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Cancer Pain Management: An Italian Delphi Survey from the Rational Use of Analgesics (RUA) Group
Giustino Varrassi1, Franco De Conno2, Luciano Orsi3
1Paolo Procacci Foundation, Rome, Italy.
Journal of Pain Research
|May 23, 2020
Summary
Italian palliative care specialists reached consensus on cancer pain management through a Delphi survey. The study identified areas of agreement and highlighted discrepancies between guidelines and clinical practice for effective pain control.
Area of Science:
- Oncology
- Palliative Care
- Pain Management
Background:
- Cancer pain affects a significant patient population.
- Effective pain management in cancer patients remains a clinical challenge.
- Current analgesic drugs and guidelines do not always ensure optimal pain relief.
Purpose of the Study:
- To achieve consensus among Italian palliative care specialists on cancer pain assessment and management.
- To identify best practices in managing cancer-related pain.
- To explore challenges in current pain management strategies.
Main Methods:
- A Delphi survey was conducted within the Rational Use of Analgesics (RUA) Group projects.
- 190 palliative care specialists from across Italy participated.
- Statements were developed based on recent cancer pain literature and clinical guidelines.
Main Results:
- Consensus was achieved on 17 key statements regarding cancer pain.
- High agreement rates (>70%) were observed for pain assessment items.
- Strong agreement was also noted for pain management principles and specific pain types, including breakthrough cancer pain and neuropathic pain.
Conclusions:
- Italian palliative care specialists demonstrated significant interest in addressing cancer pain challenges.
- The study revealed a notable gap between established guidelines and current clinical practices in pain management.
- Further efforts are needed to align clinical practice with evidence-based guidelines for improved cancer pain control.
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