title: Nonpain Symptom Prevalence and Intensity of Inpatients With Moderate to Severe Cancer Pain in China.
abstract: OBJECTIVE
  To identify prevalence and severity of nonpain symptoms and to clarify possible influences on each nonpain symptom.
  
  
  METHODS
  The study used a descriptive survey design. Chinese version of the Edmonton Symptom Assessment System was used. Patients' demographic and pain characteristics were collected.
  
  
  RESULTS
  The most common symptoms reported were loss of appetite (94.3%) followed by insomnia (93.3%), and tiredness (91.6%). Prevalence rates of nonpain symptom were all above 70% except "thinking clearly." Prevalence and severity of nonpain symptoms varied by gender, age, primary cancer, and pain characteristics, especially intensity, number of breakthrough pain episodes per day, and number of pain sites.
  
  
  CONCLUSIONS
  Most inpatients with cancer pain experienced concurrent nonpain symptoms. Comprehensive symptom assessment and intervention managing multiple symptoms are essential for these inpatients.
authors.affiliation: Department of Pain Relief, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, and Tianjin Key Laboratory of Cancer Prevention and Therapy, Tianjin, PR China.
authors.forename: Yue-Juan
authors.initials: YJ
authors.lastname: Shao
authors.affiliation: Department of Pain Relief, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, and Tianjin Key Laboratory of Cancer Prevention and Therapy, Tianjin, PR China.
authors.forename: Kai
authors.initials: K
authors.lastname: Ji
authors.affiliation: Department of Pain Relief, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, and Tianjin Key Laboratory of Cancer Prevention and Therapy, Tianjin, PR China.
authors.forename: Jian-Lei
authors.initials: JL
authors.lastname: Hao
authors.affiliation: Department of Pain Relief, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, and Tianjin Key Laboratory of Cancer Prevention and Therapy, Tianjin, PR China.
authors.forename: Xian-Jiang
authors.initials: XJ
authors.lastname: Cheng
authors.affiliation: Department of Pain Relief, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, and Tianjin Key Laboratory of Cancer Prevention and Therapy, Tianjin, PR China.
authors.forename: Bing-Qing
authors.initials: BQ
authors.lastname: Guan
authors.affiliation: Department of Pain Relief, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, and Tianjin Key Laboratory of Cancer Prevention and Therapy, Tianjin, PR China.
authors.forename: Wei-Shuai
authors.initials: WS
authors.lastname: Liu
authors.affiliation: Department of Pain Relief, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, and Tianjin Key Laboratory of Cancer Prevention and Therapy, Tianjin, PR China tjzlyycancerpain@126.com.
authors.forename: Kun
authors.initials: K
authors.lastname: Wang
mesh_terms: D000367:Age Factors; D000368:Aged; D000072716:Cancer Pain / Q000150:complications*; D002681:China; D005221:Fatigue / Q000209:etiology; D001068:Feeding and Eating Disorders / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications*; D010166:Palliative Care; D015995:Prevalence; D012720:Severity of Illness Index; D012737:Sex Factors; D007319:Sleep Initiation and Maintenance Disorders / Q000209:etiology; D012959:Socioeconomic Factors
keywords: China; ESAS; cancer pain; inpatients; nonpain symptoms; numeric rating scale