Cancer-Related Bone Pain: Patients’ Satisfaction with Analgesic Pain Control

Background: Management of cancer-related bone pain (CRBP) with analgesics poses a substantial challenge. This study aimed to determine the correlation between pain control satisfaction and prescribed analgesics. Methods: This 12-month descriptive prospective study included 96 adults who were consecu...

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Main Authors: Andrew Tabu Kaggwa, Protus Werunga Kituyi, Elijah Nzeki Muteti, Ramadhani Barry Ayumba
Format: Article
Language:English
Published: Surgical Society of Kenya 2022-07-01
Series:The Annals of African Surgery
Subjects:
Online Access:https://www.annalsofafricansurgery.com/cancer-related-bone-pain-patients-satisfaction-with-analgesic-pain-control
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author Andrew Tabu Kaggwa
Protus Werunga Kituyi
Elijah Nzeki Muteti
Ramadhani Barry Ayumba
author_facet Andrew Tabu Kaggwa
Protus Werunga Kituyi
Elijah Nzeki Muteti
Ramadhani Barry Ayumba
author_sort Andrew Tabu Kaggwa
collection DOAJ
description Background: Management of cancer-related bone pain (CRBP) with analgesics poses a substantial challenge. This study aimed to determine the correlation between pain control satisfaction and prescribed analgesics. Methods: This 12-month descriptive prospective study included 96 adults who were consecutively sampled and followed up daily for 5 days. Eligible patients had histopathologically confirmed tumor, osseous lesion(s) on radiographs, and cognitive capacity to rank pain on the Numerical Rating Scale. Data were collected using questionnaires drafted from the Brief Pain Inventory. Self-assessed pain scores within the past 24 hours were reported on a scale of 0 (no pain) to 10 (worst pain). Pain control satisfaction was assessed as a single response question (satisfied, not sure, or dissatisfied). Associations were examined in multiple logistic regression models. Ethical approval and informed consent were obtained. Results: The median age was 57 (range, 19–90) years, and more males (52.1%) than females were recruited. The proportion of CRBP ranged from 83.3% to 86.5%, whereas that of moderate to severe pain ranged from 57.3% to 69.8%. Overall, 70.8% were satisfied with their pain control. Patients prescribed opioids (adjusted odds ratio, 0.027; p=0.041) had an increased likelihood of pain control satisfaction. Conclusion: Although a high percentage of patients experienced moderate to severe CRBP, a majority were satisfied with their analgesic pain control. Prescription opioids were associated with higher satisfaction. Policies that sustain ready accessibility of analgesics, particularly opioids, should be implemented.
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spelling doaj.art-0deef1acb09846fcaffbc6d1e41466c92022-12-22T01:50:19ZengSurgical Society of KenyaThe Annals of African Surgery1999-96742523-08162022-07-01193144152http://dx.doi.org/10.4314/aas.v19i3.3Cancer-Related Bone Pain: Patients’ Satisfaction with Analgesic Pain ControlAndrew Tabu Kaggwa0https://orcid.org/0000-0001-9841-9667Protus Werunga Kituyi1https://orcid.org/0000-0002-7272-1734Elijah Nzeki Muteti2https://orcid.org/0000-0001-6953-6418Ramadhani Barry Ayumba3https://orcid.org/0000-0001-5503-6324School of Medicine, Moi University, Eldoret, KenyaDepartment of Surgery and Anesthesiology, Moi University, Eldoret, KenyaDepartment of Orthopedics and Rehabilitation Medicine, Moi University, Eldoret, KenyaDepartment of Orthopedics and Rehabilitation Medicine, Moi University, Eldoret, KenyaBackground: Management of cancer-related bone pain (CRBP) with analgesics poses a substantial challenge. This study aimed to determine the correlation between pain control satisfaction and prescribed analgesics. Methods: This 12-month descriptive prospective study included 96 adults who were consecutively sampled and followed up daily for 5 days. Eligible patients had histopathologically confirmed tumor, osseous lesion(s) on radiographs, and cognitive capacity to rank pain on the Numerical Rating Scale. Data were collected using questionnaires drafted from the Brief Pain Inventory. Self-assessed pain scores within the past 24 hours were reported on a scale of 0 (no pain) to 10 (worst pain). Pain control satisfaction was assessed as a single response question (satisfied, not sure, or dissatisfied). Associations were examined in multiple logistic regression models. Ethical approval and informed consent were obtained. Results: The median age was 57 (range, 19–90) years, and more males (52.1%) than females were recruited. The proportion of CRBP ranged from 83.3% to 86.5%, whereas that of moderate to severe pain ranged from 57.3% to 69.8%. Overall, 70.8% were satisfied with their pain control. Patients prescribed opioids (adjusted odds ratio, 0.027; p=0.041) had an increased likelihood of pain control satisfaction. Conclusion: Although a high percentage of patients experienced moderate to severe CRBP, a majority were satisfied with their analgesic pain control. Prescription opioids were associated with higher satisfaction. Policies that sustain ready accessibility of analgesics, particularly opioids, should be implemented.https://www.annalsofafricansurgery.com/cancer-related-bone-pain-patients-satisfaction-with-analgesic-pain-controlanalgesicsbone cancer painsatisfactiontreatment outcomes
spellingShingle Andrew Tabu Kaggwa
Protus Werunga Kituyi
Elijah Nzeki Muteti
Ramadhani Barry Ayumba
Cancer-Related Bone Pain: Patients’ Satisfaction with Analgesic Pain Control
The Annals of African Surgery
analgesics
bone cancer pain
satisfaction
treatment outcomes
title Cancer-Related Bone Pain: Patients’ Satisfaction with Analgesic Pain Control
title_full Cancer-Related Bone Pain: Patients’ Satisfaction with Analgesic Pain Control
title_fullStr Cancer-Related Bone Pain: Patients’ Satisfaction with Analgesic Pain Control
title_full_unstemmed Cancer-Related Bone Pain: Patients’ Satisfaction with Analgesic Pain Control
title_short Cancer-Related Bone Pain: Patients’ Satisfaction with Analgesic Pain Control
title_sort cancer related bone pain patients satisfaction with analgesic pain control
topic analgesics
bone cancer pain
satisfaction
treatment outcomes
url https://www.annalsofafricansurgery.com/cancer-related-bone-pain-patients-satisfaction-with-analgesic-pain-control
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