BMJ supportive & palliative care · 2025
Effect of educational interventions in pain intensity and related outcomes in adults with oncological pain: a systematic review and meta-analysis.
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Henao Bermúdez Laura Isabel, Dominguez Palacios Lawrence, Rosero Ilem D, Guil Rocio, Ordoñez-Mora Leidy Tatiana
Аннотация
BACKGROUND: Pain is the second most prevalent symptom in patients with cancer after fatigue and is highly debilitating. There is an increasing emphasis on the prescription of non-pharmacological interventions, among which pain education is a prominent option. This study aimed to determine the effects of educational interventions on pain intensity and related outcomes in patients with oncological pain.
METHODS: A systematic review was conducted following Cochrane and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, with registration in PROSPERO CRD42022343205 from searches in the main databases such as PubMed, Science Direct, Taylor and Francis, Cochrane (CENTRAL) and Scopus without language restriction, including randomised clinical trials and observational studies using the following keywords: "Pain Education" AND "Cancer". The PEDro (Physiotherapy Evidence Database scale) scale and MINORS (methodological index for non-randomised studies) criteria were used to analyse the risk of bias.
RESULTS: 35 articles involving the use of educational interventions for patients with cancer pain were analysed in this study. Most protocols involved sessions implementing audiovisual aids, which the patient could easily access. The protocols showed significant results in terms of improvement in pain intensity, stress, quality of life and catastrophising in the intervened groups. Due to the heterogeneity of the interventions in the quantitative analysis, it was only possible to include six articles, which yielded significant results in improving pain (-0.65 (-1.18 to -0.12)).
CONCLUSIONS: It is concluded that educational interventions can be effective in the treatment of cancer pain and should be considered as a complement to palliative care treatment.
PROSPERO REGISTRATION NUMBER: CRD42022343205.
METHODS: A systematic review was conducted following Cochrane and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, with registration in PROSPERO CRD42022343205 from searches in the main databases such as PubMed, Science Direct, Taylor and Francis, Cochrane (CENTRAL) and Scopus without language restriction, including randomised clinical trials and observational studies using the following keywords: "Pain Education" AND "Cancer". The PEDro (Physiotherapy Evidence Database scale) scale and MINORS (methodological index for non-randomised studies) criteria were used to analyse the risk of bias.
RESULTS: 35 articles involving the use of educational interventions for patients with cancer pain were analysed in this study. Most protocols involved sessions implementing audiovisual aids, which the patient could easily access. The protocols showed significant results in terms of improvement in pain intensity, stress, quality of life and catastrophising in the intervened groups. Due to the heterogeneity of the interventions in the quantitative analysis, it was only possible to include six articles, which yielded significant results in improving pain (-0.65 (-1.18 to -0.12)).
CONCLUSIONS: It is concluded that educational interventions can be effective in the treatment of cancer pain and should be considered as a complement to palliative care treatment.
PROSPERO REGISTRATION NUMBER: CRD42022343205.