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Supportive Care in Cancer

, Volume 27, Issue 5, pp 1663–1672 | Cite as

Patients with head and neck cancer may need more intensive pain management to maintain daily functioning: a multi-center study

  • Shih-Feng Cho
  • Kun-Ming Rau
  • Yu-Yun Shao
  • Chia-Jui Yen
  • Ming-Fang Wu
  • Jen-Shi Chen
  • Cheng-Shyong Chang
  • Su-Peng Yeh
  • Tzeon-Jye Chiou
  • Ruey-Kuen Hsieh
  • Ming-Yang Lee
  • Yung-Chuan Sung
  • Kuan-Der Lee
  • Pang-Yu Lai
  • Ming-Sun Yu
  • Wen-Li Hwang
  • Ta-Chih LiuEmail author
Original Article

Abstract

Purpose

The purpose of this study is to investigate the prevalence of pain, pain management, and impact of recent pain on daily functioning in patients with head and neck cancer (HNC) and patients with other cancers.

Methods

This multi-center survey was conducted by using Brief Pain Inventory questionnaire to evaluate pain status and its impact on daily functioning.

Results

A total of 3289 patients were analyzed including 708 HNC patients and 2581 patients with other cancers. The overall pain prevalence was 69.17%. A higher percentage of HNC patients had recent pain (60.59 vs. 44.01%, P < 0.001), required pain management (86.29 vs. 72.03%, P < 0.001), and used any analgesics (53.81 vs. 34.52%, P < 0.001). HNC patients with pain management had a higher prevalence of recent pain (85.83 vs. 81.14%, P = 0.044) and a slightly lower satisfaction rate (74.00 vs. 79.70%, P = 0.070). Regarding the impact of pain on daily functioning, HNC patients had a lower mean interference score for general activity such as walking, normal work, sleep, and life enjoyment.

Conclusions

The HNC patients may need more intensive pain management to achieve optimal pain control and maintain daily functioning.

Keywords

Head and neck cancer Prevalence of pain Pain management Daily functioning Multi-center study 

Notes

Acknowledgements

This work was supported by the Taiwan Cancer Palliative Care Society and by Janssen Pharmaceuticals, Taiwan. Editorial support in the form of copyediting and manuscript formatting was provided by Cactus Communications and funded by Janssen Taiwan. This study was also supported by a grant from Kaohsiung Medical University Hospital (KMUH103-3M11).

Author contributions

S.F.C. and T.C.L. designed the study.

K.M.R., Y.Y.S., C.J.Y., M.F.W., J.S.C., C.S.C., Y.M.L., T.J.C., R.K.H., M.Y.L., Y.C.S., K.D.L., P.Y.L., M.S.Y., W.L.H., and T.C.L. collected clinical data.

S.F.C. and T.C.L. conducted the database interpretation and statistical analysis.

S.F.C. wrote the manuscript.

T.C.L. approved of the last version of the manuscript.

All the authors read and approved the final manuscript.

Compliance with ethical standards

Conflict of interest statement

We have read and understood the policy of Supportive Care in Cancer on disclosing conflicts of interest. The authors of this manuscript do not have any financial relationship with the organization that sponsored the research. The authors have full control of all primary data and agree to allow the journal to review study-related data if requested.

Supplementary material

520_2018_4404_MOESM1_ESM.doc (60 kb)
ESM 1 (DOC 60 kb)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Shih-Feng Cho
    • 1
    • 2
  • Kun-Ming Rau
    • 3
    • 4
  • Yu-Yun Shao
    • 5
  • Chia-Jui Yen
    • 6
  • Ming-Fang Wu
    • 7
    • 8
  • Jen-Shi Chen
    • 9
    • 4
  • Cheng-Shyong Chang
    • 10
  • Su-Peng Yeh
    • 11
  • Tzeon-Jye Chiou
    • 12
    • 13
  • Ruey-Kuen Hsieh
    • 14
  • Ming-Yang Lee
    • 15
  • Yung-Chuan Sung
    • 16
    • 17
  • Kuan-Der Lee
    • 18
  • Pang-Yu Lai
    • 19
  • Ming-Sun Yu
    • 20
  • Wen-Li Hwang
    • 21
  • Ta-Chih Liu
    • 1
    Email author
  1. 1.Division of Hematology and Oncology, Department of Internal MedicineKaohsiung Medical University Hospital, Kaohsiung Medical UniversityKaohsiungTaiwan
  2. 2.Faculty of Medicine, College of MedicineKaohsiung Medical UniversityKaohsiungTaiwan
  3. 3.Division of Oncology, Department of Internal MedicineKaohsiung Chang Gung Memorial HospitalKaohsiungTaiwan
  4. 4.College of Medicine, Chang Gung UniversityTaoyuanTaiwan
  5. 5.Department of OncologyNational Taiwan University HospitalTaipeiTaiwan
  6. 6.Division of Hematology and Oncology, Department of Internal MedicineNational Cheng Kung University HospitalTainanTaiwan
  7. 7.School of MedicineChung Shan Medical UniversityTaichungTaiwan
  8. 8.Division of Medical OncologyChung Shan Medical University HospitalTaichungTaiwan
  9. 9.Division of Medical Oncology in the Hematology and Oncology, Department of Internal Medicine,Linkou Chang Gung Memorial HospitalTaoyuanTaiwan
  10. 10.Department of Internal MedicineChanghua Christian HospitalChanghuaTaiwan
  11. 11.Division of Hematology and Oncology, Department of Internal MedicineChina Medical University HospitalTaichungTaiwan
  12. 12.Division of Transfusion Medicine, Department of MedicineTaipei Veterans General HospitalTaipeiTaiwan
  13. 13.School of Medicine, National Yang-Ming UniversityTaipeiTaiwan
  14. 14.Division of Hematology and Oncology, Department of Internal MedicineMackay Memorial HospitalTaipeiTaiwan
  15. 15.School of Medicine, College of Medicine, Fu-Jen Catholic UniversityNew Taipei CityTaiwan
  16. 16.Department of OncologyDitmanson Medical Foundation Chia-Yi Christian HospitalChiayiTaiwan
  17. 17.Division of Hematology-Oncology, Department of Internal MedicineCathay General HospitalTaipeiTaiwan
  18. 18.Division of Hematology and Oncology, Department of Internal MedicineChang Gung Memorial HospitalChia-yiTaiwan
  19. 19.Division of Hematology and OncologyE-DA HospitalKaohsiungTaiwan
  20. 20.Division of Hematology and Oncology, Department of Internal MedicineKaohsiung Veterans General HospitalKaohsiungTaiwan
  21. 21.Division of Hematology/Medical Oncology, Department of MedicineTaichung Veterans General HospitalTaichungTaiwan

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