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Assessment of the Nature and Severity of Pain Using SF-MPQ for Cancer Patients at the National Institute of Oncology in Rabat in 2015

  • Nabila, Rouahi (Institut Superieur des Professions Infirmieres et Techniques de Sante) ;
  • Zineb, OuazzaniTouhami (Institut Superieur des Professions Infirmieres et Techniques de Sante) ;
  • Hasna, Ahyayauch (Institut Superieur des Professions Infirmieres et Techniques de Sante) ;
  • Nisrin, El Mlili (Institut Superieur des Professions Infirmieres et Techniques de Sante) ;
  • A, Filali-Maltouf (Laboratoire de Microbiologie, Faculte des Sciences, Universite Mohammed V) ;
  • Zakaria, Belkhadir (Institut National d'Oncologie, Madinat Al Irfane)
  • Published : 2016.08.01

Abstract

Background: Cancer is a worldwide health problem and pain is among the most common and unpleasant effects affecting well-being of cancer patients. Accurate description of pain can help physicians to improve its management. Many English tools have been developed to assess pain. Onkly a limited number of these are applied in Arab countries. Our aim was to assess the quality, the nature and the severity of pain using the short McGill Pain Questionnaire (SF-MPQ) on cancer patients in the National Institute of Oncology (NIO) in Rabat, Morocco. Materials and Methods: The tool used is the SF-MPQ inspired from the Arabic version of the MPQ. The subjects were cancer patients (N=182) attending the NIO, from 24th October 2015 to 8th January 2016, aging ${\geq}18$ years old, experiencing pain and coming to have or to update their pain medication. Results: The rate of participation was 96.3%. Eight patients had difficulties to express their pain using descriptors, but could use the Visual Analogue Scale (VAS) and the body diagram. The most frequent sensory descriptors were 'Throbbing', 'Shooting', 'Hot-Burning'. The most used affective descriptor was 'Tiring-Exhausting'. The mean VAS was 6.6 (2.4). The mean score of all items was 11.9 (7.8). The patients were suffering from severe pain. The internal consistency of the form was s acceptable. Conclusions: The findings indicate that most of the patients attending the pain center of the NIO could use the descriptors of the SF-MPQ to describe their pain. They indicate the usefulness of the SF-MPQ to assess the nature and the severity of pain in cancer patients. This tool should be tested in other Moroccan and Arabic contexts associated with other tools in clinical trials.

