About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts
English

News feeds

Journal in Databases

eLIBRARY.RU - ÍÀÓ×ÍÀß ÝËÅÊÒÐÎÍÍÀß ÁÈÁËÈÎÒÅÊÀ

Google Scholar

Google Scholar

Main arrow Archive of previous Issues arrow ¹6 2017 (58) arrow ORGANIZING PAIN MANAGEMENT FOR PATIENTS WITH BLOOD DISORDERS. SYSTEMATIC REVIEW
ORGANIZING PAIN MANAGEMENT FOR PATIENTS WITH BLOOD DISORDERS. SYSTEMATIC REVIEW Print
Monday, 25 December 2017

DOI: 10.21045/2071-5021-2017-58-6-1

1Levchenko OK, 2Berseneva EA, 3Kosolapova NV, 1Galstyan GM, 1Savchenko VG
1
National Research Center for Hematology, Moscow
2
N.A. Semashko National Public Health Research Institute, Moscow
3
Russian Economic University named after GV Plekhanov, Moscow

Contacts: Levchenko Olga, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Levchenko O.K.,
http://orcid.org/0000-0003-1425-4370
Berseneva E.A., http://orcid.org/0000-0002-9343-9279
Kosolapova N.V., http://orcid.org/0000-0002-3624-0626
Galstyan G.M., http://orcid.org/0000-0001-8818-8949
Savchenko V.G., http://orcid.org/0000-0003-2935-4040
Acknowledgments. The study had no sponsorship.
Conflict of interests. The authors declare no conflict of interest.

Àbstract. Pain is one of the most common reasons for care seeking. Pain control in the developed countries is a quality indicator of health care delivery. Along with other diseases, blood disorders (such as hemophilia, multiple myeloma, Gaucher's disease, porphyria and others) are accompanied by acute and chronic pain. Treatment of the pain syndrome in such patients has its own peculiar characteristics and requires organization of a special service.

The purpose of this study is to analyze possibilities of designing a pain management system for patients with blood disorders and a subsequent development of basic concepts of this service.

Methods. To achieve this purpose, available domestic and foreign sources of literature were analyzed. The literature search was conducted in the scientific libraries eLIBRARY and PubMed to identify studies with terms and concepts related to pain, pain control, organization of pain management for patients with blood disorders in articles, titles or abstracts - more than 200 sources, 44 out of them were selected for analysis and synthesis. The other sources were excluded due to lack or incomplete information necessary for the study implementation.

Results. Despite the existing many recommendations on pain management, the world still registers inadequate and untimely diagnosis and treatment of pain. The main causes of ineffective pain management are: insufficient knowledge of pain management recommendations by the medical staff, frequent lack of appropriate documentation for assessment and treatment of pain in patient records, insufficient time for identifying pain and its characteristics due to stress, high intensity of work of physicians.

Discussion. Pain in patients with blood disorders is common and has peculiar characteristics and requires timely diagnosis, therapy, monitoring, and prevention. Due to complex pathogenesis and variety of pain types in hematological diseases, care should be of an interdisciplinary nature, that is, being provided by specially organized teams of specialists. Weaknesses and strengths of pain management organization for patients with blood disorders in hematology have been identified, proposals for the pain relieve service have been made.

Conclusions. Organization of pain management for patients of hematologic profile will result in better availability and quality of health care and decreased complications opening up the possibilities of early social rehabilitation of patients and regaining ability to work.

