Frequency, characteristics, and correlates of pain in a pilot study of colorectal cancer survivors 1-10 years post-treatment Journal Article


Authors: Lowery, A. E.; Starr, T.; Dhingra, L. K.; Rogak, L.; Hamrick-Price, J. R.; Farberov, M.; Kirsh, K. L.; Saltz, L. B.; Breitbart, W. S.; Passik, S. D.
Article Title: Frequency, characteristics, and correlates of pain in a pilot study of colorectal cancer survivors 1-10 years post-treatment
Abstract: Objective: The long-term effects of disease and treatment in colorectal cancer (CRC) survivors are poorly understood. This study examined the prevalence and characteristics of pain in a sample of CRC survivors up to 10 years post-treatment. Design: One hundred cancer-free CRC survivors were randomly chosen from an institutional database and completed a telephone survey using the Brief Pain Inventory, Neuropathic Pain Questionnaire-Short Form, Quality of Life Cancer Survivor Summary, Brief Zung Self-Rating Depression Scale, Zung Self-Rating Anxiety Scale, and Fear of Recurrence Questionnaire. Results: Participants were primarily Caucasian (90%) married (69%) males (53.5%) with a mean age of 64.7 years. Chronic pain was reported in 23% of CRC survivors, with a mean moderate intensity rating (mean=6.05, standard deviation=2.66) on a 0-10 rating scale. Over one-third (39%) of those with pain attributed it to their cancer or treatment. Chi-square and t-test analyses showed that survivors with pain were more likely to be female, have lower income, be more depressed and more anxious, and show a higher endorsement of suicidal ideation than CRC survivors without chronic pain. On average, pain moderately interfered with daily activity. Conclusions: Chronic pain is likely a burdensome problem for a small but not inconsequential minority of CRC survivors requiring a biopsychosocial treatment approach to improve recognition and treatment. Open dialogue between clinicians and survivors about physical and emotional symptoms in long-term follow-up is highly recommended. © 2013 Wiley Periodicals, Inc.
Keywords: colorectal cancer; quality of life; pain; survivor; pain interference
Journal Title: Pain Medicine
Volume: 14
Issue: 11
ISSN: 1526-2375
Publisher: Oxford University Press  
Date Published: 2013-11-01
Start Page: 1673
End Page: 1680
Language: English
DOI: 10.1111/pme.12223
PROVIDER: scopus
PUBMED: 24010414
PMCID: PMC3971863
DOI/URL:
Notes: --- - "Export Date: 2 December 2013" - "CODEN: PMAEA" - "Source: Scopus"
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MSK Authors
  1. William S Breitbart
    505 Breitbart
  2. Leonard B Saltz
    790 Saltz
  3. Amy E. Lowery-Allison
    14 Lowery
  4. Tatiana Starr
    35 Starr
  5. Lauren Jayne Rogak
    76 Rogak