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Managing Pain in Patients With Cancer: The Chinese Good Pain Management Experience

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单位: [1]Huazhong Univ Sci & Technol, Wuhan, Hubei, Peoples R China [2]Tongji Hosp, Wuhan, Hubei, Peoples R China [3]Shanghai Changzheng Hosp, Shanghai, Peoples R China [4]Peking Union Med Coll Hosp, Beijing, Peoples R China [5]Beijing Univ, Canc Hosp, Beijing, Peoples R China [6]Anhui Prov Hosp, Hefei, Anhui, Peoples R China [7]Tianjin Med Univ, Canc Inst & Hosp, Natl Clin Res Ctr Canc, Tianjin, Peoples R China [8]Guangdong Gen Hosp, Guangdong Lung Canc Inst, Guangzhou, Guangdong, Peoples R China [9]4th Mil Med Univ, Tangdu Hosp, Xian, Shaanxi, Peoples R China [10]4th Mil Med Univ, Tangdu Comprehens Canc Ctr, Ctr Canc Inst, Xian, Shaanxi, Peoples R China [11]Sun Yat Sen Univ, Canc Ctr, Guangzhou, Guangdong, Peoples R China [12]Harbin Med Univ, Affiliated Hosp 3, Harbin, Heilongjiang, Peoples R China [13]Nanjing Bayi Hosp, Peoples Liberat Army Canc Ctr, Nanjing 210002, Jiangsu, Peoples R China
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Purpose The number of cancer cases in China has increased rapidly from 2.1 million in 2000 to 4.3 million in 2015. As a consequence, pain management as an integral part of cancer treatment became an important health care issue. In March 2011, the Good Pain Management (GPM) program was launched to standardize the treatment of cancer pain and improve the quality of life for patients with cancer. With this work, we will describe the GPM program, its implementation experience, and highlight key lessons that can improve pain management for patients with cancer. Methods We describe procedures for the selection, implementation, and assessment procedures for model cancer wards. We analyzed published results in areas of staff training and patient education, pain management in practice, analgesic drugs administration, and patient follow-up and satisfaction. Results Pain management training enabled medical staff to accurately assess the level of pain and to provide effective pain relief through timely dispensation of medication. Patients with good knowledge of treatment of pain were able to overcome their aversion to opioid drugs and cooperate with nursing staff on pain assessment to achieve effective drug dose titration. Consumption of strong opioid drugs increased significantly; however, there was no change for weaker opioids. Higher pain remission rates were achieved for patients with moderate-to-severe pain levels. Proper patient follow-up after discharge enabled improved outcomes to be maintained. Conclusion The GPM program has instituted a consistent and high standard of care for pain management at cancer wards and improved the quality of life for patients with cancer. (c) 2016 by American Society of Clinical Oncology Licensed under the Creative Commons Attribution 4.0 License

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第一作者单位: [1]Huazhong Univ Sci & Technol, Wuhan, Hubei, Peoples R China [2]Tongji Hosp, Wuhan, Hubei, Peoples R China
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