Keywords

McGill pain questionnaire;SF-MPQ;Pain;cancer patients;Morocco

References

  1. Agnew DC and Mersky H (1976). Words of chronic pain. Pain, 2, 73-81. https://doi.org/10.1016/0304-3959(76)90048-8
  2. Bailey CA and Davidson PO (1976). The language of pain intensity. Pain, 2, 319-24. https://doi.org/10.1016/0304-3959(76)90010-5
  3. Benhamou D (1998). Evaluation de la douleur postoperatoire. Ann Fr Anesth Reanim, 17, 555-72. https://doi.org/10.1016/S0750-7658(98)80040-3
  4. Bernabei R, Gambassi G, Lapane K, et al (1998). Management of pain in elderly patients with cancer. JAMA, 279, 1877-82. https://doi.org/10.1001/jama.279.23.1877
  5. Breivick H, Cherny N, Collet B, et al (2009). Cancer-related pain: a pan-European survey of prevalence, treatment and patient attitudes. Ann Oncol, 20, 1420-33. https://doi.org/10.1093/annonc/mdp001
  6. Cuffari L, Tesseroli de Siqueira JT, Nemr K, and Rapaport A (2006). Pain complaint as the first symptom of oral cancer : a descriptive study. Oral Surg Oral Med Oral Path Oral Radiol Endod, 2, 56-60.
  7. El Fakir S, Abda N, Bendahhou K et al (2014). The European organization for research and treatment of cancer quality of live questionnaire-BR 23 breast cancer-specific quality of life questionnaire: psychometric properties in a Moroccan sample of breast cancer patients. BMC Res Notes. 7, 53-59. https://doi.org/10.1186/1756-0500-7-53
  8. Elomrani F, Berrada N, L'annaz S, et al (2015). Pain and cancer : A systematic review. Gulf J Oncolog, 1, 32-7.
  9. Gauthier LR, Young A, Dworkin RH, et al (2014). Validation of the Short-Form McGill Pain questionnaire-2 in Younger and Older people with cancer pain. J Pain, 15, 756-70. https://doi.org/10.1016/j.jpain.2014.04.004
  10. GLOBOCAN 2012 (IARC). http://globocan.iarc.fr
  11. Harrison A (1988). Arabic pain word. Pain, 32, 239-50. https://doi.org/10.1016/0304-3959(88)90073-5
  12. Holtan A, Aass N, Nordoy T, et al (2007). Prevalence of pain in hospitalized cancer patients in Norway: a national survey. Palliat Med, 21, 7-13. https://doi.org/10.1177/0269216306073127
  13. Huijer HA, Sagherian K, and Tamim H (2015). Validation of the arabic version of the memorial symptom assessment scale among lebanese cancer patients. J Pain Symptom Manage, 50, 559-65. https://doi.org/10.1016/j.jpainsymman.2014.08.014
  14. Kornilov N, Lindberg MF, Gay C, et al (2016). Factors related to postoperative pain trajectories following total knee arthroplasty: a longitudinal study of patients admitted to a russian orthopaedic clinic. Pain Res Treat, 2016.
  15. Lalloo C, and Henry JL (2011). Evaluation of the Iconic Pain Assessment Tool by a heterogenous group of people in pain. Pain Res Manage, 6, 13-18.
  16. Larue F, Colleau SM, Brasseur L, and Cleeland CS (1995). Multicentre study of cancer pain and its treatment in France. BMJ, 310, 1034-37. https://doi.org/10.1136/bmj.310.6986.1034
  17. Lovejoy TI, Turk D, and Morasco BJ (2012). Evaluation of the psychometric properties of the revised Short-Form McGill Pain Questionnaire (SF-MPQ-2). J Pain, 13, 1250-57.
  18. MacDonald N, Ayoub J, Farley J, et al (2002). A Quebec survey of issues in cancer pain management. J Pain Symptom Manage, 23, 39-47. https://doi.org/10.1016/S0885-3924(01)00374-8
  19. McCarty P, Chammas G, Wiliams JF, Alaoui FM and Harif M (2004). Managing children’s cancer pain in Morocco. J Nurs Scholarsh, 36, 11-15. https://doi.org/10.1111/j.1547-5069.2004.04005.x
  20. Melzack R (1975). The McGill Pain Questionnaire: major properties and scoring methods. Pain, 1, 275-99.
  21. Melzack R (1987). The short -form McGill Pain Questionnaire. Pain, 30, 191-97. https://doi.org/10.1016/0304-3959(87)91074-8
  22. Nejmi M, Wang S, Mendoza TR, Gnig I, and Cleeland CS (2010). Validation and application of the Arabic version of the M.D. Anderson Symptom Inventory in Moroccan patients with cancer. J Pain Symptom Management, 40, 75-86. https://doi.org/10.1016/j.jpainsymman.2009.12.007
  23. Portenoy RK and Lesage P (1999). Management of cancer pain. Lancet, 353, 1695-1700. https://doi.org/10.1016/S0140-6736(99)01310-0
  24. Ripamonti C, Zeka E, Brunelli C, et al (2000). Pain experienced by patients hospitalized at the National Cancer Institute of Milan. : research project '' towards a pain-free hospital''. Tumori, 86, 412-18. https://doi.org/10.1177/030089160008600509
  25. Rouahi N, and Zouhdi Mi (2016). Arabic tools for assessment of multidimensions of pain and discomfort related to cancer. Asian Pac J Cancer Prev, 17, 2619-24.
  26. Saifan A, Bashayreh I, Batiha AM, and AbuRuz M (2015). Patient and family caregiver related barriers to effective cancer pain control. Pain Manag Nurs, 16, 400-10. https://doi.org/10.1016/j.pmn.2014.09.007
  27. Smith TJ and Saiki CB (2015). Cancer pain management. Mayo Clin Proc, 90, 1428-39. https://doi.org/10.1016/j.mayocp.2015.08.009
  28. Tazi MA, Er-Raki A and Benjaafar N (2013). Cancer incidence in Rabat, Morocco: 2006-08. Ecancermedicalscience, 7, 338.
  29. Tearman BH and Dar R (1986). Physician ratings of pain descriptors: potential diagnostic utility. Pain, 26, 45-51. https://doi.org/10.1016/0304-3959(86)90172-7
  30. Trinidad JM, Carnota AJ, Failde I, Torres LM (2015). Radiofrequency for the treatment of lumbar Radicular Pain: Impact of surgical indications. Pain Res Treat, 2015, 1-6.
  31. World Health Organization. World cancer report. 2014. http://www.who.int/cancer/publications/WRC_2014/en/
  32. Zanetti R, Tazi MA and Rosso S (2010). New data tell us more about cancer incidence in North-Africa. Eur J Cancer, 46, 462-66. https://doi.org/10.1016/j.ejca.2009.11.012