purpose The increasing survival rates of oncology patients have led to a corresponding increase in long-time survivors living with chronic cancer-related pain. Data is scarce on the care situation for this distinct clinical entity and on specific therapy requirements, such as interdisciplinary, multimodal pain therapy (IMPT). Our cross-sectional study aimed to assess the current care situation, distinct chronification factors, and optimization potential. This survey addresses this need in Germany, but also provides results with international implications. Methods Via an online survey, German Pain Society members involved in the treatment of long-time survivors with chronic cancer-related pain assessed the current care situation, chronification factors, specific treatment needs, and the required practitioner’s expertise. The German Pain Society’s Cancer Pain Working Group created the non-validated questionnaire using the Delphi method. Results One hundred fifty-nine Pain Society members across 70% of Germany’s postal regions answered our survey. Respondents (primarily physicians, and 75% with + 6 years of experience) assessed the care situation as worse for chronic cancer-related pain compared to acute pain. Only 10% of the sites provided specific therapy for chronic cancer-related pain (mostly via outpatient treatment). Compared to non-cancer-related pain, additional, cancer-specific chronification factors were assumed, especially at psychological levels, and these need incorporating into therapies. A majority of practitioners recommended cancer-specific IMPT and specific pain expertise for this distinct clinical entity. Conclusions Members from the German Pain Society assume that there are relevant deficits in the care of long-term survivors with chronic cancer-related pain. The situation may be assessed differently by other groups, e.g., oncologists, and the data relates to Germany. Nevertheless, considering the raising survival rates, it can be supposed that there is reason to be concerned about an increasing care deficit. Thus, besides expanding the range of available treatment and raising awareness, IMPT with specially trained personnel should be developed to address the care needs of cancer survivors experiencing chronic cancer-related pain.
ISSN:14337339
09414355
DOI:10.1007/s00520-024-09081-2