Year 2019 / Volume 26 / Number 4

Original

Characterization of pain in patients with breast cancer attending the Oncology Unit of the San José Hospital

Rev. Soc. Esp. Dolor. 2019; 26(4): 221-226 / DOI: 10.20986/resed.2019.3692/2018

Claudia Liliana Buitrago Martin, Javier Orlando Pacheco, Diana Carolina Estrada Bermudez, Carlos Mario Acevedo


ABSTRACT

Introduction: Breast cancer ranks second in the world and is the most frequent in women with 1.67 million new cases In 2012, it was 25% of all cancers, it is projected for 2030 more than 596,000 new cases and an increase of 142,100 deaths from breast cancer. One of the most frequent symptoms experienced by these patients is acute or chronic pain, which can occur at any time of the disease (Diagnosis, treatment, remission or relapse), should be evaluated and diagnosed, avoiding chronicity as much as possible. confers a degree of greater diffi culty for its control.
Objectives: To determine the presence of pain in breast cancer patients undergoing cancer treatment (chemotherapy, radiotherapy, surgery, and / or hormonal treatment), and to describe the characteristics thereof.
Methods: Descriptive cross-sectional study in patients attending the oncology service of San José
Hospital with a diagnosis of breast cancer and who are undergoing oncological treatment through a personal survey.
Results: Data were collected from 93 patients, of which 56.9% presented pain, with a higher prevalence of chronic pain in 52.8 %; 54.7 % classified their pain as nociceptive and 45.2 % as neuropathic pain with intense pain in 49.0 %. The pain was treated in 52.8 % with acetaminophen, and 22.6% had no treatment.



RESUMEN

Introducción: El cáncer de mama ocupa el segundo lugar en el mundo y es el más frecuente en mujeres con presencia de 1,67 millones de casos nuevos. En 2012 supuso el 25 % de todos los cánceres, y se proyectan para 2030 más de 596.000 nuevos casos y un aumento de 142.100 muertes por cáncer de mama. Uno de los síntomas más frecuentes que experimentan estas pacientes es el dolor agudo o crónico, el cual puede ocurrir en cualquier momento de la enfermedad (diagnóstico, tratamiento, remisión o recaída); por esto debe evaluarse y diagnosticarse, evitando la cronicidad tanto como sea posible. En Colombia no existen estudios referentes al tema.
Objetivos: Determinar la presencia de dolor en pacientes con cáncer de mama sometidas a tratamiento oncológico (quimioterapia, radioterapia, cirugía y/o tratamiento hormonal) y describir sus características.
Métodos: Estudio observacional descriptivo de corte transversal en pacientes atendidas en el servicio de oncología de un hospital de cuarto nivel en Bogotá (Colombia), con diagnóstico de cáncer de mama y en tratamiento oncológico. Las variables cualitativas fueron descritas con frecuencias absolutas y relativas y las cuantitativas con medias.
Resultados: Se recolectaron los datos de 93 pacientes, de las que el 56,9 % presentaron dolor, con mayor prevalencia de dolor crónico en un 52,8 %; el 54,7 % clasificaron su dolor como nociceptivo y el 45,2 % como dolor neuropático con dolor intenso en el 49,0 %. El dolor fue tratado en el 52,8 % con acetaminofeno, y un 22,6 % no tenían ningún tratamiento.


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Instrucciones para citar

Buitrago Martin C, Pacheco J, Estrada Bermudez D, Acevedo C. Characterization of pain in patients with breast cancer attending the Oncology Unit of the San José Hospital. Rev Soc Esp Dolor 2019; 26(4): 221-226 / DOI: 1020986/resed20193692/2018


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Recibido: 31/05/2018

Aceptado: 26/03/2019

Prepublicado: 21/06/2019

Publicado: 31/07/2019

Tiempo de revisión del artículo: 126 días

Tiempo de prepublicación: 386 días

Tiempo de edición del artículo: 426 días


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