Skip to main content
Top
Published in: Supportive Care in Cancer 9/2005

01-09-2005 | Original Article

The cancer pain experience of Israeli adults 65 years and older: the influence of pain interference, symptom severity, and knowledge and attitudes on pain and pain control

Authors: Marlene Z. Cohen, Catherine F. Musgrave, Deborah B. McGuire, Neville E. Strumpf, Mark F. Munsell, Tito R. Mendoza, Maya Gips

Published in: Supportive Care in Cancer | Issue 9/2005

Login to get access

Abstract

Goals

Little is known about Israeli elders’ cancer pain experience. The purpose of this study was to explore the cancer pain experience, including pain intensity, pain management index, pain interference, symptom severity, and knowledge and attitudes toward pain and pain control.

Patients and methods

Descriptive cross-sectional methods were used to obtain data with four instruments. The patients were 39 Israelis 65 years and older who were receiving outpatient treatment for cancer in a major hospital center in Israel.

Results

Results showed that over half (56.7%) reported severe worst pain and had negative pain management indexes (56.4%). In addition, knowledge and attitudes toward pain and pain control were poor (54.55%). There were no significant relationships between pain intensity and other variables. However, pain interference demonstrated a significant positive relationship with symptom severity. Post hoc analysis revealed that Ashkenazi Jewish and more educated patients reported significantly less pain interference than Sephardic Jewish patients.

