دورية أكاديمية
Post-operative pain management in head and neck cancer patients: predictive factors and efficacy of therapy
| العنوان: | Post-operative pain management in head and neck cancer patients: predictive factors and efficacy of therapy |
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| المؤلفون: | Bianchini, C., Malagò, M., CREMA, Laura, Aimoni, C., Matarazzo, T., Bortolazzi, S., Ciorba, A., Pelucchi, S., Pastore, A. |
| المساهمون: | Bianchini, C., Malagò, M., Crema, Laura, Aimoni, C., Matarazzo, T., Bortolazzi, S., Ciorba, A., Pelucchi, S., Pastore, A. |
| سنة النشر: | 2016 |
| المجموعة: | Università degli Studi di Ferrara: CINECA IRIS |
| مصطلحات موضوعية: | Head and neck cancer, Pain, Pain therapy, Quality of life, Surgery, Adolescent, Adult, Aged, 80 and over, Female, Head and Neck Neoplasm, Human, Male, Middle Aged, Postoperative, Prognosi, Retrospective Studie, Treatment Outcome, Young Adult, Analgesia, Pain Management, Otorhinolaryngology2734 Pathology and Forensic Medicine |
| الوصف: | There is increasing interest about all aspects of pain sensation for patients undergoing head and neck surgery, and efforts have been made to better assess, monitor and reduce the occurrence of pain. The aetiology of pain is considered to be “multifactorial”, as it is defined by several features such as personal experience, quality perception, location, intensity and emotional impact. The aim of this paper is: (i) to evaluate the efficacy of analgesic treatment in patients with head and neck cancer treated by surgery, and (ii) to study the variables and predictive factors that can influence the occurrence of pain. A total of 164 patients, affected by head and neck cancer and surgically treated, between December 2009 and December 2013, were included in this study. Data collected include age, gender, assessment of anaesthetic risk, tumour localisation, pathological cancer stage, TNM stage, type of surgery performed, complexity and duration of surgery, post-operative complications, postoperative days of hospital stay and pain evaluation on days 0, 1, 3 and 5 post-surgery. We studied the appropriateness of analgesic therapy in terms of incidence and prevalence of post-operative pain; we also related pain to patient characteristics, disease and surgical treatment to determine possible predictive factors. The population studied received adequate pain control through analgesic therapy immediately post-surgery and in the following days. No associations between gender, age and post-operative pain were found, whereas pathological cancer stage, complexity of surgery and tumour site were significantly associated with the risk of post-operative pain. Adequate pain control is essential in oncological patients, and particularly in head and neck cancer patients as the prevalence of pain in this localisation is reported to be higher than in other anatomical sites. Improved comprehension of the biological and psychological factors that characterise pain perception will help to enhance its control in the future. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | STAMPA |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/27196072; info:eu-repo/semantics/altIdentifier/wos/WOS:000375788100003; volume:36; issue:2; firstpage:91; lastpage:96; numberofpages:6; journal:ACTA OTORHINOLARYNGOLOGICA ITALICA; http://hdl.handle.net/11392/2401743Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-84966292016; http://www.actaitalica.it/issues/2016/2-2016/03-Bianchini.pdfTest; https://www.actaitalica.it/issues/2016/2-2016/03-Bianchini-ABS.htmlTest |
| DOI: | 10.14639/0392-100X-499 |
| الإتاحة: | https://doi.org/10.14639/0392-100X-499Test http://hdl.handle.net/11392/2401743Test http://www.actaitalica.it/issues/2016/2-2016/03-Bianchini.pdfTest https://www.actaitalica.it/issues/2016/2-2016/03-Bianchini-ABS.htmlTest |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.660AB267 |
| قاعدة البيانات: | BASE |
| DOI: | 10.14639/0392-100X-499 |
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