169P - Incidence of pain among lung cancer patients hospitalized in Palliative Care Department of Comprehensive Cancer Center - Vratsa for the period 2009-...

Date 17 April 2015
Event ELCC 2015
Session Poster lunch
Topics Palliative Care
Lung and other Thoracic Tumours
Presenter Nikolay Yordanov
Citation Annals of Oncology (2015) 26 (suppl_1): 51-54. 10.1093/annonc/mdv053
Authors N.R. Yordanov1, S. Aleksandrova2, D. Yordanova3
  • 1Palliative Care, Comprehensive Cancer Center - Vratsa, 3000 - Vratsa/BG
  • 2Faculty Of Public Health, Medical University, Pleven/BG
  • 3Bbss, BBSS Gallup International, Sofia/BG



Background: The incidence of lung cancer continues to grow and now it is one of the leading causes of oncological morbidity and mortality. Pain, a typical symptom in malignancy is still unsolved problem worldwide. Pain is patients’ most feared symptom and has huge impact patients’ dignity and quality of life.

Aims: (1) To evaluate the prevalence of pain among lung cancer patients treated in Palliative care department. (2) To evaluate the nature of pain experienced by patients with lung cancer in terms of site; severity; duration and underlying cause


Methods: Analysis of medical records of lung cancer patients treated in Palliative Care Department of Comprehensive Cancer Center - Vratsa, 2009-2013.


Results: For the period 2009-2013, 373 patients with cancer of lung and trachea (ICD 10 code Z85.1) (55 females; 318 males, median age = 62.11) were hospitalized 659 times in the Palliative care department. Average hospital stay was 7.4 days. Pain was major symptom in 427 cases. Pain due to bone metastases was observed in 195 patients and pathologic fractures were found in 17 patients. Median pain intensity score in this group of patients was at admission NRS = 7.32/10 (+ 2.21); at discharge NRS = 5.08 /10 (+ 1.98). Neuropathic pain due to nerve root or plexus compressions were found in 43 patients (NRS adm.= 7.9; NRS dis.= 6.1). 91 patients who had brain metastases experienced headache (NRS adm.= 5.1; NRS dis.= 3.0). Herpes zoster and post herpetic neuralgia were found in 9 patients (NRS adm.= 8.4; NRS dis.= 7.1). 62 patients experienced visceral pain due to liver metastases (NRS adm.= 7.1; NRS dis.= 5.5). 81 lung cancer patients died and 37 of them experienced difficult to control pain in the last days of life. Breakthrough pain was typical for more than 1/3 of patients with bone pain. Every third lung cancer patient experienced more than one pain. In about half of patients the cause of the pain could not be established.


Conclusion: Pain is common in lung cancer patients, and given the distress that is known to accompany cancer pain, this becomes a major problem for patients. That is why screening tor pain must become routine for every physician involved in care for lung cancer patients.


All authors have declared no conflicts of interest.