Copyright
©2012 Baishideng.
World J Clin Oncol. Aug 10, 2012; 3(8): 116-125
Published online Aug 10, 2012. doi: 10.5306/wjco.v3.i8.116
Published online Aug 10, 2012. doi: 10.5306/wjco.v3.i8.116
Table 6 Mention of pain in clinic letters and onward referral
| No significant pain and no wish to discuss pain | Significant pain | No significant pain but wish to discuss pain | |
| Number of clinics (number of patients) | 256 (110) | 85 (44) | 55 (23) |
| Number of clinics with clinic letters found | 240 | 79 | 51 |
| Pain mentioned in clinic letter | 12% (29/240) from 27 patients (26 patients once, 1 patient 3 times) | 56% (44/79) from 29 patients (19 patients once, 7 patients twice, 1 patient three times, 2 patients four times) | 47% (24/51) from 19 patients (14 patients once, 5 patients twice) |
| Onward referral for pain | 0.8% (2/240) | 11% (9/79) (1 patient once, 2 patients twice, 1 patient 4 times) | 8% (4/51) |
| Who was patient referred to | Consultant gastroenterologist (1) | Patient 1: first to consultant orthopaedic surgeon then three times to chronic pain team | Senior physiotherapist (2) |
| Consultant restorative dentist (1) | Patient 2: first to senior physiotherapist then to chronic pain management programme | Consultant in oral medicine (1) | |
| Patient 3: first to consultant orthopaedic surgeon then to palliative care | Consultant in pain relief (1) | ||
| Patient 4: to consultant in oral medicine | |||
| Pain medications mentioned in letter (often in combination) | Gabapentin (1), Oromorph (1), MST (1) | Aciclovir (1), Aspirin (1), Brufen (2), Codeine phosphate (1), Dicofenac (1), Fentanyl patch 25 (1), Gabapentin (7), Morphine patches (2), MST (1), Oromorph (6), Oxynorm (3), Oxycontin (2), Paracetamol (4),Solpadeine (1), Solpadol (1) | None mentioned |
| Pain as mentioned in letter (number of occasion) | Oral and teeth pain (7) | Single site: Jaw (7); Neck (5); Teeth (1); Face (2); Oral/throat (5); Chest (1); Shoulder (2); Hip (1) | Oral/throat pain (4) |
| Jaw pain (4) | Multiple sites: 10 | Generalised pain in treated area (2) | |
| Facial pain (3) | Related to function: 1 | Back pain (2) | |
| Shoulder pain (4) | Related to fear of cancer recurrence: 3 | Shoulder pain (2) | |
| Neck pain (2) | Related to fear of addition to analgesia: 1 | Neck (4) | |
| Ear pain (2) | Shoulder and neck pain (2) | ||
| Stomach pain (2) | Shoulder pain | ||
| Back pain (1) | Jaw pain (1) | ||
| Chest wall pain (1) |
- Citation: Rogers SN, Cleator AJ, Lowe D, Ghazali N. Identifying pain-related concerns in routine follow-up clinics following oral and oropharyngeal cancer. World J Clin Oncol 2012; 3(8): 116-125
- URL: https://www.wjgnet.com/2218-4333/full/v3/i8/116.htm
- DOI: https://dx.doi.org/10.5306/wjco.v3.i8.116