Oncology Medical News about Pain; Distress; High-Dose-Rate Intracavity Brachytherapy; Cervical Cancer

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Patterns of pain and distress during high-dose-rate intracavity brachytherapy for cervical cancer
The Journal of Supportive Oncology, 06/18/09

Kwekkeboom KL et al. - In a study to explore women’s experiences of pain and distress over a series of 5 high-dose-rate (HDR) brachytherapy procedures given for cervical cancer, it was found that for most pts HDR brachytherapy delivered with conscious sedation is well tolerated with only mild pain and distress.

Methods

17 pts receiving HDR cervical brachytherapy with conscious sedation for stages I–III cervical cancer completed ratings of pain intensity and distress and a measure of physical and emotional discomfort with each procedure.

Results

Majority of women reported worst pain in the mild to moderate range and similar ratings of worst distress across the series of procedures.
Most physically uncomfortable aspect of treatment was removal of the instruments after the procedure, when sedatives had worn off.
Most emotionally uncomfortable aspect was worry about the effects of treatment.
A subset of women reported having recalled pain from previous procedures, despite the use of conscious sedation medications.

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