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Monday, 25 December 2017

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

1Levchenko OK, 2Berseneva EA, 3Kosolapova NV, 1Galstyan GM, 1Savchenko VG
National Research Center for Hematology, Moscow
N.A. Semashko National Public Health Research Institute, Moscow
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.,
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.

└bstract. 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


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