22nd Annual Pain Medicine Meeting 2023

Practice Characteristics of an Outpatient Pain Medicine Clinic at a Large Cancer Center;
a Retrospective Review

BACKGROUND

•Increased cancer survival with pain in 55% of patients undergoing cancer treatment, 66% of patients with advanced disease, and 39% of patients after curative treatment

•WHO analgesic ladder reserves interventional treatments for after failure of medication management

METHODS

•Retrospective chart review of ten clinic days at the Huntsman Cancer Institute’s Pain Medicine outpatient clinic

RESULTS

•102 patients, 45.1% female

•Mean age: 56.1 years (SD=14.4)

•Majority of pain directly related to cancer

•27.5% reported pre-existing pain

•10.8% used opioids before cancer diagnosis

•5.9% had a history of substance use disorder

•Pain was characterized as

•Metastatic bone disease (52.0%)

•Neuropathic pain (56.9%)

•Visceral pain (35.3%)

•Chemotherapy-induced peripheral neuropathic pain (18.6%)

•Post-surgical pain syndrome (18.6%)

•Pain unrelated to cancer (25.5%)

•Cancer-survivor pain (15.7%)

•Management included

•Intrathecal pump implant (19.6%)

•Spine injection (11.8%)

•Neurolytic sympathetic block (7.8%)

•Intraarticular injection (4.9%)

•Neuromodulation (3.8%)

•Kyphoplasty (1%)

•Opioid management was observed in 75%

•Median oral morphine equivalent dose was 38mg/day

•Neuropathic medications were recommended in 52%

•‘Over-the-counter’ analgesics were suggested in 41.2%

22nd Annual Pain Medicine Meeting 2023

PRACTICE CHARACTERISTICS OF AN OUTPATIENT PAIN MEDICINE CLINIC AT A LARGE CANCER CENTER; A RETROSPECTIVE REVIEW

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