Conclusion

Larger samples representative of the cultural differences in Israel are needed to more definitively identify elements of the cancer pain experience in Israeli elders that can be addressed to improve pain management.
Literature
1.
go back to reference Bernabei R, Gambassi G, Lapane K, Landi F, Gatsonis C, Dunlop R, Lipsitz L, Steel K, Mor V (1998) Management of pain in elderly patients with cancer. JAMA 279:1877–1882 Bernabei R, Gambassi G, Lapane K, Landi F, Gatsonis C, Dunlop R, Lipsitz L, Steel K, Mor V (1998) Management of pain in elderly patients with cancer. JAMA 279:1877–1882
2.
go back to reference Caraceni A, Mendoza TR, Mencaglia E, Baratella C et al (1996) A validation study of an Italian version of the Brief Pain Inventory (Breve Questionario per la Valutazione del Dolore). Pain 65(1):87–92 Caraceni A, Mendoza TR, Mencaglia E, Baratella C et al (1996) A validation study of an Italian version of the Brief Pain Inventory (Breve Questionario per la Valutazione del Dolore). Pain 65(1):87–92
3.
go back to reference Clarfield AM, Paltiel A, Gindin Y, Morginstin B, Dwolatzky T (2000) Country profile: Israel [electronic version]. J Am Geriatr Soc 28:980–984 Clarfield AM, Paltiel A, Gindin Y, Morginstin B, Dwolatzky T (2000) Country profile: Israel [electronic version]. J Am Geriatr Soc 28:980–984
4.
go back to reference Cleary JF, Carbone PP (1997) Palliative medicine in the elderly. Cancer 80(7):1335–1347 Cleary JF, Carbone PP (1997) Palliative medicine in the elderly. Cancer 80(7):1335–1347
5.
go back to reference Cleeland CS (1991) Pain assessment in Cancer. In Osoba D (ed) Effect of cancer on quality of life. CRC Press, Boca Raton, pp 293–305 Cleeland CS (1991) Pain assessment in Cancer. In Osoba D (ed) Effect of cancer on quality of life. CRC Press, Boca Raton, pp 293–305
6.
go back to reference Cleeland CS, Gonin R, Hatfield AK, Edmonson JH, Blum RH, Steward JA, Pandya KJ (1994) Pain and its treatment in outpatients with metastatic cancer. N Engl J Med 330:592–596CrossRefPubMed Cleeland CS, Gonin R, Hatfield AK, Edmonson JH, Blum RH, Steward JA, Pandya KJ (1994) Pain and its treatment in outpatients with metastatic cancer. N Engl J Med 330:592–596CrossRefPubMed
7.
go back to reference Cleeland CS, Nakamura Y, Mendoza TR, Edwards KR et al (1996) Dimensions of the impact of cancer pain in a four country sample: new information from multidimensional scaling. Pain 67(2–3):267–273 Cleeland CS, Nakamura Y, Mendoza TR, Edwards KR et al (1996) Dimensions of the impact of cancer pain in a four country sample: new information from multidimensional scaling. Pain 67(2–3):267–273
8.
go back to reference Cohen A, Stessman J, Ginsberg GM, Issler C et al (1995) The Jerusalem seventy year olds longitudinal study. II: background results from the initial home interview. Eur J Epidemiol 11(6):685–692 Cohen A, Stessman J, Ginsberg GM, Issler C et al (1995) The Jerusalem seventy year olds longitudinal study. II: background results from the initial home interview. Eur J Epidemiol 11(6):685–692
9.
go back to reference Ferrell BR, Ferrell B, Ahn C, Tran K (1994) Pain management for elderly patients with cancer at home. Cancer 74:2139–2146 Ferrell BR, Ferrell B, Ahn C, Tran K (1994) Pain management for elderly patients with cancer at home. Cancer 74:2139–2146
10.
go back to reference Ger LP, Ho ST, Sun WZ, Wang MS et al (1999) Validation of the brief pain inventory in a Taiwanese population. J Pain Symptom Manage 18(5):316–322 Ger LP, Ho ST, Sun WZ, Wang MS et al (1999) Validation of the brief pain inventory in a Taiwanese population. J Pain Symptom Manage 18(5):316–322
11.
go back to reference Given CW, Given B, Azzouz F, Kozachik S, Stommel M (2001) Predictors of pain and fatigue in the year following diagnosis among elderly cancer patients. J Pain Symptom Manage 21:456–466 Given CW, Given B, Azzouz F, Kozachik S, Stommel M (2001) Predictors of pain and fatigue in the year following diagnosis among elderly cancer patients. J Pain Symptom Manage 21:456–466
12.
go back to reference Given B, Given C, Azzouz F, Stommel M (2001) Physical functioning of elderly cancer patients prior to diagnosis and following initial treatment. Nurs Res 50(4):222–232 Given B, Given C, Azzouz F, Stommel M (2001) Physical functioning of elderly cancer patients prior to diagnosis and following initial treatment. Nurs Res 50(4):222–232
13.
go back to reference Given CW, Given B, Azzouz F, Stommel M, Kozachik S (2000) Comparison of changes in physical functioning of elderly patients with new diagnoses of cancer. Med Care 38:482–493 Given CW, Given B, Azzouz F, Stommel M, Kozachik S (2000) Comparison of changes in physical functioning of elderly patients with new diagnoses of cancer. Med Care 38:482–493
14.
go back to reference Herr KA, Mobily PR (1993) Comparison of selected pain assessment tools for use with the elderly. Appl Nurs Res 6(1):39–46 Herr KA, Mobily PR (1993) Comparison of selected pain assessment tools for use with the elderly. Appl Nurs Res 6(1):39–46
16.
go back to reference Jakobsson U, Klevsgard R, Westergren A, Hallberg IR (2003) Old people in pain: a comparative study. J Pain Symptom Manage 26(1):625–636 Jakobsson U, Klevsgard R, Westergren A, Hallberg IR (2003) Old people in pain: a comparative study. J Pain Symptom Manage 26(1):625–636
17.
go back to reference Johnson-Umezulike JM (1999) A comparison of pain perception of elderly African Americans and Caucasians. NursingConnections 12(2):5–12 Johnson-Umezulike JM (1999) A comparison of pain perception of elderly African Americans and Caucasians. NursingConnections 12(2):5–12
18.
go back to reference Juarez G, Ferrell B, Borneman T (1999) Cultural considerations in education for cancer pain management. J Cancer Educ 14:168–173 Juarez G, Ferrell B, Borneman T (1999) Cultural considerations in education for cancer pain management. J Cancer Educ 14:168–173
19.
