Journal of pain and symptom management
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J Pain Symptom Manage · Sep 2023
Randomized Controlled TrialIs acetaminophen beneficial in patients with cancer pain who are on strong opioids? A randomized controlled trial.
Pain is common among cancer patients. The evidence recommends using strong opioids in moderate to severe cancer pain. No conclusive evidence supports the effectiveness of adding acetaminophen to patients with cancer pain who are already using this regime. ⋯ Among patients with cancer pain on strong opioid regime, acetaminophen may not improve pain control, or decrease total opioid use. These results add to the current evidence available suggesting not to use acetaminophen as an adjuvant for advanced cancer patients with moderate to severe cancer pain who are on strong opioids.
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J Pain Symptom Manage · Sep 2023
Randomized Controlled TrialPatient-Reported Outcome Benefits for Children with Advanced Cancer and Parents: A Qualitative Study.
Electronic patient-reported outcomes (e-PROs) in pediatric oncology may be useful to track patients' symptoms and quality of life (QoL). However, implementation in the clinical setting is limited and few studies have examined child and parent perspectives on e-PRO usage. ⋯ Advanced pediatric cancer patients and their parents found benefit in completing routine e-PROs as they promoted greater reflection and awareness and increased communication. These results may inform further integration of e-PROs in routine pediatric oncology care.
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J Pain Symptom Manage · Aug 2023
Randomized Controlled TrialSHARING Choices: Lessons Learned from a Primary-Care Focused Advance Care Planning Intervention.
Few advance care planning (ACP) interventions have been scaled in primary care. ⋯ Study findings reinforce the value of adaptable study design; co-designing workflow adaptations with practice staff; adapting implementation processes to fit the unique needs of two health systems; and modifying efforts to meet health system goals and priorities.
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J Pain Symptom Manage · Jul 2023
Randomized Controlled TrialEffect of Pain Coping Skills Training on Pain and Pain Medication Use for Women with Breast Cancer.
Pain is distressing for women with breast cancer. Pain medication may not provide full relief and can have negative side-effects. Cognitive-behavioral pain intervention protocols reduce pain severity and improve self-efficacy for pain management. These interventions' impact on pain medication use is less clear. Intervention length and coping skills use might play a role in pain outcomes. ⋯ Both conditions led to improvements in pain, pain medication use, pain self-efficacy, and coping skills use, and 5-session PCST showed the greatest benefits. Brief cognitive-behavioral pain intervention improve pain outcomes, and pain self-efficacy may play a role in these effects.
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J Pain Symptom Manage · Jul 2023
Randomized Controlled TrialTechnology-Assisted mHealth Caregiver Support to Manage Cancer Patient Symptoms: A randomized controlled trial.
Caregivers managing symptoms of family members with cancer during home hospice care, often feel ill-prepared and need patient care coaching. ⋯ Automated mHealth symptom reporting by caregivers, paired with tailored caregiver coaching on symptom management and nurse notifications, reduces cancer patients' physical and psychosocial symptoms during home hospice, providing a novel and efficient approach to improving end-of-life care.