Open Access Open Access  Restricted Access Subscription Access

Evaluation of Palliative Care, Pain Management in Patients Receiving Chemo-Radiation in Sudan


Affiliations
1 Department of Radiotherapy and Nuclear Medicine, College of Medical Radiological Science, Sudan University of Science and Technology, Sudan
 

The palliative treatment as active total treat of patients whose disease is not quick to respond to therapeutic management. The intention of the management in the palliative treatment phase are mainly to control the symptoms, to enhance the value of life to patients who have limited remaining period. The aim of the study to evaluate the treatment of pain protocols for chemo-irradiation Patients using the EORTC-QOL-C30 survey form and patients' prognosis. This study is a cross-sectional study, which was performed in amongst the cancer patients in Sudan. The sample magnitude was 100 patients whose different types of tumors. All patients were underwent chemo-irradiation. The radiotherapy was delivered by using tele-cobalt and Linear acceralator machines. The prescribed radiation dose was (20-30 Gy for 4 sessions or five Gy fraction for 6 sessions). The following information was retrieved form patients' files system: patient age, gender, symptoms and its intervals, site of tumor and its magnitude, pain valuation, management outcomes, transfers and obedience to it, condition after treatment, and general condition at last recovery duration. The average age of the patients was 59 + 7.7 years (female) and 58 + 9.1 (male) (p < 0.005). Each EORTC-QOL-C30 questionnaire used to evaluate the patients' condition. The results of this research showed that there was augmentation stated (p < 0.005) in health related quality of life (HRQOL). The most patient’s use type of drugs of chemotherapy to treatment are platinum and less number, patient’s use drugs are Alkylating and Vinca alkaloids agents.

Keywords

Palliative Care, Cancer, Pain Management, Sudan.
User
Notifications
Font Size

  • Adami H. (2002) Textbook of Cancer Epidemiology. Oxford: Oxford University Press. 123-125.
  • Bomford CK, Sherrif SB and Kunkler IH. (2004) Walter's and Miller's Textbook of Radiotherapy, Radiation physics, Therapy and Oncology, Sixth edition: Churchill Livingstone, London. 124-156.
  • Abdallah YM. (2012) A short Textbook on Care of patient in Radiotherapy Department, LAMBART Academic Publishing GmbH & Co. KG, Germany. 123-140.
  • Gerald PM, Walter LJ and Raymond EL. (2005) Clinical Oncology 6th edition. London: Edward Arnold.
  • Hancock B and Bradshaw D. (2008) Lectures notes on Clinical Oncology. London; Blackwell Scientific Publications.102-115.
  • Beyeler CM, Bernhard J, Rufibach K, Morant R and Schmid HP. (2008) Quality of analgesic treatment in patients with advanced prostate cancer: Do we do a better job now? The Swiss Group for Clinical Cancer Research (SAKK) experience. Support Care Cancer.16, 461–467.
  • Salminen E, Clemens KE, Syrjanen K and Salmenoja H. (2008) Needs of developing the skills of palliative care at the oncology ward: An audit of symptoms among 203 consecutive cancer patients in Finland. Support Cancer Care. 16:38.
  • Abdallah YM, Gar-elnabi M and Eltom K (2015). Making Sense of Radiation; A guide to Radiation and Its Health Affects. International Journal of Health and Rehabilitation Sciences. 4(1):57-64.
  • Abdallah YM and Khalifa A. (2015) Estimating Environmental and Occupational Factors that Contribute to Cancer in Sudan. International Journal of Health and Rehabilitation Sciences (IJHRS). 4(2): 115-121.
  • Fainsinger RL and Nekolaichuk CL. (2008) A “TNM” classification system for cancer pain: The Edmonton Classification System for Pain (ECS-CP) Support Care Cancer.16, 547–555.
  • Abdallah YM . (2012) Analysis of Respiratory Motion in Chest Organs: During External Beam Radiotherapy. LAP LAMBERT Academic Publishing.42-61.
  • Smyth JF. (2008) Disclosing gaps between supportive and palliative care-the past 20 years. Support Care Cancer.16, 109–111.
  • Miyashita M, Hirai K, Morita T, Sanjo M, Uchitomi Y. (2008) Barriers to referral to inpatient palliative care units in Japan: A qualitative survey with content analysis. Support Cancer Care. 16, 217–22.
  • Beg MF, Miller MI, Trouve A and Younes L. (2011) Computing large deformation metric mappings via geodesic ows of di eomorphisms. International Journal of Computer and Visualization. 61. 139-157.
  • Berbeco RI, Mostafavi H, Sharp GC and Jiang SB. (2010) Towards fluoroscopic respiratory gating for lung tumours without radiopaque markers,Journal of Medical Physics and Biology. 50. 4481–4490.
  • Tsai LY, Li IF, Liu CP aand Change TY. (2008) Application of quality audit tools to evaluate care quality received by terminal cancer patients admitted to a palliative care unit. Support Care Cancer,16, 1067–1074.

Abstract Views: 538

PDF Views: 166




  • Evaluation of Palliative Care, Pain Management in Patients Receiving Chemo-Radiation in Sudan

Abstract Views: 538  |  PDF Views: 166

Authors

Yousif Mohamed Y. Abdallah
Department of Radiotherapy and Nuclear Medicine, College of Medical Radiological Science, Sudan University of Science and Technology, Sudan
Monera A. Omer
Department of Radiotherapy and Nuclear Medicine, College of Medical Radiological Science, Sudan University of Science and Technology, Sudan

Abstract


The palliative treatment as active total treat of patients whose disease is not quick to respond to therapeutic management. The intention of the management in the palliative treatment phase are mainly to control the symptoms, to enhance the value of life to patients who have limited remaining period. The aim of the study to evaluate the treatment of pain protocols for chemo-irradiation Patients using the EORTC-QOL-C30 survey form and patients' prognosis. This study is a cross-sectional study, which was performed in amongst the cancer patients in Sudan. The sample magnitude was 100 patients whose different types of tumors. All patients were underwent chemo-irradiation. The radiotherapy was delivered by using tele-cobalt and Linear acceralator machines. The prescribed radiation dose was (20-30 Gy for 4 sessions or five Gy fraction for 6 sessions). The following information was retrieved form patients' files system: patient age, gender, symptoms and its intervals, site of tumor and its magnitude, pain valuation, management outcomes, transfers and obedience to it, condition after treatment, and general condition at last recovery duration. The average age of the patients was 59 + 7.7 years (female) and 58 + 9.1 (male) (p < 0.005). Each EORTC-QOL-C30 questionnaire used to evaluate the patients' condition. The results of this research showed that there was augmentation stated (p < 0.005) in health related quality of life (HRQOL). The most patient’s use type of drugs of chemotherapy to treatment are platinum and less number, patient’s use drugs are Alkylating and Vinca alkaloids agents.

Keywords


Palliative Care, Cancer, Pain Management, Sudan.

References