go back to reference Kurtz ME, Kurtz JC, Given CW, Given B (1993) Loss of physical functioning among patients with cancer: a longitudinal view. Cancer Pract 1:275–281 Kurtz ME, Kurtz JC, Given CW, Given B (1993) Loss of physical functioning among patients with cancer: a longitudinal view. Cancer Pract 1:275–281
20.
go back to reference McGuire D (1995) The multiple dimensions of cancer pain: a framework for assessment and management. Cancer Pain Management, 2nd edn. Saunders, Philadelphia, pp 1–17 McGuire D (1995) The multiple dimensions of cancer pain: a framework for assessment and management. Cancer Pain Management, 2nd edn. Saunders, Philadelphia, pp 1–17
21.
go back to reference Mystakidou K, Mendoza T, Tsilika E, Befon S et al (2001) Greek brief pain inventory: validation and utility in cancer pain. Oncology 60(1):35–42 Mystakidou K, Mendoza T, Tsilika E, Befon S et al (2001) Greek brief pain inventory: validation and utility in cancer pain. Oncology 60(1):35–42
22.
go back to reference National Institutes of Health State-of-the-Science Panel (2004) National institutes of health state-of-the-science conference statement: symptom management in cancer: pain, depression, and fatigue, July 15–17, 2002. J Natl Cancer Inst Monographs 32:9–16 National Institutes of Health State-of-the-Science Panel (2004) National institutes of health state-of-the-science conference statement: symptom management in cancer: pain, depression, and fatigue, July 15–17, 2002. J Natl Cancer Inst Monographs 32:9–16
23.
go back to reference Portenoy RK, Payne D, Jacobsen P (1999) Breakthrough pain: Characteristics and impact in patients with cancer pain. Pain 81:129–134 Portenoy RK, Payne D, Jacobsen P (1999) Breakthrough pain: Characteristics and impact in patients with cancer pain. Pain 81:129–134
24.
go back to reference Radbruch L, Loick G, Kiencke P, Lindena G, Sabatowski R, Grond S, Lehmann KA, Cleeland CS (1999) Validation of the German version of the Brief Pain Inventory. J Pain Symptom Manage 18:180–187 Radbruch L, Loick G, Kiencke P, Lindena G, Sabatowski R, Grond S, Lehmann KA, Cleeland CS (1999) Validation of the German version of the Brief Pain Inventory. J Pain Symptom Manage 18:180–187
25.
go back to reference Riddell A, Fitch MI (1997) Patients’ knowledge of and attitudes toward the management of cancer pain. Oncol Nurs Forum 24:1775–1784 Riddell A, Fitch MI (1997) Patients’ knowledge of and attitudes toward the management of cancer pain. Oncol Nurs Forum 24:1775–1784
26.
go back to reference Saxena A, Mendoza T, Cleeland CS (1999) The assessment of cancer pain in north India: the validation of the Hindi Brief Pain Inventory—BPI-H. J Pain Symptom Manage 17(1):27–41 Saxena A, Mendoza T, Cleeland CS (1999) The assessment of cancer pain in north India: the validation of the Hindi Brief Pain Inventory—BPI-H. J Pain Symptom Manage 17(1):27–41
27.
go back to reference Serlin RC, Mendoza TR, Nakamura Y, Edwards KR, Cleeland CS (1995) When is cancer pain mild, moderate or severe? Grading pain severity by its interference with function. Pain 61:277–284CrossRefPubMed Serlin RC, Mendoza TR, Nakamura Y, Edwards KR, Cleeland CS (1995) When is cancer pain mild, moderate or severe? Grading pain severity by its interference with function. Pain 61:277–284CrossRefPubMed
28.
go back to reference SPSS Advanced Models 10.0 (1999). SPSS Inc, Chicago, IL SPSS Advanced Models 10.0 (1999). SPSS Inc, Chicago, IL
29.
go back to reference Twycross R, Harcourt J, Bergl S (1996) A survey of pain in patients with advanced cancer. J Pain Symptom Manage 12(5):273–282 Twycross R, Harcourt J, Bergl S (1996) A survey of pain in patients with advanced cancer. J Pain Symptom Manage 12(5):273–282
30.
go back to reference Uki J, Mendoza T, Cleeland CS, Nakamura Y et al (1998) A brief cancer pain assessment tool in Japanese: the utility of the Japanese brief pain inventory—BPI-J. J Pain Symptom Manage 16(6):364–373 Uki J, Mendoza T, Cleeland CS, Nakamura Y et al (1998) A brief cancer pain assessment tool in Japanese: the utility of the Japanese brief pain inventory—BPI-J. J Pain Symptom Manage 16(6):364–373
31.
go back to reference Ward SE, Carlson-Dakes K, Hughes SH, Kwekkeboom KL, Donovan HS (1998) The impact on quality of life of patient-related barriers to pain management. Res Nurs Health 21:405–413 Ward SE, Carlson-Dakes K, Hughes SH, Kwekkeboom KL, Donovan HS (1998) The impact on quality of life of patient-related barriers to pain management. Res Nurs Health 21:405–413
32.
go back to reference Wang SX, Mendoza T, Gao S, Cleeland C (1996) The Chinese version of the brief pain inventory (BPI-C): its development and use in a study of cancer pain. Pain 67:407–416 Wang SX, Mendoza T, Gao S, Cleeland C (1996) The Chinese version of the brief pain inventory (BPI-C): its development and use in a study of cancer pain. Pain 67:407–416
33.
go back to reference World Health Organization (1986) Cancer pain relief. WHO, Geneva World Health Organization (1986) Cancer pain relief. WHO, Geneva
34.
go back to reference Yeager KA, Miaskowski C, Dibble SL, Wallhagen M (1995) Differences in pain knowledge and perception of the pain experience between outpatients with cancer and their family caregivers. Oncol Nurs Forum 22(8):1235–1241 Yeager KA, Miaskowski C, Dibble SL, Wallhagen M (1995) Differences in pain knowledge and perception of the pain experience between outpatients with cancer and their family caregivers. Oncol Nurs Forum 22(8):1235–1241
Metadata
Title
The cancer pain experience of Israeli adults 65 years and older: the influence of pain interference, symptom severity, and knowledge and attitudes on pain and pain control
Authors
Marlene Z. Cohen
Catherine F. Musgrave
Deborah B. McGuire
Neville E. Strumpf
Mark F. Munsell
Tito R. Mendoza
Maya Gips
Publication date
01-09-2005
Publisher
Springer-Verlag
Published in
Supportive Care in Cancer / Issue 9/2005
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-005-0781-z

Other articles of this Issue 9/2005

Supportive Care in Cancer 9/2005 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine