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Breakthrough pain: a qualitative study involving patients with advanced cancer

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Abstract

Context

Breakthrough cancer pain is associated with a high burden of physical, psychological and social problems in quantitative studies. Individual experiences of living with breakthrough pain have not been studied.

Objectives

This study aims to explore the individual experience of living with breakthrough cancer pain using a qualitative methodology.

Methods

In depth semi-structured interviews were conducted in ten patients with breakthrough cancer pain, and a qualitative content analysis was performed.

Results

The overarching themes that emerged were daily living, communication with health care professionals and management of breakthrough pain.

Conclusions

Recognising the impact of breakthrough pain and the issues expressed by patients regarding communication and medication gives the clinician a framework for assessment and intervention.

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References

  1. Davies A, Dickman A, Reid C, Stevens A, Zeppetella G (2009) The management of cancer-related breakthrough pain: recommendations of a task group of the Science Committee of the Association for Palliative Medicine of Great Britain and Ireland. Eur J Pain 13:331–338

    Article  PubMed  Google Scholar 

  2. Mercadante S, Radbruch L, Caraceni A, Cherny N, Kaasa S, Nauck F et al (2002) Episodic (breakthrough) pain: consensus conference of an expert working group of the European Association for Palliative Care. Cancer 94(3):832–839

    Article  PubMed  Google Scholar 

  3. Portenoy RK, Payne D, Jacobsen P (1999) Breakthrough pain: characteristics and impact in patients with cancer pain. Pain 81:129–134

    Article  PubMed  CAS  Google Scholar 

  4. Hwang SS, Chang VT, Kasimis B (2003) Cancer breakthrough pain characteristics and responses to treatment at a VA medical center. Pain 101:55–64

    Article  PubMed  Google Scholar 

  5. Skinner C, Thompson E, Davies A (2006) Clinical features. In: Davies A (ed) Cancer-related breakthrough pain. Oxford University, Oxford, pp 13–22

    Google Scholar 

  6. Portenoy RK (1997) Treatment of temporal variations in chronic cancer pain. Semin Oncol 24:S16-7–S16-12

    Google Scholar 

  7. Davies AN, Vriens J, Kennett A, McTaggart M (2008) An observational study of oncology patients’ utilization of breakthrough pain medication. J Pain Symptom Manage 35(4):406–411

    Article  PubMed  Google Scholar 

  8. Elos S, Kyngas H (2008) The qualitative content analysis process. J Adv Nurs 62:107–115

    Article  Google Scholar 

  9. Attride-Stirling J (2001) Thematic networks: an analytical tool for qualitative research. Qual Res 1:385

    Article  Google Scholar 

  10. Mercadante S, Arcuri E (1998) Breakthrough pain in cancer patients: pathophysiology and treatment. Cancer Treat Rev 24:425–432

    Article  PubMed  CAS  Google Scholar 

  11. Laverty D, Davies A (2006) Assessment. In: Davies A (ed) Cancer-related breakthrough pain‎. Oxford University, Oxford, pp 23–30

    Google Scholar 

  12. Oldenmenger W, Sillevis Smitt P, Van Dooren S, Stoter G, Van Der Rijt C (2009) A systematic review on barriers hindering adequate cancer pain management and interventions to reduce them: a critical appraisal. Eur J Cancer 45:1370–1380

    Article  PubMed  Google Scholar 

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Acknowledgements

This study was funded by the Royal Marsden Hospital Department of Palliative Medicine Research Fund and a United Kingdom Association of Palliative Medicine research bursary. We would like to thank Natalie Pattison for her valuable support.

Conflict of interest

The research sponsor is Imperial College, London that employs the authors Katherine Webber and Martin Cowie. The authors have full control of the primary data and agree to allow the journal to review this data if necessary.

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Correspondence to Katherine Webber.

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Webber, K., Davies, A.N. & Cowie, M.R. Breakthrough pain: a qualitative study involving patients with advanced cancer. Support Care Cancer 19, 2041–2046 (2011). https://doi.org/10.1007/s00520-010-1062-z

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  • DOI: https://doi.org/10.1007/s00520-010-1062-z

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