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Characterization of chronic pain, pain interference, and daily pain experiences in adult survivors of childhood cancer: a report from the Childhood Cancer Survivor Study.
Alberts, Nicole M; Leisenring, Wendy; Whitton, Jillian; Stratton, Kayla; Jibb, Lindsay; Flynn, Jessica; Pizzo, Alex; Brinkman, Tara M; Birnie, Kathryn; Gibson, Todd M; McDonald, Aaron; Ford, James; Olgin, Jeffrey E; Nathan, Paul C; Stinson, Jennifer N; Armstrong, Gregory T.
Afiliação
  • Alberts NM; St. Jude Children's Research Hospital, Memphis, TN, United States.
  • Leisenring W; Concordia University, Montréal, QC, Canada.
  • Whitton J; Fred Hutchinson Cancer Research Center, Seattle, WA, United States.
  • Stratton K; Fred Hutchinson Cancer Research Center, Seattle, WA, United States.
  • Jibb L; Fred Hutchinson Cancer Research Center, Seattle, WA, United States.
  • Flynn J; The Hospital for Sick Children, Toronto, ON, Canada.
  • Pizzo A; St. Jude Children's Research Hospital, Memphis, TN, United States.
  • Brinkman TM; Concordia University, Montréal, QC, Canada.
  • Birnie K; St. Jude Children's Research Hospital, Memphis, TN, United States.
  • Gibson TM; University of Calgary, Calgary, AB, Canada.
  • McDonald A; St. Jude Children's Research Hospital, Memphis, TN, United States.
  • Ford J; National Cancer Institute, Rockville, MD, United States.
  • Olgin JE; St. Jude Children's Research Hospital, Memphis, TN, United States.
  • Nathan PC; St. Jude Children's Research Hospital, Memphis, TN, United States.
  • Stinson JN; University of California, San Francisco, CA, United States.
  • Armstrong GT; The Hospital for Sick Children, Toronto, ON, Canada.
Pain ; 165(11): 2530-2543, 2024 Nov 01.
Article em En | MEDLINE | ID: mdl-38981063
ABSTRACT
ABSTRACT Although survivors of childhood cancer are at an increased risk, little is known about the prevalence of chronic pain, associated interference, and daily pain experiences. Survivors (N = 233; mean age = 40.8 years, range 22-64 years; mean time since diagnosis = 32.7 years) from the Childhood Cancer Survivor Study completed pain and psychosocial measures. Survivors with chronic pain completed 2-week, daily measures assessing pain and psychological symptoms using mHealth-based ecological momentary assessment. Multivariable-modified Poisson and linear regression models estimated prevalence ratio estimates (PR) and mean effects with 95% confidence intervals (CI) for associations of key risk factors with chronic pain and pain interference, respectively. Multilevel mixed models examined outcomes of daily pain and pain interference with prior day symptoms. Ninety-six survivors (41%) reported chronic pain, of whom 23 (24%) had severe interference. Chronic pain was associated with previous intravenous methotrexate treatment (PR = 1.6, 95% CI 1.1-2.3), respiratory (PR = 1.8, 95% CI 1.2-2.5), gastrointestinal (PR = 1.6, 95% CI 11.0-2.3), and neurological (PR = 1.5, 95% CI 1.0-2.1) chronic health conditions, unemployment (PR = 1.4, 95% CI 1.0-1.9) and clinically significant depression and anxiety (PR = 2.9, 95% CI 2.0-4.2), as well as a diagnosis of childhood Ewing sarcoma or osteosarcoma (PR = 1.9, 95% CI 1.0-3.5). Higher pain interference was associated with cardiovascular and neurological conditions, unemployment and clinical levels of depression and/or anxiety, and fear of cancer recurrence. For male, but not female survivors, low sleep quality, elevated anxiety, and elevated depression predicted high pain intensity and interference the next day. A substantial proportion of childhood cancer survivors experience chronic pain and significant associated interference. Chronic pain should be routinely evaluated, and interventions are needed.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Dor Crônica / Sobreviventes de Câncer / Neoplasias Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Dor Crônica / Sobreviventes de Câncer / Neoplasias Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2024 Tipo de documento: Article