Assessment and Management of Adult Cancer Pain: Lessons from a Systematic Review and Synthesis of Qualitative Studies

Poster

Lovell, M.R., Luckett, T., Green, A. and Davidson, P.M.. 2012. "Assessment and Management of Adult Cancer Pain: Lessons from a Systematic Review and Synthesis of Qualitative Studies ." 7th World Research Congress of the European Association for Palliative Care (EAPC). Trondheim, Norway 07 - 09 Jun 2012 United Kingdom. SAGE Publications India.
Paper/Presentation Title

Assessment and Management of Adult Cancer Pain: Lessons from a Systematic Review and Synthesis of Qualitative Studies

Presentation TypePoster
AuthorsLovell, M.R., Luckett, T., Green, A. and Davidson, P.M.
Journal or Proceedings TitlePalliative Medicine
Journal Citation26 (4), pp. 561-562
Number of Pages2
Year2012
PublisherSAGE Publications India
Place of PublicationUnited Kingdom
ISSN0269-2163
1477-030X
Web Address (URL) of Conference Proceedingshttps://journals.sagepub.com/doi/10.1177/0269216312446391
Conference/Event7th World Research Congress of the European Association for Palliative Care (EAPC)
Event Details
7th World Research Congress of the European Association for Palliative Care (EAPC)
Delivery
In person
Event Date
07 to end of 09 Jun 2012
Event Location
Trondheim, Norway
Abstract

Background and aims: Pain is a common and burdensome problem for people with cancer and their families. Despite evidence-based guidelines, assessment and management continues to be suboptimal due to barriers at patient, provider and system levels.
Our aim was to identify barriers and facilitators to cancer pain management from the qualitative literature and from these generate recommendations for improving cancer pain assessment and management within a comprehensive framework of patient care.
Methods: We conducted a systematic review and synthesis of peer-reviewed qualitative studies published since 2000. Electronic databases were searched in May 2011 for studies exploring relevant perceptions of patients, caregivers and/or health professionals. Article quality was rated using Kitto et al’s (2008) checklist. ‘Results’ sections were thematically synthesized using Thomas and Harden’s (2008) 3-stage process.
Results: Of 658 articles screened, 69 met criteria, reporting perspectives from 48 patient, 18 caregiver and 20 health professional samples. Cancer pain and associated needs were identified by patients and caregivers as personal and multidimensional. Communication and education were highlighted as aspects of service delivery in particular need of improvement. A model of patient-centred care by Mead and Bower (2000) was a good ‘fit’ for descriptive themes across articles. Authors rarely reported on reflexivity or negative cases.
Conclusion: Our findings add to existing data by highlighting the need to embed patient and caregiver education within routine communication and patient-centred assessment and management. This should empower patients and families to better manage pain. Health professional education should focus on communication skills required for pain assessment and management.

Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420399. Health services and systems not elsewhere classified
Public Notes

