No evidence of association between psychological distress and pain relief in patients with bone metastases from castration-resistant prostate cancer treated with 223Radium

Giovanni Schinzari, Giuseppe De Vincentis, Viviana Frantellizzi, Giulia Anna Follacchio, Alessio Farcomeni, Arianna Pani, Riccardo Samaritani, Daniele Santini, Enrico Cortesi

Risultato della ricerca: Contributo in rivistaArticolo in rivista

5 Citazioni (Scopus)

Abstract

Objective: Painful bone metastases cause reduced quality of life (QoL) in patients with castration-resistant prostate cancer (CRPC). Alpha-emitter 223Radium is associated with a clear survival benefit and significant bone pain palliation in CRPC patients with symptomatic bone metastases. The aim of this study was to evaluate the association between pain relief and psychological distress during the time course of therapy in patients treated with 223Radium. Methods: A total of 63 patients with mCRPC undergoing 223Radium treatment in our Nuclear Medicine Unit, carefully instructed on the possibility of improving the pain and increasing the survival by the treatment, were retrospectively evaluated. Pain response during treatment was assessed with the Brief Pain Inventory Numeric Rating Scale. Psychological distress was evaluated through the analysis of specific items from EORTC QoL questionnaires C30 and BM22, submitted to patients at baseline and after each 223Radium cycle. Results: Pain intensity showed a significant decrease after first 223Radium administration (−1.03 points, p = 0.0032), with a subsequent stability through the course of treatment (−1.30 points, p = <0.001). Psychological status did not show significant variations during 223Radium treatment, and no association was found between psychological status and pain relief in our population. Conclusions: In our experience, bone pain palliation provided by 223Radium do not correlate with an improved psychological status in patients with advanced PC. This observation emphasises the role of the psychological aspect in the evaluation of the QoL and the necessity of a multidisciplinary approach in which the emotional aspect of the patient is carefully evaluated.
Lingua originaleEnglish
pagine (da-a)e13112-N/A
RivistaEuropean Journal of Cancer Care
Volume28
DOI
Stato di pubblicazionePubblicato - 2019

Keywords

  • 223
  • Aged
  • Aged, 80 and over
  • Bone Neoplasms
  • Cancer Pain
  • Humans
  • Male
  • Middle Aged
  • Pain Measurement
  • Prostatic Neoplasms, Castration-Resistant
  • Psychological Distress
  • Quality of Life
  • Ra-dichloride
  • Radium
  • Retrospective Studies
  • bone metastases
  • mCRPC
  • pain relief
  • psychological distress
  • quality of life

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