Journal of pain and symptom management
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J Pain Symptom Manage · May 2023
Review Meta AnalysisEffectiveness of Virtual Reality in Symptom Management of Cancer Patients: A Systematic Review and Meta-Analysis.
Although the survival rate of cancer patients has been increasing, such patients often experience severe physical and psychological burdens due to the effects of the disease and therapy. Multiple virtual reality (VR)-based interventions have been used to help improve physical and psychological symptoms and quality of life in cancer patients. ⋯ VR interventions were effective in improving physical and psychological symptoms in cancer patients. Due to the limited number of studies, small sample sizes, and moderate to high heterogeneity, these results should be interpreted with caution. More rigorous, comprehensive and high-quality randomized controlled trials (RCTs) are needed to validate the results of this study.
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J Pain Symptom Manage · May 2023
Multicenter Study Observational StudySystemic opioids for dyspnea in cancer patients: A real-world observational study.
Although Systemic opioids are recommended as a pharmacological treatment for cancer-related dyspnea, their effectiveness and safety needs to be investigated in a real-world context OBJECTIVES: To evaluate the effectiveness and safety of systemic regular opioids for dyspnea in cancer patients, in the real-world palliative care practice. ⋯ Regular systemic opioids were effective for dyspnea in real-world cancer patients.
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J Pain Symptom Manage · May 2023
Randomized Controlled Trial Pragmatic Clinical TrialPrevalence, Severity, and Co-Occurrence of SPPADE Symptoms in 31,866 Patients with Cancer.
To examine the prevalence, severity, and co-occurrence of SPPADE symptoms as well as their association with cancer type and patient characteristics. ⋯ The high prevalence and co-occurrence of SPPADE symptoms in patients with all types of cancer warrants clinical approaches that optimize detection and management.
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J Pain Symptom Manage · May 2023
Randomized Controlled TrialMassage Therapy for Hospitalized Patients Receiving Palliative Care: A Randomized Clinical Trial.
Massage therapy is increasingly used in palliative settings to improve quality of life (QoL) and symptom burden; however, the optimal massage "dosage" remains unclear. ⋯ Massage therapy in complex patients with advanced illness was beneficial beyond dosage. Findings support session length (10 or 20 minutes) was predictive of short-term improvements while treatment frequency (once or three consecutive days) predicted sustained improvement at follow-up.
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J Pain Symptom Manage · May 2023
ReviewA Systematic Review of Interprofessional Palliative Care Education Programs.
Interprofessional education (IPE) involving palliative and end-of-life content benefits learners by addressing interprofessional and palliative care (PC) competency needs. ⋯ In light of the current healthcare landscape, there is an imminent need to address culture and provider well-being more directly through interprofessional PC education. Education and research must also move beyond university programs into health systems to support the professional development of clinicians for systems integration, sustainability, and impact on patient outcomes. Future evaluation of interprofessional PC education would be strengthened by multisite studies, randomized controlled trials, and repeated measures looking at outcomes over time.