Page 77 - CPG - Clinical Practice Guidelines - Management of Cancer Pain

Management of Cancer Pain (Second Edition)
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Follow-up care for patients with cancer pain can be provided at home,
primary care clinics or specialised outpatient clinics. With the advent of
better internet services, teleconferencing or video call services can also
be used to help patients who do not have easy access to conventional
follow-up.
Two recent observational studies supported the structured outpatient
follow-up of cancer patients:
• proper clinic guideline programme with a multidisciplinary
approach, availability of pain interventions and palliative
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than standard care in BPI pain intensity, adequacy of pain
management and medication adherence 129, level II-2

A home care service provided by community palliative care providers
can reach out to patients in their own homes. This is especially
important for patients who are unable to travel or have mobility issues. A
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in pain control between community home palliative care services and
standard care. 130, level I

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home, primary care clinics or specialised outpatient clinics including
palliative care and cancer pain clinics according to their preferences or
9
circumstances has been recommended.
There are many different types of healthcare technology that can be
used in delivering patient care. Videoconferencing can help when in-
person conversations are not feasible. A Cochrane systemic review
on telephone interventions for adults with cancer showed limited
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certainty of the evidence on this outcome was very low. 131, level I In a non-
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pain registration and prescription for analgesics compared with usual
care in cancer patients. 132, level II-1
In another systematic review assessing the effectiveness of mHealth
applications (apps) for self-management in improving pain, psychological
distress, fatigue or sleep outcomes in adult cancer survivors, three out
of four studies reported improvement in pain but only one showed a
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those not using it. 133, level I

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