Journal of pain and symptom management
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J Pain Symptom Manage · Jun 2021
Review Case ReportsTopical Management of Bleeding from Malignant Wounds caused by Breast Cancer: A Systematic Review.
Topical management is the main form of control of signs and symptoms regarding malignant wounds (MWs) arising from tumor progression on the skin. Nevertheless, few studies have explored this theme and evidence on the effectiveness of the methods used to control bleeding is unknown, leading to a lack of consensus to support clinical practice. ⋯ Although studies have promoted positive results of topical hemostasis, scientific evidence is still weak and arises from studies with poor methodological quality. Randomized controlled trials were not identified. The results highlight the crucial need for pilot studies to evaluate effect size, study procedures, and measurable results.
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J Pain Symptom Manage · Jun 2021
Randomized Controlled TrialTherapeutic Ultrasound for Chemotherapy-related Pain and Sensory Disturbance in the Hands and Feet in Patients with Colorectal Cancer: A Pilot Randomized Controlled Trial.
This proof-of-concept trial was undertaken as a first step in exploring the clinical benefit of therapeutic ultrasound for pain and sensory disturbance in patients with colorectal cancer. ⋯ The findings of this proof-of-concept study support the feasibility of the therapeutic ultrasound in addition to standard care as an intervention for colorectal cancer patients with oxaliplatin-related pain and sensory disturbance in the hands and feet. The findings warrant a large-scale placebo-controlled trial.
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J Pain Symptom Manage · Jun 2021
Randomized Controlled TrialYoga Practice Predicts Improvements in Day-to-Day Pain in Women With Metastatic Breast Cancer.
Women with metastatic breast cancer (MBC) experience a significant symptom burden, including cancer pain. Yoga is a mind-body discipline that has shown promise for alleviating cancer pain, but few studies have included patients with metastatic disease or examined the acute effects of yoga practice. ⋯ Findings suggest that yoga practice (meditation practice in particular) is associated with acute improvements in cancer pain, and that yoga interventions may be more impactful if tested in a sample of patients with advanced cancer in which pain is relatively elevated.
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J Pain Symptom Manage · Jun 2021
Randomized Controlled TrialFeasibility Trial of Cognitive Behavioral Therapy for Fatigue in Hemodialysis (BReF Intervention).
Fatigue affects at least half of patients who are on hemodialysis (HD) with considerable repercussions on their functioning, quality of life, and clinical outcomes. ⋯ There was promising evidence in support of the need and benefits of a cognitive behavioral therapy-based intervention for fatigue in HD. However, uptake was low, possibly as a result of an already high treatment burden in this setting. Considerations on the context of delivery are necessary before pursuing a definitive trial.
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J Pain Symptom Manage · Jun 2021
Randomized Controlled TrialThe Effects of Clinical Music Therapy on Resiliency in Adults Undergoing Infusion: A Randomized, Controlled Trial.
Eighty-seven patients newly diagnosed with lung, breast, or gastrointestinal cancer and undergoing chemotherapy in the infusion suite of a large urban hospital in New York City. ⋯ Our study shows MT's facility to propel resilience in patients newly diagnosed with cancer, particularly when promoting and pairing adaptation toward coping through the expression of perceived negative effects of emotional and physiological symptoms.