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van CCT (UK)


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van CCT (UK)


Effects of a pain consult and patient education and monitoring: a prospective study in oncology patients.


- candidate number1988
- NTR NumberNTR613
- ISRCTNISRCTN68236655
- Date ISRCTN created28-apr-2006
- date ISRCTN requested25-apr-2006
- Date Registered NTR22-feb-2006
- Secondary IDsEMC 2005 - 257 
- Public TitleEffects of a pain consult and patient education and monitoring: a prospective study in oncology patients.
- Scientific TitleEffects of a pain consult and patient education and monitoring: a prospective study in oncology patients.
- ACRONYMN/A
- hypothesisIt is hypothised that a pain consult at the specialized pain clinic in combination with Patient Education Program is more effective in reducing average pain intensity compared to a pain consult alone. A pain consult at the specialized pain clinic is more effective in reducing average pain intensity compared to standared care.
- Healt Condition(s) or Problem(s) studiedCancer
- Inclusion criteria1. Cancer-related pain or cancer treatment related pain for at least two weeks;
2. Nociceptive pain;
3. Average pain intensity score of 4 or more;
4. Accessibility by telephone;
5. A life expectancy of at least three months;
6. Informed consent.
- Exclusion criteria1. Neuropathic pain;
2. Residing in nusing home or retirement home;
3. Pain not treated with oral medication;
4. Radiotherapy in the past two weeks.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingDouble
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-feb-2006
- planned closingdate31-dec-2007
- Target number of participants165
- Interventions1. Second opinion pain consult at the specialist pain clinic;
2. Second opinion pain consult combined with Pain Education Program and monitoring by nurse specialists.
- Primary outcomeAverage pain reduction measured by numeric rating scale during the study period.
- Secondary outcomeEffect of the interventions after 2, 4 and 8 weeks at:
1. Adherence to ATC analgesics;
2. Worst pain reduction;
3. Average pain reduction;
4. Present pain reduction;
5. Proportion of patients with clinically relevant pain reduction;
6. Pain interference;
7. Quality of life;
8. Reduction of side effects;
9. Adequacy of pain treatment;
10. Pain knowledge.
- TimepointsN/A
- Trial web siteN/A
- statusinclusion stopped: follow-up
- CONTACT FOR PUBLIC QUERIESMSc. W.H. Oldenmenger
- CONTACT for SCIENTIFIC QUERIESMD. C.C.D. Rijt, van der
- Sponsor/Initiator Erasmus Medical Center
- Funding
(Source(s) of Monetary or Material Support)
Zorgonderzoek Erasmus Medical Center
- PublicationsN/A
- Brief summaryPatients with advanced cancer experience multiple symptoms. Among these symptoms pain is the most prevalent and feared: 15 – 77% of cancer patients experience pain. Although adequate pain treatment is now available for most patients, data have demonstrated that these methods are not used to their fullest, leading to inadequate pain relief in 42-65% patients. Pain management could be influenced by various factors, e.a. cause of pain, analgesics prescription, side effects and adherence. Physicians’ knowledge about pain, pain management and analgesics could affect patients pain, but patients’ misconceptions and beliefs could also influence the adequacy of pain management. To study which intervention would be most effective in reducing average pain intensity, patients will be randomised to:
1. standard care;
2. pain consult;
3. pain consult in combination with pain education.
- Main changes (audit trail)
- RECORD22-feb-2006 - 1-feb-2010


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