Overview of the Management of Chronic Non-Cancer Pain in Patients with Spinal Disease (척추 질환 환자의 비암성 만성 통증 관리 현황 조사)

Hun Kyu Shin (신헌규); Woo Dong Nam (남우동); 김동수; 김진환; Kim Sung Kyu (김성규); TAEKEUN AHN (안태근); 김성수

Overview of the Management of Chronic Non-Cancer Pain in Patients with Spinal Disease

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2018, 25(3), pp.91-98
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

Hun Kyu Shin ¹, Woo Dong Nam ², 김동수 ³, 김진환 ⁴, Kim Sung Kyu ⁵, TAEKEUN AHN ⁶, 김성수 ⁷

¹성균관대학교 의과대학 강북삼성병원 정형외과학교실
²강원대학교 의학전문대학원 정형외과학교실
³충북대학교 의과대학 정형외과학교실
⁴인제대학교 의과대학 일산백병원 정형외과학교실
⁵전남대학교 의과대학 정형외과학교실
⁶차의과대학교 분당차병원 정형외과
⁷인제대학교 의과대학 해운대백병원 정형외과학교실

Accredited

ABSTRACT

Study Design: Cross-sectional, multi-center survey study. Objectives: The objective of this study was to investigate the pain status, pain management methods, and pain experience after treatment among patients suffering from chronic non-cancer pain due to spinal disease. Summary of the Literature Review: No thorough investigation of the current status of chronic non-cancer pain management in patients with spinal disease has recently been reported. Materials and Methods: We surveyed 330 patients with chronic non-cancer pain who visited spine clinics in Korea. Results: Prior to treatment, 86.7% of the patients had severe pain and 99.4% of the patients had taken oral analgesics for pain control. After treatment, the percent of patients with severe pain was reduced to 42.1%, and 52.4% of patients responded that they experienced intermittent pain. End of dose failure was experienced by 29.1% of patients, and 41.7% of patients experienced pain again 3-6 hours after taking analgesics. Furthermore, 8.2% of patients experienced breakthrough pain, and 29.1% of patients experienced pain that interfered with sleeping. Conclusions: Many patients with chronic pain reported experiencing pain due to end of dose failure after medication. As the causes of chronic pain are complex, appropriate analgesics should be considered and selected for effective pain management.

KEYWORDS

Chronic non-cancer pain, Analgesic, End of dose failure (EDF), Breakthrough pain

Citation status

* References for papers published after 2023 are currently being built.

[journal] Nam EJ / 2007 / Treatment and approach to patients with chronic pain / Korean J Med 73 (2 Suppl) : 794~805

[web] SNU HQ Center / 2015 / Principles and methods of chronic pain management / http://hqcenter.snu.ac.kr/archives/jiphyunjeon/%eb%-a7%8c%ec%84%b1%ed%86%b5%ec%a-6%9d%ea%b4%80%eb%a6%ac%ec%9d%98-%ec%9b%90%ec%b9%99%ea%b3%bc-%eb%b0%a9%eb%b2%95?pnum=0&cat=100

[journal] 박중철 / 2010 / Current pharmacological management of chronic pain / 대한의사협회지 / 대한의사협회 53(9) : 815~823

[journal] Gallagher RM / 2007 / Assessment of Dosing Frequency of Sustained-Release Opioid Preparations in Patients with Chronic Nonmalignant Pain / Pain Med 8(1) : 71~74

[journal] Zeppetella G / 2009 / Impact and management of breakthrough pain in cancer / Curr Opin Support Palliat Care 3(1) : 1~6

[journal] Ackerman SJ / 2003 / Patientreported utilization patterns of fentanyl transdermal system and oxycodone hydrochloride controlled-release among patients with chronic nonmalignant pain / J Managed Care Pharm 9(3) : 223~231

[journal] 서민석 / 2015 / Breakthrough Cancer Pain / Journal of Hospice and Palliative Care / 한국호스피스완화의료학회 18(1) : 1~8

[journal] Kim DY / 2010 / The dosing frequency of sustained-release opioids and the prevalence of end-ofdose failure in cancer pain control: a Korean multicenter study / Support Care Cancer 19(2) : 297~301

[journal] KH Jeong / 2015 / Status of Chronic Pain Prevalence in the Korean Adults / Public Health Weekly Report 8(31) : 728~734

[journal] 김성경 / 2017 / Degrees of Low Back Pain, Knowledge of and Educational Needs for Low Back Pain in Patients with Chronic Low Back Pain / 근관절건강학회지 / 대한근관절건강학회 24(1) : 56~65

[journal] 장윤정 / 2003 / Factors of Patient Satisfaction with Pain Management in Cancer Patients / Korean Journal of Family Medicine / 대한가정의학회 24(9) : 6~818

[journal] 박소영 / 2008 / Research on Administration Reality and Satisfaction Level about Taking Narcotic Analgesics / 병원약사회지 / 한국병원약사회 25(4) : 1~9

[journal] Kwan TD / 2011 / Management of acute & chronic pain / Korean J Med 81(cho2) : 96~100

[journal] Jeon YH / 2013 / Recent advances of pain treatment / J Kor Soc Health-Syst Pharm 30(5) : 387~392

KJCKorea
Journal Central

Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03