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Identifying pain-related concerns in routine follow-up clinics following oral and oropharyngeal cancer

World Journal of Clinical Oncology 2012年第8期3卷 116-125页

作者： Simon N Rogers Alexander J Cleator Derek Lowe naseem ghazali Regional Maxillofacial Unit University Hospital Aintree Liverpool L97LN United Kingdom Evidence-Based Practice Research Centre Faculty of Health Edge Hill University St Helens Road Ormskirk L39 4QP United Kingdom Faculty of Medicine University of Liverpool Duncan Building Daulby Street Liverpool L69 3GA United Kingdom

AIM:To describe clinical characteristics of head and neck cancer(HNC)patients with pain and those wishing to discuss pain concerns during ***:Cross-sectional,questionnaire study using University of Washington Quality of Life,version 4(UWQOL)and the Patients Concerns Inventory(PCI)in disease-free,post-treatment HNC *** pain on UW-QOL and indicating"Pain in head and neck"and"Pain elsewhere"on ***:One hundred and seventy-seven patientscompleted UW-QOL and *** prevalence of selfreported pain issues was 38%(67/177)comprising25%(44/177)with significant problems despite medications and 13%(23/177)with lesser or no problems but wishing to discuss *** aged under 65years and patients having treatment involving radiotherapy were more likely to have pain *** over half,55%(24/44)of patients with significant pain did not express a need to discuss *** with significant pain or others wanting to discuss pain in clinic had greater problems in physical and social-emotional functioning,reported suboptimal QOL,and also had more additional PCI items to discuss in clinic compared to those without significant pain and not wishing to discuss ***:Significant HNC-related pain is prevalent in the disease-free,posttreatment *** referral to a specialist pain team may be *** UW-QOL and PCI package is a valuable tool that may routinely screen for significant pain in outpatient clinics.

关键词： Pain Health related quality of life Patient Concerns Inventory Head and neck cancer Mouth neoplasm Quality of life Questionnaire

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