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Vol 2, No 4 (2003): Polish Palliative Medicine
Original articles
Published online: 2003-09-30
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Evaluation of effectiveness of pain therapy in patients admitted to the Białystok Hospice

Dominika Mucha, Monika Kruczkowska, Monika Rucińska, Marek Z. Wojtukiewicz
Advances in Palliative Medicine 2003;2(4):215-220.

open access

Vol 2, No 4 (2003): Polish Palliative Medicine
Original articles
Published online: 2003-09-30

Abstract

Background. Most cancer patients in terminal stage of the disease suffer from pain. The aim of this work was to evaluate pain and effectiveness of its treatment in patients of Hospice in Białystok.
Material and methods. Forty patients were recruited into the study. Visual analogue scale (VAS) was used for estimation of pain intensity.
Results. 30/40 patients (75%) suffered from pain on the first day of observation. 12/30 (40%) of patients had moderate pain (VAS > 3-5) and 11/30 (36,7%) of patients had strong pain (VAS > 5). All patients were treated according to the tree-step analgesic ladder of WHO. Drugs of I° provided adequate analgesia till the end of observation for one person, while drugs of II° for 11 patients. 66.6% of all examined individuals needed strong opioids. During pain treatment the percentage of patients with well-controlled pain was increasing, however on 21.4% of the examined days the patients still had moderate pain, and on 8.1% of all the days of observation the patients had strong pain.
Conclusions. 90% of palliative cancer patients suffer from pain. Pharmacotherapy according to the WHO tree-step analgesic ladder provides effective pain control for over two thirds of patients.

Abstract

Background. Most cancer patients in terminal stage of the disease suffer from pain. The aim of this work was to evaluate pain and effectiveness of its treatment in patients of Hospice in Białystok.
Material and methods. Forty patients were recruited into the study. Visual analogue scale (VAS) was used for estimation of pain intensity.
Results. 30/40 patients (75%) suffered from pain on the first day of observation. 12/30 (40%) of patients had moderate pain (VAS > 3-5) and 11/30 (36,7%) of patients had strong pain (VAS > 5). All patients were treated according to the tree-step analgesic ladder of WHO. Drugs of I° provided adequate analgesia till the end of observation for one person, while drugs of II° for 11 patients. 66.6% of all examined individuals needed strong opioids. During pain treatment the percentage of patients with well-controlled pain was increasing, however on 21.4% of the examined days the patients still had moderate pain, and on 8.1% of all the days of observation the patients had strong pain.
Conclusions. 90% of palliative cancer patients suffer from pain. Pharmacotherapy according to the WHO tree-step analgesic ladder provides effective pain control for over two thirds of patients.
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Keywords

pain; pharmacotherapy of pain

About this article
Title

Evaluation of effectiveness of pain therapy in patients admitted to the Białystok Hospice

Journal

Advances in Palliative Medicine

Issue

Vol 2, No 4 (2003): Polish Palliative Medicine

Pages

215-220

Published online

2003-09-30

Bibliographic record

Advances in Palliative Medicine 2003;2(4):215-220.

Keywords

pain
pharmacotherapy of pain

Authors

Dominika Mucha
Monika Kruczkowska
Monika Rucińska
Marek Z. Wojtukiewicz

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