Journal of pain and symptom management
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J Pain Symptom Manage · Nov 2020
ReviewHigh-dose 8% capsaicin patch in treatment of Chemotherapy-induced peripheral neuropathy (CIPN). A Systematic review.
This is a review of the evidence from studies of the efficacy and tolerability of topically applied and high-concentration (8%) capsaicin in chemotherapy-induced peripheral neuropathy. ⋯ Additional clinical trials are required to establish the definitive role of the capsaicin patch in the future.
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J Pain Symptom Manage · Nov 2020
ReviewThe effect of caregiver-facilitated pain management interventions in hospitalized patients on patient, caregiver, provider and health system outcomes: A systematic review.
Alternative pain management interventions involving caregivers may be valuable adjuncts to conventional pain management interventions. ⋯ Caregiver-facilitated pain management interventions using an activate engagement strategy may be effective in reducing pain of hospitalized neonates. Caregiver-facilitated pain management interventions improved pain outcomes in most adult studies; however, the number of studies of adults is small warranting caution pending further studies.
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J Pain Symptom Manage · Nov 2020
Review Case ReportsSublingual Buprenorphine for Pediatric Cancer Pain: A Case Report and Review of the Literature.
Pain is a common symptom in pediatric patients with cancer, and most patients in palliative care will receive opioids. Traditional opioids have several drawbacks, including their adverse effects, inconsistent or diminishing efficacy, and limited available routes of administration. ⋯ Unfortunately, data supporting the use of buprenorphine in pediatric pain patients, particularly SL buprenorphine, are lacking. This case report describes the feasibility of SL buprenorphine use in pediatric patients with complex cancer-related pain.
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J Pain Symptom Manage · Nov 2020
Randomized Controlled TrialMethylphenidate as needed for fatigue in patients with advanced cancer. A prospective, double-blind, placebo-controlled study.
Cancer-related fatigue is a highly prevalent symptom with a strong negative impact on patients' daily life. ⋯ In this controlled and double-blind study in patients with advanced cancer, methylphenidate as needed was significantly more effective than placebo in relieving fatigue after two and five hours.
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J Pain Symptom Manage · Nov 2020
Palliative care for idiopathic pulmonary fibrosis patients: Pulmonary physicians' view.
Although idiopathic pulmonary fibrosis (IPF) has worse outcomes compared with most malignancies, patients with IPF receive poor access to optimal palliative care. ⋯ Pulmonologists experienced greater difficulty in providing palliative care to patients with IPF than to those with lung cancer. Clinical studies on the optimal palliative care for patients with IPF are urgently required.