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Intrathecal infusions for intractable cancer pain: A qualitative study of the impact on a case series of patients and caregivers
Pain Research and Management, 10/28/09

Hawley P et al. – The present study is a qualitative exploration of the impact of intrathecal pump implantation on cancer patients, and also the impact of the intervention on the staff caring for those patients. Six patients participated, with up to three interviews each. Twenty–four staff interviews took place. Patients' hopes and expectations were not always fully met, but the infusions had a profound positive effect on quality of life. Patients expressed anxiety about dependence on the device, and also on a few highly skilled individuals. Staff interviews revealed a significant impact on the 'culture' of the palliative care unit. Clear communication of the rationale for infusion was very important, as was regular education about infusion management. Implanted intrathecal infusion devices are a necessary part of a tertiary level cancer pain management service for the unfortunate minority with intractable pain. Practical recommendations for care are made for palliative care programs contemplating offering intrathecal infusions.

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Corticosteroid Injection Treatment to the Ischiadic Spine Reduced Pain in Women With Long-Lasting Sacral Low Back Pain With Onset During Pregnancy: A Randomized, Double Blind, Controlled Trial
Spine, 10/01/09 Relevance Score: 83%

Spinal Cord Stimulation for Intractable Visceral Pain due to Chronic Pancreatitis
Journal of Korean Neurosurgical Society, 10/23/09 Relevance Score: 82%

Paraplegia Following Image-Guided Transforaminal Lumbar Spine Epidural Steroid Injection: Two Case Reports
Pain Medicine, 10/29/09 Relevance Score: 81%

The role of N-methyl-d-aspartate receptor subunit NR2B in spinal cord in cancer pain
European Journal of Pain, 10/09/09 Relevance Score: 81%

Balloon kyphoplasty in malignant spinal fractures: a systematic review and meta-analysis
BMC Palliative Care, 10/19/09 Relevance Score: 80%