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KMID : 0383820090670030221
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Tuberculosis and Respiratory Diseases
2009 Volume.67 No. 3 p.221 ~ p.225
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Pain Management Based on NCCN Guideline in Patients with Lung Cancer
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Kim Hyeon-Tae
Koh Kyung-Won
Kim Yeo-Myeong
Kang Min-Soo
Noh Hee-Seon
Kim Hye-Ryoun
Kim Cheol-Hyeon
Lee Jae-Cheol
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Abstract
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Background: Pain is one of the most troublesome problems caused by malignancy. We evaluated the change in pain status according to observance of NCCN guidelines in lung cancer patients.
Methods: Lung cancer patients complaining of pain at admission were examined. The pain was assessed with visual analogue scale (VAS) for 20 days and moderate-to-severe pain was defined as more than VAS level 3. The guideline observance was classified as high (more than 80%), medium (50∼79%) and low (less than 50%).
Results: Among the total 91 lung cancer patients with pain, 34 patients (37%) had moderate-to-severe pain. Their average VAS score at admission was 5.6. It decreased to 2.9 after a 20-day period of pain management. The time to reach a VAS less than 3 was 3 days in a high guideline observance group, while it took 6 days in a low observance group. In addition, the pain in the high observance group was controlled to less than 3 VAS level in 86% of patients, whereas only 25% of patients in the low observance group succeeded.
Conclusion: Pain was more effectively controlled when the dose of drugs was modified according to NCCN guidelines in lung cancer patients indicating the importance of guideline observance in pain management.
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KEYWORD
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Pain, NCCN guideline, Lung neoplasms
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