title: Outcome of cancer pain consultations.
abstract: BACKGROUND
  All major cancer centers in the United States are equipped with pain management consultation services. We report on the outcome of such consultations within 24 hours from the intervention.
  
  
  METHODS
  All consecutive patients referred to the pain management service of a tertiary care cancer center were assessed before and 14-24 hours after the intervention.
  
  
  RESULTS
  A total of 45 patients completed the study. The mean current pain intensity score was 5.2 on the Visual Analogue Scale before the consultation and 2.7 after the consultation (P < 0.05). The pain was described as excruciating on the Categorical Scale by three patients before the consultation and by no patients after the consultation.
  
  
  CONCLUSIONS
  In hospitalized cancer patients with difficult to control pain, cancer pain consultations result in a measurable effect within 24 hours of the pharmacologic intervention. To avoid unnecessary suffering, timeliness is of the utmost importance when requesting and delivering cancer pain consultations.
authors.affiliation: Section of Pain and Symptom Management, Department of Neuro-Oncology, M. D. Anderson Cancer Center, Houston, Texas, USA.
authors.forename: P L
authors.initials: PL
authors.lastname: Manfredi
authors.forename: S
authors.initials: S
authors.lastname: Chandler
authors.forename: A
authors.initials: A
authors.lastname: Pigazzi
authors.forename: R
authors.initials: R
authors.lastname: Payne
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000503:physiopathology* / Q000628:therapy; D017063:Outcome Assessment, Health Care; D010146:Pain / Q000209:etiology*; D059408:Pain Management; D012017:Referral and Consultation