Multicentre study of cancer pain and its treatment in France

Francois Larue; Sophie M Colleau; Louis BrasseurCharles S Cleeland

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Multicentre study of cancer pain and its treatment in France

机译：多中心研究癌症疼痛的治疗在法国

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Objective—To describe the treatment of cancer pain in France and to evaluate the predictive factors for inadequate management. Design—Multicentre, representative cross sectional survey. Setting—20 treatment centres, including cancer centres, university hospitals, state hospitals, private clinics, and one homecare setting (hi which patients are supported at home). Subjects—605 patients with cancer. Main measures—Patients rated prevalence and severity of pain and functional impairment related to pain. Doctors reported patients' cancer characteristic, performance status, pain severity, and analgesic drugs ordered. Results—57% (340/601) of patients with cancer reported pain due to their disease, and, of those with pain, 69% (224/325) rated their worst pain at a level that unpaired their ability to function. 30% (84/279) were reported as receiving no drugs for their pain. Of the 270 patients in pain for whom information on treatment was available 51% (137/270) were not receiving adequate pain relief, according to an index based on the World Health Organisation's guidelines. French doctors were found to underestimate the severity of their patients' pain. Younger patients, patients without metastatic disease, patients with a better performance status, and patients who rated their pain as more severe than their doctors did were at greater risk for undertreat-ment of their pain. Conclusions—In the light of the high prevalence and the severity of pain among patients with cancer, the assessment and treatment of cancer pain in France remain inadequate, emphasising the need for changes in patient care.

机译：:靠描述癌症疼痛的治疗在法国和评估的预测因素为管理不足。代表横断面调查。治疗中心,包括癌症中心,大学医院,公立医院、私立(嗨,诊所,和一个家庭护理设置支持病人在家里)。癌症患者。额定发病率和严重程度的疼痛功能障碍与疼痛有关。报告病人的癌症的特点,性能状态,疼痛严重,镇痛药物命令。与癌症疼痛报道由于他们的疾病,那些疼痛,69% (224/325)最糟糕的痛苦水平,未配对函数的能力。作为他们的痛苦的接受任何药物。病人痛苦的信息治疗可用51% (137/270)接受适当的缓解疼痛,据一位根据世界卫生组织(who)的索引指导方针。低估的严重程度病人的疼痛。转移性疾病,患者更好性能状态,并认为他们的病人痛苦比医生更严重undertreat-ment的风险更大疼痛。患病率和疼痛之间的严重程度癌症患者,评估和治疗癌症的痛苦仍在法国不足,强调变化的需要病人护理。

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来源
《BMJ: British medical journal》 |1995年第6986期|1034-1037|共4页
作者
Francois Larue; Sophie M Colleau; Louis BrasseurCharles S Cleeland;
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hysicist.net;

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原文格式 PDF
正文语种英语
中图分类医学行为学;
关键词
pain control; Multicenter Study; PatientsFranceOtolaryngologistsCancer PainPainAnalgesics;

机译：疼痛控制;多中心;

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机译：Adu; Aged;; Aged, 80 and over;; Antineoplastic Agents;; Carcinoma, Non-Small-Cell Lung;; Cisplatin;; Cohort Studies;; Deoxycytidine;; Female;; Humans;; Lung Neoplasms;; Male;; Middle Aged;; Mitomycin;; Neoadjuvant Therapy;; Neoplasm Staging;; Pneumonectomy;; Retrospective Studies;; Treatment Outcome;; Vinblastine;; *成年人;; 老年人;; 老年人, 80以上;; 抗肿瘤药;; 癌, 非小细胞肺;; 顺铂;; 队列研究;; 脱氧胞苷;; 肺肿瘤;; 肿瘤辅助疗法;; 肿瘤分期;; 肺切除术;; 回顾性研究;; 治疗结果;; 长春碱
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机译：Studies;; Female;; Gallbladder Neoplasms;; Humans;; India;; Kaplan-Meiers Estimate;; Middle Aged;; Palliative Care;; Retrospective Studies;; Survival Rate;; Treatment Outcome;; *腺癌;; 成年人;; 老年人;; 胆囊切除术;; 队列研究;; 胆囊肿瘤;; 印度;; 姑息疗法;; 回顾性研究;; 存活率;; 治疗结果
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Multicentre study of cancer pain and its treatment in France

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