Journal of pain and symptom management
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J Pain Symptom Manage · Jun 2015
Multicenter Study Comparative StudyNeuropathic Symptoms and Their Risk Factors in Medical Oncology Outpatients With Colorectal vs. Breast, Lung, or Prostate Cancer: Results From a Prospective Multicenter Study.
Few studies have examined the prevalence and severity of treatment-induced neuropathic symptoms in patients across different cancer types. ⋯ Patients with CRC experience significantly higher rates of N/T but comparable neuropathic pain, relative to patients with other cancers. Awareness of the prevalence and severity of neuropathic symptoms and their associated risk factors in this patient population is critical for both clinicians and patients.
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J Pain Symptom Manage · Jun 2015
Preoperative Breast Pain Predicts Persistent Breast Pain and Disability After Breast Cancer Surgery.
Approximately 30% of the women report pain in the affected breast before breast cancer surgery. ⋯ Investigations of the etiology and molecular mechanisms of preoperative breast pain, as well as interventions for this high-risk group, are needed.
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J Pain Symptom Manage · Jun 2015
Massage, Music, and Art Therapy in Hospice: Results of a National Survey.
Complementary and alternative medicine (CAM) provides clinical benefits to hospice patients, including decreased pain and improved quality of life. Yet little is known about the extent to which U.S. hospices employ CAM therapists. ⋯ Less than one-third of U.S. hospices employ art, massage, or music therapists despite the benefits these services may provide to patients and families. A higher proportion of large hospices, nonprofit hospices, and hospices in the Mountain/Pacific region employ CAM therapists, indicating differential access to these important services.
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J Pain Symptom Manage · Jun 2015
Randomized Controlled Trial Multicenter StudyFeasibility of Conducting a Palliative Care Randomized Controlled Trial in Children With Advanced Cancer: Assessment of the PediQUEST Study.
Pediatric palliative care randomized controlled trials (PPC-RCTs) are uncommon. ⋯ A PPC-RCT in children with advanced cancer was feasible, post-inclusion retention adequate; many families participated for altruistic reasons. Strategies that may further PPC-RCT feasibility include: increasing target population through large multicenter studies, approaching sicker patients, preventing exclusion of certain patient groups, and improving data collection at end of life.