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Byline AffiliationsUniversity of Sydney
HammondCare, Australia
University of New South Wales
ImPaCCT, Australia
University of Technology Sydney
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Chambers, Suzanne K., Galvao, Daniel A., Green, Anna, Lazenby, Mark, Newton, Robert U., Oliffe, John L., Phillips, Jane L., Phillips, Rachel, Ralph, Nicholas, Sara, Sally, Heathcote, Peter and Dunn, Jeff. 2019. A psychosocial care model for men with prostate cancer. Sydney, Australia. Prostate Cancer Foundation of Australia.
Risk of opioid misuse in people with cancer and pain and related clinical considerations: a qualitative study of the perspectives of Australian general practitioners
Luckett, Tim, Newton-John, Toby, Phillips, Jane, Holliday, Simon, Giannitrapani, Karleen, Powell-Davies, Gawaine, Lovell, Melanie, Liauw, Winston, Rowett, Debra, Pearson, Sallie-Anne, Raymond, Bronwyn, Heneka, Nicole and Lorenz, Karl. 2020. "Risk of opioid misuse in people with cancer and pain and related clinical considerations: a qualitative study of the perspectives of Australian general practitioners." BMJ Open. 10 (2), pp. 1-11. https://doi.org/10.1136/bmjopen-2019-034363
A phase III wait-listed randomised controlled trial of novel targeted interprofessional clinical education intervention to improve cancer patients’ reported pain outcomes (The Cancer Pain Assessment (CPAS) Trial): study protocol
Phillips, Jane L., Heneka, Nicole, Lovell, Melanie, Lam, Lawrence, Davidson, Patricia, Boyle, Frances, McCaffrey, Nikki, Fielding, Sally and Shaw, Tim. 2019. "A phase III wait-listed randomised controlled trial of novel targeted interprofessional clinical education intervention to improve cancer patients’ reported pain outcomes (The Cancer Pain Assessment (CPAS) Trial): study protocol." Trials. 20. https://doi.org/10.1186/s13063-018-3152-z
Phase II cluster randomised waitlist controlled trial of a multicomponent non-pharmacological intervention to prevent delirium for inpatients with advanced cancer (ACTRN126170 01070325p)
Phillips, Jane, Hosie, A., Lam, L., Kochovska, S., Brassil, M., Noble, B., Kurrle, S., Cumming, A., Caplan, G., Chye, R., Lee, B., Ely, E., Lawlor, P., Bush, S., Lovell, M., Cheah, S., Brown, L., Fazekas, B., Edwards, L., ..., Agar, M.. 2019. "Phase II cluster randomised waitlist controlled trial of a multicomponent non-pharmacological intervention to prevent delirium for inpatients with advanced cancer (ACTRN126170 01070325p)." Cancer Nurses Society of Australia 22nd Annual Congress. Melbourne, Australia 20 - 22 Jun 2019
The PRESERVE Pilot Study: A Phase 2 Cluster Randomised Waitlist Controlled Trial of a Multi-component Non-pharmacological Intervention to Prevent Delirium in Patients with Advanced Cancer
Hosie, A., Phillips, J., Lam, L., Kochovska, S., Brassil, M., Noble, B., Kurrle, S., Cumming, A., Caplan, G., Chye, R., Lee, B., Ely, E., Lawlor, P., Bush, S., Davis, J.M., Lovell, M., Brown, L., Fazekas, B., Cheah, S., ..., Agar, M.. 2019. "The PRESERVE Pilot Study: A Phase 2 Cluster Randomised Waitlist Controlled Trial of a Multi-component Non-pharmacological Intervention to Prevent Delirium in Patients with Advanced Cancer." 16th World Congress of the European Association for Palliative Care (EAPC 2019). Berlin, Germany 23 - 25 May 2019 United Kingdom. SAGE Publications India.
Phase II cluster randomised waitlist controlled trial of a multicomponent non-pharmacological intervention to prevent delirium for inpatients with advanced cancer (ACTRN12617001070325p)
Hosie, A., Phillips, J., Lam, L., Kochovska, S., Brassil, M., Noble, B., Kurrle, S., Cumming, A., Caplan, G., Chye, R., Lee, B., Ely, E., Lawlor, P., Bush, S., Davis, J.M., Lovell, M., Brown, L., Fazekas, B., Cheah, S., ..., Agar, M.. 2019. "Phase II cluster randomised waitlist controlled trial of a multicomponent non-pharmacological intervention to prevent delirium for inpatients with advanced cancer (ACTRN12617001070325p)." MASCC/ISOO Annual Meeting 2019. San Francisco, United States 21 - 23 Jun 2019 Germany. Springer.
