多学科疼痛管理在晚期癌症患者的有效性
Dongjie Chen1, Dianjun Chen1, Haitao Sun1
1National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, China.
一个多学科团队 (MDT) 在晚期癌症患者中显著改善了癌症疼痛管理,减少了疼痛强度和改善了疼痛管理指数 (PMI). 放射治疗的使用与更好的反应率有关.
科学领域:
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
- 临床研究 临床研究
背景情况:
- 与癌症相关的疼痛显著影响到晚期癌症患者.
- 有效的疼痛管理对于改善生活质量至关重要.
研究的目的:
- 评估多学科团队 (MDT) 在治疗癌症相关疼痛方面的有效性.
- 确定影响晚期癌症患者疼痛管理结果的因素.
主要方法:
- 接受MDT疼痛治疗的患者的回顾性分析 (2018年11月 - 2023年12月).
- 在基线和2周后评估疼痛强度,疼痛管理指数 (PMI),疼痛反应和日常生活活动的巴特尔指数 (BADL).
- 单变量和多重物流分析以确定疼痛反应的风险指标.
主要成果:
- 在MDT干预后观察到疼痛强度,数值评分表 (NRS) 分数和PMI的显著改善 (p < .001).
- 响应者显示疼痛强度和NRS得分降低,PMI增加 (p < .001);非响应者没有显著变化.
- 接受放射治疗的患者的整体响应率 (ORR) 较高 (100%对60.8%,p = .033).
- 在任何一组中,MDT干预都没有改善BADL得分.
结论:
- 疼痛MDT有效地改善了晚期癌症患者的临床管理和疼痛控制.
- 需要进一步的前性研究来确定成功治疗疼痛的预测因素.
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