Patients with cancer could benefit from a simple bedside system to manage their pain, according to a study published in the Journal of Clinical Oncology.
The new approach reduces pain levels compared with conventional care, according to Marie Fallon, MD, Palliative and Supportive Care Group, University of Edinburgh, Edinburgh, United Kingdom, and colleagues.
The researchers worked with doctors to develop the Edinburgh Pain Assessment and management Tool (EPAT) — a pen and paper chart which medical staff use to regularly record pain levels in a simple traffic light system.
Amber or red pain levels, indicating moderate or severe pain, prompts doctors to review medications and side effects and monitor pain more closely.
The trial looked at pain levels in almost 2,000 patients with cancer over 5 days, following admission to regional cancer centres.
Patients whose care included use of the chart reported less pain during this time, compared with patients with standard care, who did not show an improvement.
Importantly, use of the chart was not linked to higher medicine doses. The authors suggested that it works by encouraging doctors to ask the right questions and reflect on pain medications and side effects more frequently, before patients reach a crisis point.
The researchers said the system is a simple way to put pain management at the forefront of routine care, but cautioned that more studies are needed to understand how it could work longer term.
“These exciting findings show the important benefits of influencing doctors’ behaviours, rather than looking for more complex and expensive interventions,” said Dr. Fallon. “These findings are a positive step towards reducing the burden of pain for patients and making them as comfortable as possible at all stages of cancer.”
“In most cases it should be possible for cancer pain to be controlled if it is assessed and managed effectively,” said Martin Ledwick, MD, Cancer Research UK, London, United Kingdom. “Any work that encourages medical teams to assess and monitor pain more carefully to help this happen has to be a good thing for patients.”