Page 26 - CPG - Clinical Practice Guidelines - Management of Cancer Pain
P. 26
Management of Cancer Pain (Second Edition)
3.2.3 Investigations
Investigations may be necessary to support the diagnosis and/
or assist clinical decision-making in certain conditions. These may
include radiological investigations such as plain X-rays, bone scans,
computerised tomography (CT) scans and magnetic resonance imaging
(MRI), and blood investigations e.g., liver and renal function tests.
Investigations should be ordered only if the results could potentially
LQÀXHQFH FOLQLFDO PDQDJHPHQW
3.3 Pain Assessment Tools
Effective pain management requires careful assessment and
documentation of the pain. Pain assessment tools incorporate
unidimensional and multidimensional measures. The most commonly
used unidimensional assessment tools which are validated and
adequately reliable are:
9LVXDO $QDORJXH 6FDOH 9$6
1XPHULFDO 5DWLQJ 6FDOH 156
9HUEDO 5DWLQJ 6FDOH 956
)DFHV 3DLQ 6FDOH )36
It is crucial to determine suitable assessment tools for each patient
according to his/her ability to use the tools. The scores should be
carefully interpreted by healthcare providers. Pain assessment using
D XQLGLPHQVLRQDO VFDOH LV HDVLO\ H[HFXWHG ZLWK PLQLPDO WUDLQLQJ DQG
VXVWDLQDEOH LQ RXWSDWLHQW VHWWLQJV ,Q WKH LPSOHPHQWDWLRQ RI ³3DLQ DV WKH
WK 9LWDO 6LJQ´ 0R+ KDV DGYRFDWHG WKH SDLQ DVVHVVPHQW WRROV DV OLVWHG
in $SSHQGL[ D 0R+ 3DLQ 6FDOH F 956 14
$ FRUUHODWLRQDO VWXG\ RQ YDULRXV XQLGLPHQVLRQDO WRROV > 156 )DFHV
3DLQ 6FDOH )36 9HUEDO 'HVFULSWRU 6FDOH 9'6 DQG D PL[HG VFDOH
FRQVLVWLQJ RI 156 )36 DQG 9'6 @ LQ FDQFHU SDWLHQWV DJHG
years showed: 15, level III
• all four scales were reliable and valid for assessing cancer pain
156 KDG WKH KLJKHVW WHVW UHWHVW UHOLDELOLW\ IRU FXUUHQW SDLQ
9'6 KDG WKH KLJKHVW UHOLDELOLW\ IRU OHDVW SDLQ
)36 KDG WKH KLJKHVW UHOLDELOLW\ IRU DYHUDJH SDLQ
PL[HG VFDOH KDG WKH KLJKHVW UHOLDELOLW\ IRU ZRUVW SDLQ
A large systematic review measured assessment tools (unidimensional
and multidimensional) for cancer pain in adults based on psychometric
properties and clinical utility. The highly recommended tools
were: 16, level III
0F*LOO 3DLQ 4XHVWLRQQDLUH 034 6KRUW )RUP
156
9$6
8
e-cpg inside text-Cancer pain-25/5/24.indd 8 09/08/2024 12:09 AM
