The impact of a simplified documentation method for the Edmonton classification system for cancer pain (ECS-CP) on clinician utilization

Purpose The use of standardized pain classification systems such as the ECS-CP can assist in the assessment and management of cancer pain. However, its completion has been limited due to its perceived complexity of decoding each feature. The objectives of this study were to determine the rate of cli...

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Vydáno v:Supportive care in cancer Ročník 25; číslo 2; s. 575 - 580
Hlavní autoři: Tanco, Kimberson, Arthur, Joseph, Haider, Ali, Stephen, Saneese, Yennu, Sriram, Liu, Diane, Bruera, Eduardo
Médium: Journal Article
Jazyk:angličtina
Vydáno: Berlin/Heidelberg Springer Berlin Heidelberg 01.02.2017
Springer
Springer Nature B.V
Témata:
Adult
Analysis
Cancer
Cancer pain
Cancer Pain - classification
Classification
Clinical medicine
Decoding
Documentation
Documentation - methods
Educational systems
Female
Humans
Intervention
Male
Medicine
Medicine & Public Health
Methods
Middle Aged
Neoplasms - complications
Nursing
Nursing Research
Oncology
Original Article
Pain
Pain management
Pain Measurement - methods
Pain Medicine
Palliative care
Patients
Physicians
Practitioner patient relationship
Rehabilitation Medicine
Scores
Simplification
Specialists
ECS-CP
Cancer pain
Standardized pain classification system
Edmonton classification system for cancer pain
Standardized pain score
ISSN:0941-4355, 1433-7339, 1433-7339
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Shrnutí:Purpose The use of standardized pain classification systems such as the ECS-CP can assist in the assessment and management of cancer pain. However, its completion has been limited due to its perceived complexity of decoding each feature. The objectives of this study were to determine the rate of clinician documentation and completion of the ECS-CP features after revision and simplification of the response for each feature. Methods Electronic records of consecutive patient visits at the outpatient supportive care center seen by 12 palliative medicine specialists were collected at 6 months before (pre-interventional period), 6 and 24 months after (post-interventional period) the implementation of the simplified ECS-CP tool. Rate of ECS-CP documentation, completion, and analysis of patient and physician predictors were completed. Results One thousand and twelve patients’ documentation was analyzed: 343 patients, before; 341 patients, 6 months after, and 328 patients, 24 months after the intervention. ≥2/5 items were completed before the intervention, 6 months after the intervention and 24 months after intervention in 0/343 (0 %), 136/341 (40 %), and 238/328 (73 %), respectively ( p  < 0.001). 5/5 items were completed before the intervention, 6 months after the intervention and 24 months after intervention in 0/343 (0 %), 131/341 (38 %), and 222/328 (68 %), respectively, ( p  < 0.001). There were no patient or physician predictors found significant for successful documentation of ECS-CP. Conclusion Our findings suggest that significant simplification and intensive education is necessary for successful adoption of a scoring system. More research is needed in order to identify how to adopt tools for daily clinical practice in palliative care.
Bibliografie:ObjectType-Article-1
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ISSN:0941-4355
1433-7339
1433-7339
DOI:10.1007/s00520-016-3440-7