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• W2895517223 abstract "1.1. Cancer painCancer pain is one of the most frequent and distressing symptoms of malignant diseases, which has a negative impact on the quality of life for both patients and carers.35 A recent meta-analysis suggests a pooled prevalence rate of 51% for pain in cancer patients regardless of their disease stage and 66% in those with advanced metastatic or terminal disease.36 Guideline-based treatment can significantly control cancer pain and it is estimated that cancer pain may be significantly relieved in between 70% and 90% of the cases with available analgesic therapies.10,13 Despite this, many patients continue to experience inadequate pain management and it has been estimated that around one-third of patients do not receive pain medication proportional to their pain intensity.11,19 The complex, biopsychological, and subjective nature of pain makes it a difficult symptom to measure and therefore to treat.38 Currently, there is no agreement on which is the best instrument to measure cancer pain.26Home is the preferred place of care and death for cancer patients approaching the end of life.17,32 However, cancer patients who receive care at home are less likely to have access to adequate analgesia compared with hospice or hospital.10,15 In addition, poorly controlled pain remains the main reason for patients with cancer to visit emergency departments and contact out-of-hours primary care services.2,28An important factor for patients and carers managing cancer pain at home is having adequate knowledge and understanding of pain and analgesic medications.22 This has important influences on the quality of pain management for patients at home.22 Factors such as knowledge deficits, insufficient information, and misconceptions regarding pain management have been found to inhibit optimal pain control.4,8,22 In addition, the knowledge and attitudes of health care providers towards analgesia and supporting self-management have an important influence on effective pain management for cancer patients.1 Therefore, interventions that target knowledge deficits and support self-management behaviours in patients, carers, and health care professionals can improve pain and quality of life outcomes for cancer patients and their carers.1,26" @default.
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• W2895517223 date "2018-11-01" @default.
• W2895517223 modified "2023-10-02" @default.
• W2895517223 title "Interventions to support self-management in cancer pain" @default.
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• W2895517223 doi "https://doi.org/10.1097/pr9.0000000000000690" @default.
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