Skip to main content Accessibility help
×
Home

Prevalence of pain in head and neck cancer out-patients

  • J E Williams (a1), J T C Yen (a1), G Parker (a1), S Chapman (a1), S Kandikattu (a1) and Y Barbachano (a2)...

Abstract

Background:

This study aimed to determine the prevalence of pain, and the adequacy of its treatment, amongst patients with head and neck cancer, and to determine whether specific groups could be identified as being at risk of pain.

Methods:

Consecutive patients attending head and neck oncology out-patient services were surveyed.

Results:

The prevalence of pain was 34 per cent, lower than that found in systematic reviews. No specific risk factors for pain were identified. Particular pain problems in this population comprised a high incidence of neuropathic pain, breakthrough pain and pain of non-malignant origin.

Conclusion:

The prevalence of unrelieved pain was high in this study population, although no specific risk factors were found. A further study is planned to determine the effect of using a routine screening tool and an immediate pain treatment protocol in this group of patients.

Copyright

Corresponding author

Address for correspondence: Dr J E Williams, Head of Pain Services, Department of Anaesthetics and Pain Management, Royal Marsden NHS Foundation Trust, Fulham Road, London SW3 6JJ, UK. Fax: +44 (0)207 8118062 E-mail: john.williams@rmh.nhs.uk

References

Hide All
1van den Beuken-van Everdingen, MHJ, de Rijke, JM, Kessels, AG, Schouten, HC, van Kleef, M, Patijn, J. Prevalence of pain in patients with cancer: a systematic review of the past 40 years. Ann Oncol 2007;18:1437–49
2Deandrea, S, Montanari, M, Moja, L, Apolone, G. Prevalence of undertreatment in cancer pain. A review of published literature. Ann Oncol 2008;19:1985–91
3Cleeland, CS, Ryan, KM. Global use of the Brief Pain Inventory. Ann Acad Med 1994;23:129–37
4Bennett, M. The LANSS pain scale: the Leeds assessment of neuropathic pain symptoms and signs. Pain 2001;92:147–57
5Cleeland, CS, Gonin, R, Hatfield, AK, Edmonson, JH, Blum, RH, Stewart, JA, Pandya, KJ. Pain and its treatment in outpatients with metastatic cancer. N Engl J Med 1994;330:592–6
6World Health Organization. Cancer Pain Relief. Geneva: World Health Organization, 1986
7Olson, ML, Shedd, DP. Disability and rehabilitation in head and neck cancer patients after treatment. Head Neck Surg 1978;1:52–8
8Shedd, DP, Carl, A, Shedd, C. Problems of terminal head and neck cancer patients. Head Neck Surg 1980;2:476–82
9Robertson, MS, Hornibrook, J. The presenting symptoms of head and neck cancer. N Z Med J 1982;95:337–41
10Keefe, FJ, Manuel, G, Brantley, A, Crisson, J. Pain in the head and neck cancer patient: changes over treatment. Head Neck Surg 1986;8:169–76
11Weissman, DE, Janjan, N, Byhardt, RW. Assessment of pain during head and neck irradiation. J Pain Symptom Manage 1989;4:90–5
12Vecht, CJ, Hoff, AM, Kansen, PJ, de Boer, MF, Bosch, DA. Types and causes of pain in cancer of the head and neck. Cancer 1992;70:178–84
13Bjordal, K, Kaasa, S. Psychometric validation of the EORTC Core Quality of Life Questionnaire, 30-item version and a diagnosis-specific module for head and neck cancer patients. Acta Oncol 1992;31:311–21
14Grond, S, Zech, D, Lynch, J, Diefenbach, C, Schug, SA, Lehmann, KA. Validation of World Health Organization guidelines for pain relief in head and neck cancer. A prospective study. Ann Otol Rhinol Laryngol 1993;102:342–8
15Epstein, JB, Stewart, KH. Radiation therapy and pain in patients with head and neck cancer. Eur J Cancer B Oral Oncol 1993;29B:191–9
16Saxena, A, Gnanasekaran, N, Andley, M. An epidemiological study of prevalence of pain in head & neck cancers. Indian J Med Res 1995;102:2833
17Talmi, YP, Waller, A, Bercovici, M, Horowitz, Z, Pfeffer, MR, Adunski, A, Kronenberg, J. Pain experienced by patients with terminal head and neck carcinoma. Cancer 1997;80:1117–23
18Forbes, K. Palliative care in patients with cancer of the head and neck. Clin Otolaryngol 1997;22:117–22
19Chaplin, JM, Morton, RP. A prospective, longitudinal study of pain in head and neck cancer patients. Head Neck 1999;21:531–7
20Terrell, JE. Quality of life assessment in head and neck cancer patients. Hematol Oncol Clin North Am 1999;13:849–65
21Chua, KS, Reddy, SK, Lee, MC, Patt, RB. Pain and loss of function in head and neck cancer survivors. J Pain Symptom Manage 1999;18:193202
22Sist, T, Miner, M, Lema, M. Characteristics of postradical neck pain syndrome: a report of 25 cases. J Pain Symptom Manage 1999;18:95102
23Talmi, YP, Horowitz, Z, Pfeffer, MR, Stolik-Dollberg, OC, Shoshani, Y, Peleg, M, Kronenberg, J. Pain in the neck after neck dissection. Otolaryngol Head Neck Surg 2000;123:302–6
24Larue, F, Colleau, SM, Brasseur, L, Cleeland, CS. Multicentre study of cancer pain and its treatment in France. BMJ 1995;310:1034–7
25Salomon, L, Tcherny-Lessenot, S, Collin, E, Coutaux, A, Levy-Soussan, M, Legeron, MC, Bourgeois, P, Cesselin, F, Desfosses, G, Rosenheim, M. Pain prevalence in a French teaching hospital. J Pain Symptom Manage 2002;24:586–92
26Kehlet, H, Jensen, TS, Woolf, CJ. Persistent postsurgical pain: risk factors and prevention. Lancet 2006;367:1618–25
27Apolone, G, Mangano, S, Compagnoni, A, Negri, E, Mosconi, P, Mannino, S, Villa, M, Zuccaro, P.For the Cancer Pain Outcome Research Study Group. A multidisciplinary project to improve the quality of cancer pain management in Italy: background, methods, and preliminary results. J Ambul Care Manage 2006;29:332–41
28Valeberg, BT, Rust¢en, T, Bjordal, K, Hanestad, BR, Paul, S, Miaskowski, C. Self-reported prevalence, etiology, and characteristics of pain in oncology outpatients. Eur J Pain 2008;12:582–90
29Bruera, E, Scholler, T et al. A prospective multi-center assessment of the Edmonton Staging System for cancer pain. J Pain Symptom Manage 1995;10:348–55
30Caraceni, A, Portenoy, RK. An international survey of cancer pain characteristics and syndromes. IASP Task Force on Cancer Pain. International Association for the Study of Pain. Pain 1999;82:263–74
31Portenoy, RK, Payne, D, Jacobsen, P. Breakthrough pain: characteristics and impact in patients with cancer pain. Pain 1999;81:129–34
32Fortner, BV, Okon, TA, Portenoy, RK. A survey of pain-related hospitalizations, emergency department visits, and physicians office visits reported by cancer patients with and without history of breakthrough pain. J Pain 2002;3:3844

Keywords

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed