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A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
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Shared Decision-Making in Managing Breakthrough Cancer Pain in Patients With Advanced Cancer.

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Shared decision-making (SDM) can improve cancer pain management by integrating patient preferences. While SDM showed promise, breakthrough cancer pain remains a significant challenge for patients with advanced cancer.

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Area of Science:

  • Oncology
  • Pain Management
  • Health Services Research

Background:

  • Pain is a major issue for cancer patients, with breakthrough cancer pain often underrecognized.
  • Shared decision-making (SDM) involves patients in care decisions, potentially improving pain identification and management.

Purpose of the Study:

  • To investigate the impact of shared decision-making (SDM) on managing cancer pain.
  • To explore the use of a digital platform for enhanced pain assessment within an SDM framework.

Main Methods:

  • A prospective, multisite study involving 51 patients with advanced cancer.
  • Utilized a digital platform for expanded pain assessment and incorporated patient preferences into care.
  • Measured pain scores and patient-perceived quality of pain care.

Main Results:

  • Most patients (86%) preferred shared or patient-driven decision-making.
  • High prevalence of severe breakthrough cancer pain (88% at baseline), often lasting over 30 minutes.
  • Patients reported satisfaction with SDM, though breakthrough cancer pain persisted.

Conclusions:

  • Shared decision-making (SDM) shows potential for improving cancer pain outcomes.
  • Significant challenges persist in effectively managing breakthrough cancer pain despite SDM implementation.