Hirata Mika, Yamaji Noyuri, Iwamoto Shotaro, Hasegawa Ayaka, Miyachi Mitsuru, Yamaguchi Takashi, Hasegawa Daisuke, Ota Erika, Yotani Nobuyuki
Department of Child Health Nursing, Graduate School of Health Care and Nursing, Juntendo University, Chiba, Japan.
Institute of Clinical Epidemiology, Showa Medical University, Tokyo, Japan.
JMIR Res Protoc. 2025 Apr 28;14:e66614. doi: 10.2196/66614.
Pain management in children with cancer may be inadequate due to poor pain assessment, and evaluation using suitable tools is necessary. Despite the availability of many pain assessment scales, few studies have summarized the existing assessment tools, making it challenging to select a suitable scale.
This scoping review aims to map existing pain assessment tools for children with cancer and provide a comprehensive overview of pediatric cancer-related pain screening and assessment tools.
The scoping review will be conducted according to the guidelines by the Joanna Briggs Institute and reported following the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) framework. Electronic databases, including PubMed, CINAHL, CENTRAL, ICHUSHI (Japan Medical Abstracts Society), and Embase, will be searched to identify eligible studies, without date or language restrictions. We defined the eligibility criteria based on the PCC (Population, Concept, and Context) format. Studies that focused on assessment tools for evaluating pain in children (aged 0-18 years) with cancer in a hospital or at home will be included. Although there are no restrictions on study design, protocols and conference abstracts will be excluded. Two or more reviewers will select studies by reviewing the full text of relevant articles identified by titles and abstracts, and disagreements will be resolved through discussion. Two or more reviewers will extract predefined data items, including characteristics of included studies (eg, author name, title of publication, year of publication, purpose of study, study setting, study population, outline of the assessment tool, study design, and findings) and the characteristics of assessment tools (eg, types of tools, target population, assessor, validity, instructions, precautions, and advantages and disadvantages of the tools). Pain assessment tools will be summarized in tabular format and described in a narrative synthesis.
Through electronic database searches on November 20, 2023, we identified 3748 articles. This review will provide a comprehensive overview of pain assessment tools. The final report is planned for submission to a peer-reviewed journal in 2025.
This scoping review is the first comprehensive effort to map existing tools on pediatric cancer-related pain assessment tools for infants, children, and adolescents aged <18 years, according to developmental stages. Based on the findings of this study, we will discuss future clinical and research implications for pain assessment and management in children with cancer. The findings are expected to enhance pain management practices in children with cancer and inform health care providers, policy makers, and other stakeholders.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/66614.
由于疼痛评估不佳，癌症患儿的疼痛管理可能不足，因此有必要使用合适的工具进行评估。尽管有许多疼痛评估量表可供使用，但很少有研究对现有的评估工具进行总结，这使得选择合适的量表具有挑战性。
本范围综述旨在梳理现有的癌症患儿疼痛评估工具，并全面概述与小儿癌症相关的疼痛筛查和评估工具。
本范围综述将按照乔安娜·布里格斯研究所的指南进行，并按照PRISMA-ScR（系统评价和Meta分析扩展的范围综述的首选报告项目）框架进行报告。将检索电子数据库，包括PubMed、CINAHL、CENTRAL、ICHUSHI（日本医学摘要协会）和Embase，以识别符合条件的研究，无日期或语言限制。我们根据PCC（人群、概念和背景）格式定义了纳入标准。将纳入关注在医院或家中评估0至18岁癌症患儿疼痛的评估工具的研究。虽然对研究设计没有限制，但方案和会议摘要将被排除。两名或更多评审员将通过审查标题和摘要确定的相关文章的全文来选择研究，分歧将通过讨论解决。两名或更多评审员将提取预定义的数据项，包括纳入研究的特征（如作者姓名、出版物标题、出版年份、研究目的、研究环境、研究人群、评估工具概述、研究设计和结果）以及评估工具的特征（如工具类型、目标人群、评估者、效度、说明、注意事项以及工具的优缺点）。疼痛评估工具将以表格形式进行总结，并在叙述性综述中进行描述。
通过2023年11月20日的电子数据库搜索，我们识别出3748篇文章。本综述将全面概述疼痛评估工具。最终报告计划于2025年提交给同行评审期刊。
本范围综述是首次全面梳理针对18岁以下婴儿、儿童和青少年的与小儿癌症相关的疼痛评估工具的现有工具，根据发育阶段进行分类。基于本研究的结果，我们将讨论未来对癌症患儿疼痛评估和管理的临床及研究意义。这些结果有望改善癌症患儿的疼痛管理实践，并为医疗保健提供者、政策制定者及其他利益相关者提供信息。
国际注册报告识别号（IRRID）：DERR1-10.2196/66614。
