Priority 26 from the Mesothelioma PSP
| UNCERTAINTY: Should interventions (e.g. cordotomy or radiotherapy) be used to control severe pain after surgical interventions for mesothelioma such as biopsy, VATS, pleurodesis, etc? (JLA PSP Priority 26) | |
|---|---|
| Overall ranking | 26 |
| JLA question ID | 0025/26 |
| Explanatory note | Not available for this PSP |
| Evidence | Systematic review - France BD, Lewis RA, Sharma ML, Poolman M. Cordotomy in mesothelioma-related pain: a systematic review. BMJ Support Palliat Care. 2014 Mar;4(1):19-29. doi: 10.1136/bmjspcare-2013-000508. Epub 2013 Sep 18. |
| Health Research Classification System category | Cancer |
| Extra information provided by this PSP | |
|---|---|
| Original uncertainty examples | Cordotomy and interventional pain techniques ~ Poor pain control after VATS lead to immobility & thence to sacral sore which took some time to heal ~ he had an operation on his lungs to put some kind of 'chalk' in the outer part. This resulted in extreme pain afterwards for a short while ~ Best way to obtain pain relief during biopsies in medical thoracoscopy ~ More pain after Video Assisted Thoracoscopy (VATS) than after Extra Pleural Pneumonectomy (EPP) ~ The medication never controlled the pain so that last year of life was miserable and awful for the patient and family ~ the radiotherapy was most helpful with pain relief |
| Comparison | None identified |
| Submitted by | Health professional x2 ~ Carer x2 ~ Bereaved x2 ~ Patient |
| Outcomes to be measured | Pain relief |
| PSP information | |
|---|---|
| PSP unique ID | 0025 |
| PSP name | Mesothelioma |
| Total number of uncertainties identified by this PSP. | 53 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website) |
| Date of priority setting workshop | 16 December 2014 |