Journal of pain and symptom management
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J Pain Symptom Manage · Aug 2013
Review Meta AnalysisAssessment and management of adult cancer pain: a systematic review and synthesis of recent qualitative studies aimed at developing insights for managing barriers and optimizing facilitators within a comprehensive framework of patient care.
Cancer pain is a common, burdensome problem, which is not well managed despite evidence-based guidelines. ⋯ Findings highlight the need to integrate patient/family education within improved communication, individualize care, use more nonpharmacological strategies, empower patients/families to self-manage pain, and reorganize multidisciplinary roles around patient-centered care and outcomes. These conclusions require validation via consensus and intervention trials.
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J Pain Symptom Manage · Aug 2013
Randomized Controlled Trial Multicenter StudyOnce-daily gastroretentive gabapentin for postherpetic neuralgia: integrated efficacy, time to onset of pain relief and safety analyses of data from two phase 3, multicenter, randomized, double-blind, placebo-controlled studies.
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J Pain Symptom Manage · Aug 2013
Clinical TrialMinimal clinically important differences in the Edmonton symptom assessment system in patients with advanced cancer.
Longitudinal symptom monitoring is important in the setting of patients with advanced cancer. Scores over time may naturally fluctuate, although a patient may feel the same. ⋯ MCIDs allow health care professionals to determine the success of treatment in improving the patient's quality of life. MCIDs may prompt health care professionals to intervene with new treatment. Future studies should confirm our findings with a variety of anchors.