Journal of pain and symptom management
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J Pain Symptom Manage · Feb 2025
ReviewValidation of Pediatric Self-Report Pain Scales in Sub-Saharan Africa: A Systematic Review.
Pediatric self-report pain scales must be validated in cultural/language contexts to provide optimal pain management. Sub-Saharan Africa included vast numbers of people groups, cultures, and languages. ⋯ 5 countries in Sub-Saharan Africa have a self-report pediatric pain scale validated in their national language/context. Validation methods varied widely from qualitative to quantitative, including convergent, discriminant and face validity. Given the burden of pediatric pain in sub-Saharan Africa, further work is required to provide culturally appropriate and language-specific pain tools.
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J Pain Symptom Manage · Feb 2025
Review Meta AnalysisNon-pharmacological therapies for depression in women with breast cancer at different treatment phases: A systematic review and network meta-analysis.
Various non-pharmacological therapies (NPTs) have been found to be helpful for depression in women with breast cancer (BC). However, the relative efficacy of different NPTs in women with BC during different treatment phases is unclear. ⋯ Our study confirmed the efficacy of several NPTs for depression in women with BC during inter-/post-treatment phases. These results should inform future clinical decisions and guidelines for depression in women with BC.
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J Pain Symptom Manage · Feb 2025
Pain in palliative cancer patients - Analysis of the German National Palliative Care Registry.
Palliative care aims to improve the quality of life in patients with progressive diseases such as cancer. Effective cancer pain management is a major challenge of palliative treatment. Empirical data on the prevalence of cancer pain, the efficiency of pain treatment and influencing factors are scarce. ⋯ Data from the German Palliative Care Registry confirmed that although increasingly better addressed over the years, insufficiently controlled cancer pain remains a challenge for palliative care units. Patient-specific (e.g. psychological comorbidity) and cancer-related (e.g. bone or cartilage cancer) risk factors for poor pain treatment underline the need for individualized multimodal pain management including psychological support.
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J Pain Symptom Manage · Feb 2025
Implementation and Evaluation of a Pediatric Palliative Care Curriculum for Adult-Track HPM Fellows.
Hospice and Palliative Medicine (HPM) fellowship training provides education on caring for patients from early childhood through adulthood. Yet, there are few guidelines about how to teach these key components, and more specifically the components of Pediatric Palliative Care (PPC), to fellows who have a variety of backgrounds prior to entering HPM fellowship. ⋯ The study revealed some limitations in the current curriculum design, such as its lack of consistency. However, it also highlighted several strengths, including the importance of flexibility and personal responsibility for learning. The results provide valuable insights into the experiences among fellows and educators at a single institution with a PPC Curriculum for adult-track HPM fellows.
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J Pain Symptom Manage · Feb 2025
Randomized Controlled Trial Multicenter StudyParent Views on Parent & Child-reported Outcomes in Pediatric Advanced Cancer: A Qualitative Study.
Research on concurrent parent and patient-reported outcomes has primarily focused on reaching agreement. However, little is known about how to interpret and address discrepancies, which are not uncommon, between both viewpoints. ⋯ gov NCT03408314.