A Qualitative Study of Patient, Family, Staff and Volunteer Perspectives During a Phase 2 Trial of a Multicomponent Non-Pharmacological Delirium Prevention Intervention for Inpatients with Advanced Cancer
Green, A., Hosie, A., Edwards, L., Hunt, J., Wilcock, J., Phillipson, C., Phillips, J. and Agar, M.. 2019. "A Qualitative Study of Patient, Family, Staff and Volunteer Perspectives During a Phase 2 Trial of a Multicomponent Non-Pharmacological Delirium Prevention Intervention for Inpatients with Advanced Cancer." American Delirium Society 2019 Annual Meeting (ADS 2019). Boston, United States 16 - 18 Jun 2019
Qualitative study of patient, family, staff and volunteer perspectives during a phase II trial of a multicomponent non-pharmacological delirium prevention intervention in advanced cancer
Hosie, A., Green, A., Edwards, L., Hunt, J., Wilcock, J., Raymond, B., Phillipson, C., Agar, M. and Phillips, J.. 2019. "Qualitative study of patient, family, staff and volunteer perspectives during a phase II trial of a multicomponent non-pharmacological delirium prevention intervention in advanced cancer." MASCC/ISOO Annual Meeting 2019. San Francisco, United States 21 - 23 Jun 2019 Germany. Springer.
A qualitative study of patient, family, staff and volunteer perspectives of a multicomponent non-pharmacological delirium prevention intervention for inpatients with advanced cancer during the PRESERVE pilot study
Green, A., Hosie, A., Edwards, L., Phillipson, C., Hunt, J., Wilcock, J., Raymond, B., Phillips, J. and Agar, M.. 2019. "A qualitative study of patient, family, staff and volunteer perspectives of a multicomponent non-pharmacological delirium prevention intervention for inpatients with advanced cancer during the PRESERVE pilot study." Oceanic Palliative Care Conference. Perth, Australia Sep 2019
Re-imagining the service landscape for Aboriginal children with a disability
Henry, V., Green, A., Abbott, P., Delaney, P., Delaney, J., Davidson, P. and DiGiacomo, M.. 2017. "Re-imagining the service landscape for Aboriginal children with a disability." 6th Annual NHMRC Symposium on Research Translation, co-hosted by the Lowitja Institute. Nov 2017
Mothers and grandmothers navigating caregiving in Aboriginal childhood disability
DiGiacomo, Michelle, Green, A., Abbott, P., Delaney, J., Patradoon-Ho, P., Delaney, P. and Davidson, P.. 2016. "Mothers and grandmothers navigating caregiving in Aboriginal childhood disability ." International Council on Women’s Health Issues (ICOWHI) 21st Biennial Congress. Baltimore, United States 06 - 09 Nov 2016
"Just see what her needs are…get a picture of her world": the need for a gender-based approach to care of women with chronic conditions
DiGiacomo, Michelle, Green, Anna and Davidson, Patricia. 2016. ""Just see what her needs are…get a picture of her world": the need for a gender-based approach to care of women with chronic conditions." International Council on Women’s Health Issues (ICOWHI) 21st Biennial Congress. Baltimore, United States 06 - 09 Nov 2016
Cross-sector collaborations in Aboriginal and Torres Strait Islander childhood disability: a systematic integrative review
Green, A., DiGiacomo, M., Luckett, T., Abbott, P., Davidson, P., Delaney, J. and Delaney, P.. 2015. "Cross-sector collaborations in Aboriginal and Torres Strait Islander childhood disability: a systematic integrative review." 2015 Primary Health Care Research Conference. Adelaide, Australia 29 - 31 Jul 2015
Australian survey of current practice and guideline use in adult cancer pain assessment and management: The community nurse perspective
