Pain Control More Easily Achieved With Nurse-Led Education in Bone Metastases

Share this content:
A phase 3 study demonstrated the impact of nurse-led education on pain vs care as usual in terms of number of patients reporting pain scores.
A phase 3 study demonstrated the impact of nurse-led education on pain vs care as usual in terms of number of patients reporting pain scores.

Patients undergoing radiotherapy (RT) for painful bone metastases achieved better pain control quicker if they also received nurse-led education (NLE) on pain, according to study results presented at the 2017 Palliative and Supportive Care in Oncology Symposium.

Although RT is an effective treatment for patients with painful bone metastases, patients do not always achieve adequate pain control. The purpose of this study was to evaluate the effect NLE would have among this patient population in controlling pain compared with care-as-usual (CAU).

For this phase 3 study, researchers randomly assigned 354 patients with uncontrolled pain 1:1 to receive NLE or CAU prior to starting RT. NLE comprised a structured interview assessing patient knowledge of pain, verbal and written education materials on pain, and follow-up calls at 1, 4, 8, and 12 weeks to address questions associated with pain. Patients receiving CAU only received leaflets on RT, opioid use, and cancer pain.

At 12-week follow-up, approximately 52% of patients completed the study. Patients in the NLE arm reported achieving a pain score of less than 5 on the number rating scale compared with patients in CAU arm (66% vs 52%, respectively; P =.036).

Patients in the NLE arm also reported reaching a pain score of less than 5 in 31 days vs 54 days for the patients in the CAU arm (P =.026).

The authors concluded that controlled pain was reached “faster and by more patients with painful bone metastases undergoing RT by the addition of nurse-led pain education.”

Reference

1. Geerling JI, Raijmakers N, Mul VEM, et al. The effect of nurse-led pain education of patients with painful bone metastases on pain and quality of life: A multicenter randomized trial. Poster presentation at: 2017 Palliative and Supportive Care in Oncology Symposium; October 27-28, 2017; San Diego, CA. Abstract 203.

You must be a registered member of ONA to post a comment.

Sign Up for Free e-newsletters

Regimen and Drug Listings

GET FULL LISTINGS OF TREATMENT Regimens and Drug INFORMATION

Bone Cancer Regimens Drugs
Brain Cancer Regimens Drugs
Breast Cancer Regimens Drugs
Endocrine Cancer Regimens Drugs
Gastrointestinal Cancer Regimens Drugs
Genitourinary Cancer Regimens Drugs
Gynecologic Cancer Regimens Drugs
Head and Neck Cancer Regimens Drugs
Hematologic Cancer Regimens Drugs
Lung Cancer Regimens Drugs
Other Cancers Regimens
Rare Cancers Regimens
Skin Cancer Regimens Drugs