Keywords: hematology; pain; organization; pain management

References

  1. Andreev Yu.N. Mnogolikaya gemofiliya [Multi-faced hemophilia]. Moscow: N'yudiamed; 2006. (In Russian).
  2. Zorenko V. Yu. Rekonstruktivno-vosstanovitel'noe lechenie bol'nykh gemofiliey [Reconstructive and rehabilitation treatment of patients with hemophilia]. Dr. Med.Sci [dissertation]. Barnaul. 2007. 259 p. (In Russian).
  3. Levchenko O.K., Shulutko E.M., Zorenko V.Yu., Galstyan G.M. Osobennosti bolevogo sindroma u patsientov s gemofiliey [Features of pain syndrome in patients with hemophilia]. Terapevticheskiy arkhiv 2016; 88(7):84-88. (In Russian).
  4. Levchenko O.K., Shulutko E. M., Gemdzhyan E. G., Gorodetskiy V. M. Trombotsitopeniya i posleoperatsionnoe obezbolivanie [Thrombocytopenia and postoperative analgesia]. Anesteziologiya i reanimatologiya 2014;(5):27-32. (In Russian).
  5. Leyk N. Praktikum po strategicheskomu planirovaniyu [Workshop on strategic planning]. Moscow: Pokolenie; 2006. 304ð. (In Russian).
  6. Lukina E. A. Bolezn' Goshe: sovremennaya diagnostika i lechenie [Gauches’s disease: modern diagnosis and treatment.]. Klinicheskaya onkogematologiya 2009;(2):196-199. (In Russian).
  7. Martynov A.V., Prilukov M.D. O sovremennom sostoyanii pravovogo regulirovaniya v sfere oborota lekarstvennykh sredstv, soderzhashchikh narkoticheskie veshchestva. [On the current state of legal regulation in the field of drug containing medicines traffic]. Vestnik Nizhegorodskogo universiteta im. N.I. Lobachevskogo 2016;(2):143-150. (In Russian).
  8. Nalichie psikhoaktivnykh sredstv, nakhodyashchikhsya pod mezhdunarodnym kontrolem: obespechenie nadlezhashchego dostupa dlya meditsinskikh i nauchnykh tseley [Availability of psychoactive drugs under international control: ensuring adequate access for medical and scientific purposes]. UN Report. [Online]. 2011 [cited 2016 Feb.15]. Available from: http://www.un.org/ru/development/surveys/docs/incb2010.pdf. (In Russian).
  9. O strategii natsional'noy bezopasnosti Rossiyskoy Federatsii [On the National Security Strategy of the Russian Federation]. Ukaz Prezidenta RF ot 31.12.2015 ¹ 683. Sobranie zakonodatel'stva RF. 4.01.2016. ¹1 (Part II). Art. 212. (In Russian).
  10. Ob utverzhdenii Nomenklatury dolzhnostey meditsinskikh rabotnikov i farmatsevticheskikh rabotnikov [On approval of the Nomenclature of posts for health and pharmaceutical workers]. Prikaz Ministerstva zdravookhraneniya RF ot 20 dekabrya 2012 g. ¹ 1183n. Rossiyskaya gazeta ¹65. 2013 Mar 27. (In Russian).
  11. Ob utverzhdenii Poryadka okazaniya meditsinskoy pomoshchi naseleniyu po profilyu "gematologiya" [On approval of the Procedure of providing medical care to the population in "hematology"]. Prikaz Ministerstva zdravookhraneniya RF ot 15 noyabrya 2012 g. ¹ 930n. Rossiyskaya gazeta ¹ 122/1. 2013 Jun 7. (In Russian).
  12. Ob utverzhdenii Poryadka okazaniya meditsinskoy pomoshchi vzroslomu naseleniyu po profilyu «anesteziologiya i reanimatologiya» [On approval of the Procedure of providing medical care to adult population in "anaesthesiology and reanimatology"]. Prikaz Ministerstva zdravookhraneniya RF ot 15 noyabrya 2012 g. ¹ 919n. Rossiyskaya gazeta ¹6054 (787). 2013 Apr 11. (In Russian).
  13. Ob osnovakh okhrany zdorov'ya grazhdan v Rossiyskoy Federatsii [On the basis of population health protection in the Russian Federation]. Federal'nyy zakon ot 21.11.2011 ¹ 323-FZ. Sobranie zakonodatel'stva RF. 28.11.2011. ¹48. St. 6724. (In Russian).
  14. Ovechkin A.M. Posleoperatsionnyy bolevoy sindrom: kliniko–patofiziologicheskoe znachenie i perspektivnye napravleniya terapii [Postoperative pain syndrome: clinical and pathophysiological significance and perspective directions of the therapy]. Consilium Medicum 2005; 7(6):486–490. (In Russian).
  15. Ovechkin A.M., Nikoda V.V. Evropa protiv boli. Obozrenie materialov IV Kongressa Evropeyskoy Federatsii mezhdunarodnoy assotsiatsii po izucheniyu boli (EFIC) [Europe against pain. Review of the IV Congress of the European Federation of the International Association for the Study of Pain (EFIC).] Rossiyskiy zhurnal boli 2004;4(3):69–72. (In Russian).
  16. Pustovoyt Ya.S., Galstyan G. M., Savchenko V. G. Diagnosticheskaya rol' otdel'nykh sindromov i simptomov v semiotike ostrykh porfiriy [Diagnostic role of individual syndromes and symptoms in the semiotics of acute porphyria]. Gematologiya i transfuziologiya 2014;(3):35-39. (In Russian).
  17. Savchenko V.G., editor. Programmnoe lechenie zabolevaniy sistemy krovi: sbornik algoritmov diagnostiki i protokolov lecheniya zabolevaniy sistemy krovi. [Programmed treatment of the blood system diseases: collection of diagnostic algorithms and protocols for treating blood system diseases]. Moscow: Praktika; 2006. 515p. (In Russian).
  18. Arendts G, Fry M. Factors associated with delay to opiate analgesia in emergency departments. J Pain 2006; 7(9):682–6.