Phillips, Jane L., Lovell, Melanie, Luckett, Tim, Agar, Meera, Green, Anna and Davidson, Patricia. 2015. "Australian survey of current practice and guideline use in adult cancer pain assessment and management: The community nurse perspective." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 22 (1), pp. 33-41. https://doi.org/10.1016/j.colegn.2013.11.002
Pain management can be achieved with commitment and support
Lovell, M., Birch, M., Luckett, T., Davidson, P., Green, A., Marie, N., Stubbs, J., Phillips, J. and Agar, M.. 2014. "Pain management can be achieved with commitment and support." Palliative Care NSW State Conference. Sydney, Australia 22 - 24 Oct 2014
A systems approach to improving cancer pain management
Lovell, M., Luckett, T., Phillips, J., Agar, M., Boyle, F., Stubbs, J., Birch, M., Green, A., Marie, N. and Davidson, P.. 2014. "A systems approach to improving cancer pain management." 2014 Innovations in Cancer Treatment and Care Conference. Sydney, Australia Oct 2014
What will it take to improve cancer pain outcomes?: Developing a dissemination and implementation strategy to promote a person-centred clinical pathway for cancer pain
Lovell, M., Phillips, J., Agar, M., Luckett, T., Boyle, F., Green, A., Stubbs, J. and Davidson, P.. 2013. "What will it take to improve cancer pain outcomes?: Developing a dissemination and implementation strategy to promote a person-centred clinical pathway for cancer pain." Cancer Nurses Society of Australia’s 16th Winter Congress. Brisbane, Australia 25 - 27 Jul 2013
Implementation forum for cancer pain assessment and management guidelines
Lovell, M., Boyle, F., Agar, M., Luckett, T., Phillips, J., Clayton, J., Green, A., Birch, M. and Davidson, P.. 2013. "Implementation forum for cancer pain assessment and management guidelines." COSA Annual Scientific Meeting 2013. Adelaide, Australia 12 - 14 Nov 2013
Assessment & management of adult cancer pain: Lessons from a systematic review & synthesis of qualitative studies
Lovell, M., Luckett, T., Davidson, P. and Green, A.. 2012. "Assessment & management of adult cancer pain: Lessons from a systematic review & synthesis of qualitative studies." Australian Pain Society 32nd Annual Scientific Meeting. Melbourne, Australia 01 - 04 Apr 2012
Improving assessment and management of adult cancer pain: A nationwide survey of oncologists and haematologists
Liauw, W., Luckett, T., Davidson, P., Boyle, F., Agar, M., Green, A. and Lovell, M.. 2012. "Improving assessment and management of adult cancer pain: A nationwide survey of oncologists and haematologists." National Prescribing Service’s National Medicines Symposium 2012. Sydney, Australia 24 - 25 May 2012
Australian survey of current practice and guideline use in adult cancer pain assessment and management: Perspectives of oncologists and haematologists
Agar, M., Luckett, T., Davidson, P., Boyle, F., Liauw, W., Green, A. and Lovell, M.. 2012. "Australian survey of current practice and guideline use in adult cancer pain assessment and management: Perspectives of oncologists and haematologists." 2012 International MASCC/ISOO Symposium . New York, United States 28 Jun 2012 - 30 Aug 2025
Stop Pain Project: A dual health professional and patient pathway to manage pain in individuals with cancer
Phillips, Jane, Luckett, T., Davidson, P., Lovell, M. and Green, A.. 2012. "Stop Pain Project: A dual health professional and patient pathway to manage pain in individuals with cancer." Cancer Nurses Society of Australia's 15th Winter Congress. Hobart, Australia 26 - 28 Jul 2012
STOP Pain Project: a collaborative, interdisciplinary project to improve the person-centredness of assessment and management of cancer pain
Clayton, J., Davidson, P., Phillips, J., Luckett, T., Green, A., Agar, M., Broadbent, A. and Lovell, M.. 2012. "STOP Pain Project: a collaborative, interdisciplinary project to improve the person-centredness of assessment and management of cancer pain." 2012 Joint Meeting of International Psycho-Oncology Society (IPOS) 14th World Congress and COSA's 39th Annual Scientific Meeting. Brisbane, Australia 13 - 15 Nov 2012