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Suzana Aparecida da Costa Ferreira1, Carol V Serna González1, Adriane Aparecida da Costa Faresin2

  • 1Programa de Posgrado de Enfermería en la Salud del Adulto (PROESA), Universidade de São Paulo, Escola de Enfermagem-EEUSP, San Pablo, Brasil.

Journal of Wound Care
|September 24, 2021
PubMed
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This scoping review examines topical pain management for malignant neoplastic wounds (MNW) in cancer patients. It aims to classify existing therapies and guide future research for this challenging condition.

Area of Science:

  • Oncology
  • Palliative Care
  • Wound Management

Background:

  • Malignant neoplastic wounds (MNW) affect 14.5% of cancer patients, presenting with significant symptoms like pain, bleeding, and exudate.
  • Pain is a universal experience for MNW patients, yet evidence-based topical treatment strategies are lacking.
  • The need for robust scientific evidence to guide the management of MNW pain is critical.

Purpose of the Study:

  • To systematically map and critically examine the existing body of evidence on topical therapies for pain management in adult patients with MNW.
  • To identify and synthesize current knowledge regarding the efficacy and application of various topical treatments.

Main Methods:

  • A comprehensive scoping review was conducted following the Joanna Briggs Institute (JBI) methodology.
Keywords:
dolorenfermeríaherida neoplásica malignamalignant neoplastic woundsnursingpainrevisión de alcancescoping reviewterapia tópicatopical therapy

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  • Extensive literature searches were performed across multiple databases (PubMed, Scopus, Web of Science, Embase, CINAHL, LILACS, Cochrane) and grey literature.
  • Studies were included regardless of design (qualitative, quantitative, reviews) and published in English, Portuguese, or Spanish.

    • Main Results:

    • The review will synthesize findings on various topical pain therapies used for MNW.
    • Results will be presented narratively, supported by tables and graphs for clarity.
    • Classification and discussion of identified topical therapies will be provided.

    Conclusions:

    • This study will provide a comprehensive overview of current topical pain management strategies for MNW.
    • It will highlight gaps in the evidence base and inform the development of future primary research.
    • Recommendations for future studies will be proposed to improve patient care and outcomes.