Department of Medicine and Surgery, Ambrose Alli University, Ekpoma, Nigeria
Division of Research, Cancer Advocacy Nigeria, Edo, Nigeria.
BMJ Open. 2024 Nov 2;14(11):e087066. doi: 10.1136/bmjopen-2024-087066.
Cancer pain management is critical, especially at advanced stages. This is particularly important in Africa as most cancers are typically diagnosed at advanced stages. Given the central role of adequate pain management in advanced cancer care, this scoping review aims to examine the utilisation of patient-controlled analgesia (PCA) in cancer pain management within African healthcare settings.
This scoping review will apply the Arksey and O'Malley framework. A systematic search will be conducted in PubMed, African Journals Online and Google Scholar, focusing on studies conducted in Africa involving PCA and cancer pain. A two-step screening process will be used, title/abstract screening and full-text screening, with inclusion criteria emphasising relevance to cancer pain, PCA usage and African context. A thematic analysis approach will categorise data into themes related to PCA utilisation, effectiveness, barriers and outcomes. Tables and figures will be used for presentation.
This review will involve a secondary analysis of already published literature; therefore, ethical approval is not required. The findings of our scoping review will be published in an open-access, peer-reviewed journal on completion.
癌症疼痛管理至关重要,尤其是在晚期阶段。在非洲,这一点尤为重要,因为大多数癌症通常在晚期才被诊断出来。鉴于充分的疼痛管理在晚期癌症护理中的核心作用,本范围综述旨在探讨在非洲医疗保健环境中,患者自控镇痛 (PCA) 在癌症疼痛管理中的应用。
本范围综述将应用阿特赛和奥马利框架。将在 PubMed、非洲期刊在线和谷歌学术上进行系统搜索,重点关注在非洲进行的涉及 PCA 和癌症疼痛的研究。将采用两步筛选过程,即标题/摘要筛选和全文筛选,并强调与癌症疼痛、PCA 使用和非洲背景相关的纳入标准。主题分析方法将把数据分类为与 PCA 使用、有效性、障碍和结果相关的主题。将使用表格和图表进行呈现。
本综述将涉及对已发表文献的二次分析;因此,不需要伦理批准。完成后,我们的范围综述结果将在开放获取、同行评审的期刊上发表。