Journal of pain and symptom management
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J Pain Symptom Manage · Jan 2025
ReviewNLP for Analyzing Electronic Health Records and Clinical Notes in Cancer Research: A Review.
This review examines the application of natural language processing (NLP) techniques in cancer research using electronic health records (EHRs) and clinical notes. It addresses gaps in existing literature by providing a broader perspective than previous studies focused on specific cancer types or applications. A comprehensive literature search in the Scopus database identified 94 relevant studies published between 2019 and 2024. ⋯ While NLP techniques show significant potential in analyzing EHRs and clinical notes for cancer research, future work should focus on improving model generalizability, enhancing robustness in handling complex clinical language, and expanding applications to understudied cancer types. The integration of NLP tools into palliative medicine and addressing ethical considerations remain crucial for utilizing the full potential of NLP in enhancing cancer diagnosis, treatment, and patient outcomes. This review provides valuable insights into the current state and future directions of NLP applications in cancer research.
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J Pain Symptom Manage · Jan 2025
ReviewEfficacy of Traditional, Complementary, and Integrative Medicine in Pain and Psychological Distress Management for Pediatric Palliative Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Traditional, complementary, and integrative medicine (TCIM) is being increasingly used to manage symptoms in patients with palliative needs. However, there is a lack of evidence to guide its use in the pediatric palliative care (PPC) setting. ⋯ Existing evidence supports the therapeutic benefits of music therapy, massage, and hypnosis on relieving pain and anxiety symptoms in the PPC setting, though the evidence is of low-to-moderate quality.
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J Pain Symptom Manage · Jan 2025
ReviewEarly Integration of Palliative Care in Non-Oncological Patients: A Systematic Review.
Palliative care (PALC) is traditionally linked to end-of-life cancer care but also benefits advanced nononcological diseases. ⋯ The impact of early PALC on health outcomes in nononcological diseases is inconsistent. Addressing barriers to early PALC integration and conducting further high-quality research are essential for optimizing care pathways and enhancing patient outcomes.
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J Pain Symptom Manage · Jan 2025
ReviewHow is Telehealth Used to Increase Access to Specialty Palliative Care? A Systematic Review.
Specialty palliative care remains inaccessible for many with serious illness, especially in rural areas. Telehealth may be one solution. ⋯ While telehealth is widely used to increase access to specialty palliative care, more evidence is needed to evaluate effectiveness. Further research is needed to understand how to overcome barriers prominent in rural settings and to optimize integration of multiple modalities of telehealth in specialty palliative care.
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J Pain Symptom Manage · Jan 2025
Review Meta AnalysisEfficacy and Safety of Pregabalin and Gabapentin for Pruritus: A systematic review and meta-analysis.
Limited data existed on the efficacy and safety of novel antiepileptic drugs (pregabalin and gabapentin) in treating pruritus. ⋯ The novel antiepileptic drugs pregabalin and gabapentin demonstrated significant therapeutic value in the treatment of pruritus, with a favorable safety profile. Compared to commonly used pruritus treatments such as antihistamines and antidepressants, these medications offered a promising alternative.