Evaluation of the prevalence, pattern and management of cancer pain in Oncology Department, The Royal Hospital, Oman.

INTRODUCTION

Pain is under-treated in all parts of the world. Moderate to severe pain is experienced by the majority of patients with advanced disease. The aim of this study is to evaluate the prevalence, pattern and pain management in Oman.

METHODS

A prospective study was carried out during a 3 months period. We evaluated all admitted patients and only patients who were complaining of pain were eligible. Assessment of pain intensity and pain relief were done using measuring scales. All patients received pharmacological treatment according to WHO analgesic ladder.

RESULTS

A total of 335 admissions were recorded during the study period of which 100 patients (30%) were eligible for the study, 52% of cases were males. The mean age was 45 years +/- 16.2 years and the most common tumours were GIT and breast cancer. Sixty four patients had pain but did not complain about it. Forty-five patients (45%) had moderate pain but they did not routinely complain about it. The mean hospital stay was 3.5 days and the range 1- 10 days.

CONCLUSIONS

Most cancer patients deny pain for various reasons. Thorough history and repeated pain assessment are very important. Following the WHO analgesic ladder is simple and effective.