  19. Augarten A, Zaslansky R, Matok Pharm I, Minuskin T, Lerner-Geva L, Hirsh-Yechezkel G, et al. The impact of educational intervention programs on pain management in a pediatric emergency department. Biomed Pharmacother. 2006; 60(7):299–302.
  20. Cartoni C1, Brunetti GA, Federico V, Efficace F, Grammatico S, Tendas À., et al. Controlled-release oxycodone for the treatment of bortezomib-induced neuropathic pain in patients with multiple myeloma. Support Care Cancer 2012;20(10):2621-6.
  21. Choi HK, Hernan MA, Seeger JD, Robins JM, Wolfe F. Methotrexate and mortality in patients with rheumatoid arthritis: a prospective study. Lancet 2002; 359:1173–1177.
  22. Eder SC, Sloan EP, Todd K. Documentation of ED patient pain by nurses and physicians. Am J Emerg Med. 2003; 21(4):253–7.
  23. Fosnocht DE, Heaps ND, Swanson ER. Patient expectations for pain relief in the ED. Am J Emerg Med. 2004; 22(4):286–8.  
  24. Fry M, Bennetts S, Huckson S. An Australian audit of ED pain management patterns. J Emerg Nurs. 2011;37(3):269–74.
  25. Gaskin DJ, Richard P. The economic costs of pain in the United States. JPain 2012;13(8):715–724.
  26. Gordon DB, Dahl JL, Miaskowski C, McCarberg B, Todd KH, Paice JA, et al. American pain society recommendations for improving the quality of acute and cancer pain management: American Pain Society Quality of Care Task Force. Arch Intern Med. 2005;165(14):1574–80.
  27. Gueant S, Taleb A, Borel-Kuhner J, Cauterman M, Raphael M, Nathan G, et al. Quality of pain management in the emergency department: results of a multicentre prospective study. Eur J Anaesthesiol. 2011;28(2):97–105.
  28. Holdgate A, Shepherd SA, Huckson S. Patterns of analgesia for fractured neck of femur in Australian emergency departments. Emerg Med Australas. 2010; 22(1):3–8.
  29. International Association for the Study of Pain (IASP). Desirable characteristics for pain treatment facilities. [Online].1990 [cited 2005 Nov14]. Available from: http://www.iasp-pain.org/desirabl.html
  30. Jacobsson LT, Turesson C, Nilsson JA, Petersson IF, Lindqvist E, Saxne T, et al. Treatment with TNF blockers and mortality risk in patients with rheumatoid arthritis. Ann Rheum Dis. 2007;66: 670–675.
  31. Johansson SE, Sundquist J. Change in lifestyle factors and their influence on health status and all-cause mortality. Int J Epidemiol. 1999; 28:1073–1080.
  32. Lanser P, Gesell S. Pain management: the fifth vital sign. Healthcare Benchmarks 2001; 8(6):68–70
  33. Lecky F, Benger J, Mason S, Cameron P, Walsh C; IFEM Quality Symposium Working Group. The International Federation for Emergency Medicine framework for quality and safety in the emergency department. Emerg Med J. 2014 Nov;31(11):926-9.
  34. Lin HYCheng TTWang JHLee CSChen MHLei V, et al. Etoricoxib improves pain, function and quality of life: results of a realworld effectiveness trial. Int J Rheum Dis. 2010;13: 144–150.
  35. Low SJ, Wong SS, Qiu Q, Lee Y, Chan TC, Irwin MG, et al. An Audit of Changes in Outcomes of Acute Pain Service: Evolution Over the Last 2 Decades. Medicine (Baltimore). 2015;94(40):1673–9.
  36. Macintyre PE, Walker SM. The scientific evidence for acute pain treatment. Curr Opin Anaesthesiol. 2010; 23(5):623–8.
  37. Patrick PA, Rosenthal BM, Iezzi CA, Brand DA. Timely pain management in the emergency department. J Emerg Med. 2015;48(3):267-73.
  38. Pina LTS, Gouveia DN, Costa JS, Quintans JSS, Quintans-Júnior LJ, Barreto RSS, et al. New perspectives for chronic pain treatment: a patent review (2010-2016). Expert Opin Ther Pat. 2017;27(7):787-796.
  39. Rawal N., Berggren L. Organization of acute pain services – a low cost model. Pain. 1994; 57: 117–123.
  40. Rupp T, Delaney KA. Inadequate analgesia in emergency medicine. Ann Emerg Med. 2004;43(4):494–503.
  41. Safdar B, Heins A, Homel P, Miner J, Neighbor M, DeSandre P, et al. Impact of physician and patient gender on pain management in the emergency department-a multicenter study. Pain Med. 2009;10(2):364–72.
  42. Schull MJ, Guttmann A, Leaver CA, Vermeulen M, Hatcher CM, Rowe BH, et al. Prioritizing performance measurement for emergency department care: consensus on evidence-based quality of care indicators. CJEM. 2011;13(5):300–9.
  43. Stadler M, Schlander M, Braeckman M, Nguyen T, Boogaerts JG. A cost-utility and cost-effectiveness analysis of an acute pain service. J Clin Anesth. 2004;16(3):159-67.
  44. Wilsey BL, Fishman SM, Crandall M, Casamalhuapa C, Bertakis KD. A qualitative study of the barriers to chronic pain management in the ED. Am J Emerg Med. 2008; 26(3):255–63.

Views: 9895

Comments (1)
1. 30-11-2020 13:18
Îòëè÷íàÿ ðàáîòà!
Written by Ëþäìèëà Ìåäâåäåâà ( This e-mail address is being protected from spam bots, you need JavaScript enabled to view it ) (Guest)

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:

Code:* Code

Last Updated ( Friday, 29 December 2017 )
Next >
home contact search contact search