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PURPOSE: We evaluated the prevalence and characteristics of breakthrough cancer pain (BTcP) in Korean patients admitted with cancer pain. MATERIALS AND METHODS: In-hospital patients with cancer pain completed a questionnaire concerning severity of background cancer pain (BCP), prevalence and treatment for BTcP, sleep disorders, and satisfaction with cancer pain treatment. Medical records showing medications for BCP and BTcP were also evaluated. RESULTS: Total 609 patients with controlled BCP enrolled. Mean age of the patients was 59.5 years old, and 59% were male. Of all patients, 177 (29%) complained of BTcP. No clinical characteristic predicted BTcP. Of the 177 patients with BTcP, 56% did not receive treatment for BTcP. Patients with BTcP showed significant association with a sleep disorder and dissatisfaction with pain control, compared to those without BTcP (p < 0.0001 and p=0.0498, respectively). Oxycodone-immediate release was the most commonly used short-acting analgesic, followed by intravenous morphine. CONCLUSION: The prevalence of BTcP was 29% in patients admitted with controlled BCP. Although the patients had well-controlled BCP, BTcP showed association with a lower quality of life in patients with cancer. More medical attention is needed for detection and management of BTcP.
Humans ; Inpatients* ; Male ; Medical Records ; Morphine ; Prevalence ; Quality of Life ; Sleep Disorders

10.A case of poststeroid panniculitis.

Moon Sang PARK ; Mee Kyung NAMGOONG ; Hae Yong LEE ; Baek Keun LIM ; Jong Soo KIM ; Sun Won HONG

Journal of the Korean Pediatric Society 1992;35(3):406-410

1.Mediastinal parasitic cyst by paragonimiasis.

2.Evaluation of enzymum system@(ES-300) for enzyme linked immunosorbent assay: comparison with RIA and CLIA for T3, T4, fT4 and TSH.

3.A Case of Spontaneously Remitted Congenital Minimal Change Nephrotic Syndrome.

4.A Case of Acyclovir Induced Acute Tubular Necrosis.

5.One-half sternal turnover.

6.Evaluation of enzymum system@(ES-300) for enzyme linked immunosorbent assay: comparison with RIA and CLIA for T3, T4, fT4 and TSH.

7.Evaluation of enzymum system@(ES-300) for enzyme linked immunosorbent assay: comparison with RIA and CLIA for T3, T4, fT4 and TSH.

8.The analysis of the emergency patients: for the training of emergency medicine residents.

9.A Korean Nationwide Survey for Breakthrough Cancer Pain in an Inpatient Setting.

10.A case of poststeroid panniculitis.

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