Effect of Cancer Pain Guideline Implementation on Pain Outcomes Among Adult Outpatients With Cancer-Related Pain: A Stepped Wedge Cluster Randomized Trial.

ABSTRACT:

Importance

An evidence-practice gap exists for cancer pain management, and cancer pain remains prevalent and disabling.

Objectives

To evaluate the capacity of 3 cancer pain guideline implementation strategies to improve pain-related outcomes for patients attending oncology and palliative care outpatient services.

Design, setting, and participants

A pragmatic, stepped wedge, cluster-randomized, nonblinded, clinical trial was conducted between 2014 and 2019. The clusters were cancer centers in Australia providing oncology and palliative care outpatient clinics. Participants included a consecutive cohort of adult outpatients with advanced cancer and a worst pain severity score of 2 or more out of 10 on a numeric rating scale (NRS). Data were collected between August 2015

SUBMITTER: Lovell MR 

PROVIDER: S-EPMC8861847 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature