Update on Prevalence of Pain in Patients with Cancer 2022: A Systematic Literature Review and Meta-Analysis
Abstract
:Simple Summary
Abstract
1. Introduction
2. Material and Methods
2.1. Search Strategy
2.2. Study Selection
2.3. Data Extraction
2.4. Methodological Quality
2.5. Data Analyses
3. Results
3.1. Study Selection
3.2. Study Characteristics
3.3. Prevalence of Pain
3.4. Pain Severity
3.5. Determinants of Pain Prevalence
4. Discussion
Strengths and Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Conflicts of Interest
References
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A. Representatives of population | 1. At least one of the following should apply for the study: an entire target population, randomly selected sample, or sample stated to represent the target population (two points) |
2. At least one of the following: reasons for nonresponse described, non-responders described, comparison of responders and non-responders, or comparison of sample and target population (two points) | |
3. Response rate ≥90% (two points) Response rate 70–90% (one point) Response rate ˂70% (zero points) | |
B. Quality of data | 4. Were the primary data from a prevalence study (two points) or were they taken from a survey not specifically designed for the purpose (one point)? |
5. The same mode of data collection should be used for all subjects (two points), if not (zero points). | |
6. The data have been collected directly from the patient by means of a validated questionnaire/interview (three points), no validated questionnaire/interview (two points), data have been collected from proxies or retrospectively from medical record (zero points) | |
C. General description of method and results | 7. Description of the target population and setting where patients were found (two points) |
8. Description of stage of disease (one point) | |
9. Description of type of cancer, gender, and age: all (two points), 2 of 3 (one point), 1 of 3 (zero points) | |
10. Final sample size (one point) | |
D. Definition of pain prevalence | 11. Prevalence recall periods should be stated (one point) |
% Pain | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Study | Quality | Continent a | Setting b | Cancer c | Mean Age | Sample | None | Mild | Moderate | ModSev d | Severe | Overall |
Alt-Epping, 2016 [33] | 16 | 2 | 2 | 60.6 | 22 | 22.7 | 18.2 | 45.5 | 59.1 | 13.6 | 77.3 | |
Andersen, 2014 [34] | 16 | 2 | 2 | 5 | 133 | 60 | 7 | 37 | ||||
Bibby, 2019 [35] | 15 | 2 | 2 | 11 | 64 | 229 | 43.7 | |||||
Efficace, 2015 [36] | 16 | 1,2,3 | 2 | 10 | 70.02 | 280 | 45 | 43.2 | 11.8 | 55 | ||
Esser, 2017 [37] | 15 | 2 | 2 | 10 | 50.4 | 239 | 15 | |||||
Gjeilo, 2020 [38] | 18 | 2 | 1,2 | 4 | 65.8 | 264 | 60 | 40 | ||||
Godby–a, 2021 [39] Godby–b, 2021 [39] | 18 18 | 1 1 | 2 2 | 6 6 | 70 70 | 46 309 | 75.6 40.7 | |||||
Hong, 2015 [40] | 15 | 3 | 1 | 6 | 62.18 | 165 | 62.4 | |||||
Kirchheiner, 2015 [41] | 17 | 2 | 2 | 9 | 50 | 6.0 | ||||||
Kuon, 2019 [42] | 17 | 2 | 2 | 4 | 63.6 | 208 | 34.6 | |||||
Lunde, 2019 [43] | 18 | 2 | 2 | 9 | 67.2 | 207 | 16.9 | |||||
Ravn Munkvold, 2018 [44] | 18 | 2 | 1 | 2 | 507 | 48 | 30 | 12 | 22 | 10 | 52 | |
Roy, 2016 [45] | 16 | 3 | 2 | 4 | 56.4 | 36 | 47.2 | |||||
Russo, 2018 [46] | 17 | 2 | 2 | 2 | 52.7 | 527 | 12.5 | |||||
Salwey, 2020 [47] | 19 | 2 | 2 | 60 | 26.7 | 20 | 53.3 | 73.3 | ||||
Tang, 2015 [48] | 18 | 6 | 1 | 11 | 55.1 | 91 | 46.8 | 21.1 | 63.2 | |||
Thomas, 2017 [49] | 15 | 1 | 2 | 1 | 66 | 105 | 63 | |||||
Wang, 2021 [50] | 16 | 3 | 2 | 5 | 50.99 | 88 | 4.5 | |||||
Williams, 2021 [51] | 15 | 1 | 2 | 6 | 70.1 | 364 | 45.1 | |||||
Yao, 2020 [52] | 15 | 1 | 2 | 7 | 83 | 69.2 | 23.1 | 5.8 | 7.7 | 1.9 | 30.8 |
% Pain | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Study | Quality | Continent a | Setting b | Cancer c | Mean Age | Sample | None | Mild | Moderate | ModSev d | Severe | Overall |
Andersen, 2014 [34] | 16 | 2 | 2 | 5 | 133 | 20 | 26 | 78 | ||||
Berliere–a, 2021 [53] Berliere–b, 2021 [53] | 16 16 | 2 2 | 1,2 1,2 | 5 5 | 53 | 32 31 | 46.0 29.0 | |||||
Bretschneider, 2016 [54] | 16 | 1 | 2 | 9 | 58.1 | 152 | 53.4 | 29.7 | 8.8 | 16.9 | 8.1 | 46.6 |
Browall, 2017 [55] | 17 | 2 | 2 | 5 | 59 | 124 | 67 | |||||
Calderon, 2019 [56] | 15 | 2 | 2 | 5 | 53.2 | 240 | 4.2 | |||||
Choo, 2019 [57] | 17 | 3 | 2 | 5 | 60.35 | 192 | 59.9 | |||||
de Menezes Couceiro, 2014 [58] | 16 | 4 | 2 | 5 | 54 | 250 | 44.4 | |||||
Dylke, 2015 [59] | 15 | 6 | 2 | 5 | 55 | 157 | 83 | |||||
El-Aqoul, 2018 [60] | 17 | 3 | 1 | 1 | 47.6 | 800 | 43.6 e | 56.4 | ||||
Fenlon, 2014 [61] | 16 | 2 | 2 | 5 | 57 | 455 | 53 | |||||
Fjell, 2020 [62] | 16 | 2 | 2 | 5 | 49 | 150 | 42.5 | |||||
Hagiwara–a, 2018 [63] Hagiwara–b, 2018 [63] | 19 19 | 3 3 | 2 2 | 6 6 | 178 176 | 42.0 41.0 | ||||||
Haryani, 2018 [64] | 16 | 3 | 2 | 1 | 50.51 | 207 | 38.2 | 17.9 | 22.7 | 4.8 | 60.87 | |
Ho, 2015 [65] | 15 | 3 | 2 | 5 | 49 | 133 | 24 | |||||
Hong, 2014 [66] | 16 | 3 | 1 | 1 | 51.24 | 1217 | 88 | 12 | ||||
Jarden, 2021 [67] | 16 | 2 | 1 | 10 | 53.1 | 70 | 55.2 | |||||
Jensen, 2018 [68] | 17 | 2 | 2 | 9 | 49 | 1176 | 60.6 | 26.8 | 9.1 | 12.6 | 3.5 | 39.4 |
Khan–a, 2017 [69] Khan–b, 2017 [69] | 15 15 | 1 1 | 2 2 | 5 5 | 62 60.5 | 80 80 | 36 50 | 30 20 | 30 26 | 30 27 | 0 1 | 60 47 |
Kim, 2016 [70] | 16 | 3 | 1 | 5 | 50.3 | 1499 | 8.8 e | 91.2 | ||||
Kirchheiner, 2015 [41] | 17 | 2 | 2 | 9 | 50 | 42.0 | ||||||
Kirkham, 2018 [71] | 15 | 1 | 1 | 5 | 50 | 24 | 54 | |||||
Lewis, 2015 [72] | 16 | 6 | 2 | 1 | 61 | 276 | 55.0 | |||||
Lewis, 2021 [73] | 18 | 3 | 2 | 2 | 600 | 45.2 | ||||||
McFarland, 2018 [74] | 15 | 1 | 2 | 5 | 55.4 | 125 | 19.5 | |||||
Moloney, 2016 [75] | 16 | 6 | 1 | 5 | 54.2 | 121 | 24 | 46.2 | ||||
Nogueira de Oliveira Martins–a, 2017 [76] Nogueira de Oliveira Martins–b, 2017 [76] | 17 17 | 4 4 | 2 2 | 5 5 | 49.6 49.6 | 11 11 | 90.9 72.2 | |||||
Okamoto, 2018 [77] | 17 | 3 | 2 | 5 | 59 | 123 | 48.8 | 42.3 | 8.9 | 14 | 5.1 | 51.2 |
Ribas, 2020 [78] | 15 | 2 | 2 | 9 | 65 | 109 | 20.1 | |||||
Røhrl, 2016 [79] | 17 | 2 | 2 | 6 | 60.7 | 68 | 44.1 | |||||
Shaulov, 2019 [80] | 16 | 1 | 1,2 | 10 | 49.1 | 318 | 51.3 | 8.3 | 22.9 | 40.4 | 17.5 | 49.2 |
Tran, 2020 [81] | 16 | 3 | 1 | 6 | 57.7 | 197 | 87 | |||||
Wang, 2021 [50] | 16 | 3 | 2 | 5 | 80 | 12.5 | ||||||
Xu–a, 2020 [82] Xu–b, 2020 [82] Xu–c, 2020 [82] | 15 15 15 | 3 3 3 | 2 2 2 | 5 5 5 | 51 51 51 | 235 210 227 | 66.1 70.5 72.2 | 20.9 19.5 19.4 | 11.5 9.5 8.4 | 12.35 10 8.4 | 0.85 0.5 0 | 33.25 29.5 27.8 |
Yi, 2018 [83] | 16 | 3 | 2 | 5 | 53.56 | 110 | 13.6 | 61.8 | 20 | 24.5 | 4.5 | 86.4 |
% Pain | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Study | Quality | Continent a | Setting b | Cancer c | Mean Age | Sample | None | Mild | Moderate | ModSev d | Severe | Overall |
Agarwal, 2020 [84] | 15 | 3 | 3 | 1 | 46.8 | 110 | 4.5 | 24.5 | 38.2 | 70.9 | 32.7 | 95.5 |
Al-Zahrani, 2014 [85] | 18 | 3 | 3 | 1 | 56 | 124 | 14.5 | 43.5 | 85.5 | |||
Blank, 2018 [86] | 15 | 1 | 2 | 1 | 13 | 0 | 7.7 | 46.2 | 92.4 | 46.2 | 100 * | |
Bouché, 2018 [87] | 17 | 2 | 2 | 6 | 151 | 22.5 | ||||||
Bullock, 2017 [88] | 16 | 1 | 2 | 6 | 40 | 80 | ||||||
Green, 2015 [89] | 17 | 1 | 2 | 7 | 396 | 6 | 8 | 2 | ||||
Iwase, 2015 [90] | 16 | 3 | 2 | 1 | 63.5 | 183 | 10.5 | 25.4 | 27.6 | 64.1 | 36.5 | 89.5 |
Jespersen, 2021 [91] | 16 | 2 | 2 | 10 | 92 | 13.0 | 23.9 | 56.5 | 63.0 | 6.5 | 86.9 | |
King, 2018 [92] | 15 | 1,2,3,6 | 2 | 9 | 62.5 | 903 | 20.5 | 38.5 | 23.1 | 41 | 17.9 | 79.5 |
Koldenhof–a, 2014 [93] Koldenhof–b, 2014 [93] | 16 16 | 2 2 | 2 2 | 6 6 | 62 66 | 26 16 | 23 17 | |||||
Lavdaniti, 2018 [94] | 17 | 2 | 1 | 1 | 63.8 | 123 | 41.5 | 0 | 17.1 | 58.5 | 41.4 | 58.5 |
LeBlanc, 2015 [95] | 16 | 1 | 2 | 4 | 63 | 97 | 22.7 | 32 | 9.3 | |||
Lechner, 2016 [96] | 16 | 1 | 1,2 | 1 | 62 | 25.8 | ||||||
Madsen, 2017 [97] | 17 | 2 | 2 | 11 | 63 | 112 | 45 | |||||
McFarland, 2017 [98] | 15 | 1 | 2 | 10 | 57.7 | 117 | 21.5 | |||||
Mercadante–a, 2016 [99] Mercadante–b, 2016 [99] Mercadante–c, 2016 [99] Mercadante–d, 2016 [99] | 15 15 15 15 | 2 2 2 2 | 4 4 4 4 | 1 1 1 1 | 54.5 69.6 79.7 88.8 | 103 89 116 104 | 35.0 38.2 42.2 44.2 | 45.6 34.8 31.9 31.7 | 15.5 20.2 22.4 20.2 | 19.4 26.9 25.8 24.0 | 3.9 6.7 3.4 3.8 | 65.0 61.7 57.7 55.7 |
Røhrl, 2016 [79] | 17 | 2 | 2 | 6 | 65.5 | 52 | 59.6 | |||||
Sampogna–a, 2019 [100] Sampogna–b, 2019 [100] | 17 17 | 2 2 | 2 2 | 11 11 | 63.9 63.9 | 368 65 | 24 5 | |||||
Selvy, 2021 [101] | 17 | 2 | 2 | 10 | 66.7 | 67 | 59.7 | |||||
Steel, 2016 [102] | 15 | 1 | 1 | 61 | 261 | 31.7 | ||||||
Walling, 2015 [103] | 15 | 1 | 4,6 | 5422 | 15 | 48.2 | ||||||
Zhou–a, 2017 [104] | 17 | 1 | 2 | 1 | 51.4 | 119 | 19.3 | |||||
Zhou–b, 2017 [104] | 17 | 1 | 2 | 1 | 49.6 | 42 | 19.0 | |||||
Zhou–c, 2017 [104] | 17 | 1 | 2 | 1 | 50.2 | 93 | 43.0 | |||||
Zhou–d, 2017 [104] | 17 | 1 | 2 | 1 | 48.7 | 52 | 50.0 |
% Pain | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Study | Quality | Continent a | Setting b | Cancer c | Mean Age | Sample | None | Mild | Moderate | ModSev d | Severe | Overall |
Abu-Saad Huijer, 2015 [105] | 16 | 3 | 2 | 1 | 54.32 | 190 | 45.3 | |||||
Bernardes, 2019 [106] | 15 | 6 | 1,2 | 1 | 125 | 81 | 10 | 10 | 20 | |||
Chan, 2015 [107] | 16 | 3 | 11 | 57.3 | 79 | 25.3 | ||||||
Chen, 2021 [108] | 15 | 3 | 2 | 10 | 41.7 | 132 | 57.6 | |||||
Cheng, 2021 [109] | 15 | 3 | 2 | 5 | 127 | 21.3 | ||||||
Damm, 2020 [110] | 16 | 2 | 1,2 | 6 | 139 | 43.9 | 17.9 | 18.6 | 0.7 | 63 | ||
Fujii, 2017 [111] | 19 | 3 | 2 | 1 | 60.8 | 524 | 46.2 | 39.9 | 7.6 | 13.9 | 6.3 | 53.8 |
Gosselin, 2016 [112] | 15 | 1 | 2 | 6 | 275 | 48 | 24 | 28 | 28 | 0 | 52 | |
Han, 2019 [113] | 15 | 1 | 2 | 1 | 57.9 | 399 | 59.4 | |||||
Joseph, 2021 [114] | 15 | 5 | 2 | 1 | 347 | 14.1 | 21.9 | 48.7 | 64 | 15.3 | 85.9 | |
Kim, 2015 [115] | 15 | 3 | 2 | 1 | 60.02 | 167 | 25.7 | 92.8 | ||||
Kuperus, 2021 [116] | 15 | 1 | 2 | 8 | 113 | 74 | 14.7 | 8.8 | 11.3 | 2.5 | 26 | |
Lee–a, 2016 [117] Lee–b, 2016 [117] | 20 20 | 1 1 | 2 2 | 5 5 | 56.0 56.0 | 358 335 | 16 f 31 f | |||||
Li, 2017 [118] | 15 | 3 | 1 | 55.36 | 317 | 60.25 | 29.02 | 5.36 | 10.41 | 5.05 | 39.43 | |
Llamas Ramos, 2016 [119] | 15 | 2 | 2 | 1 | 59.98 | 246 | 13.4 | 24.4 | 37 | 12.6 | 50.4 | |
Matsumoto, 2020 [120] | 19 | 3 | 2 | 6 | 45 | 55.6 | ||||||
Molassiotis, 2019 [121] | 16 | 2,3 | 1,2 | 1 | 55.15 | 343 | 14.2 | |||||
Moye, 2014 [122] | 16 | 1 | 2,3,6 | 64.66 | 170 | 21.6 | 32.4 | 10.8 | ||||
Pearce–a, 2017 [123] Pearce–b, 2017 [123] Pearce–c, 2017 [123] | 15 15 15 | 6 6 6 | 2 2 2 | 5 6 4 | 243 142 56 | 74 77 77 | ||||||
Pérez, 2015 [124] | 17 | 2 | 2 | 1 | 60.7 | 358 | 45.8 | 26.3 | 54.2 | |||
Pettersson, 2014 [125] | 16 | 2 | 2 | 6 | 65 | 104 | 41 | |||||
Raj, 2014 [126] | 19 | 2 | 2 | 1 | 60 | 305 | 48.2 | |||||
Ritchie–a, 2014 [127] Ritchie–b, 2014 [127] Ritchie–c, 2014 [127] Ritchie–d, 2014 [127] | 16 16 16 16 | 6 6 6 6 | 2 2 2 2 | 1 1 1 1 | 62.1 67.3 72.4 78.8 | 78 94 76 82 | 66.7 50.0 59.2 53.7 | |||||
Salvetti, 2020 [128] | 15 | 4 | 1 | 55 | 107 | 42.1 | ||||||
Schumacher–a, 2021 [129] Schumacher–b, 2021 [129] | 15 15 | 6 6 | 2 2 | 7 7 | 67.9 67.8 | 72 43 | 18.1 23.3 | |||||
Seven, 2016 [130] | 15 | 2 | 1 | 9 | 59 | 134 | 57.3 | 15.7 | 20.2 | 26.9 | 6.7 | 42.6 |
Spoelstra, 2015 [131] | 16 | 1 | 2 | 1 | 65.1 | 30 | 63.3 | |||||
Stamm, 2021 [132] | 15 | 2 | 2 | 10 | 61 | 47 | 69 | |||||
Steffen McLouth, 2020 [133] | 16 | 1 | 4 | 62.5 | 60 | 41.7 | ||||||
Thiagarajan, 2016 [134] | 16 | 3 | 1,2 | 1 | 52.7 | 303 | 15.6 | 13.8 | 19.4 | 23.8 | 4.4 | 37.6 |
Turner, 2014 [135] | 15 | 6 | 2 | 1 | 76.7 | 385 | 26 | |||||
Unseld, 2021 [136] | 15 | 2 | 2 | 1 | 57.4 | 846 | 36.5 | 43.5 | 13.6 | 20 | 6.4 | 63.5 |
van der Baan, 2020 [137] | 15 | 2 | 1,2 | 1 | 58.2 | 1919 | 24 | |||||
Wang, 2014 [138] | 16 | 3 | 4 | 58.25 | 183 | 71 | ||||||
Yahaya, 2015 [139] | 16 | 3 | 1 | 53.4 | 268 | 51.1 | ||||||
Zhong, 2017 [140] | 17 | 3 | 1 | 1 | 59.7 | 517 | 70.2 e | 29.8 |
% Pain | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Study | Quality | Continent a | Setting b | Cancer c | Mean Age | Sample | None | Mild | Moderate | ModSev d | Severe | Overall |
Adams, 2014 [141] | 17 | 2 | 2 | 1 | 70.6 | 418 | 15.5 | |||||
Ahmed, 2014 [142] | 17 | 3 | 2 | 5 | 49.33 | 73 | 5.4 | |||||
Al Maqbali, 2021 [143] | 15 | 3 | 2 | 5 | 133 | 45.1 | ||||||
Andersen, 2015 [144] | 19 | 2 | 2 | 5 | 475 | 86 | 14 | |||||
Asplund, 2015 [145] | 18 | 2 | 2 | 6 | 545 | 79 | 7 | 21 | ||||
Baden, 2020 [146] | 18 | 2 | 2 | 7 | 3348 | 24 | ||||||
Bao, 2018 [147] | 18 | 1 | 2 | 5 | 1280 | 33.3 | ||||||
Bennedsgaard–a, 2020 [148] Bennedsgaard–b, 2020 [148] | 17 17 | 2 2 | 2 2 | 5 6 | 56.6 68.0 | 80 52 | 47.5 45.1 | |||||
Boehmer–a, 2021 [149] Boehmer–b, 2021 [149] | 17 17 | 1 1 | 2 2 | 6 6 | 116 302 | 6.1 6.6 | ||||||
Bøhn, 2019 [150] | 16 | 2 | 2 | 1 | 49.1 | 1088 | 10 | |||||
Bonhof, 2020 [151] | 17 | 2 | 2 | 6 | 477 | 9 | ||||||
Bovbjerg, 2019 [152] | 15 | 1 | 2 | 5 | 59.4 | 417 | 50.6 | |||||
Bulley, 2014 [153] | 15 | 2 | 2 | 5 | 62.3 | 595 | 28.8 | |||||
Cameron, 2018 [154] | 16 | 1 | 2 | 1 | 26.9 | 124 | 54.5 | |||||
Capelan, 2017 [155] | 15 | 2 | 2 | 5 | 214 | 29 | ||||||
Chiang, 2019 [156] | 18 | 6 | 2 | 5 | 60.2 | 201 | 23 | 4 | 55 | |||
Cramer, 2018 [2] | 18 | 1 | 2 | 2 | 175 | 54.9 | 22 | 11.6 | 23.1 | 11.5 | 45.1 | |
Cui, 2018 [157] | 15 | 3 | 2 | 5 | 52.4 | 420 | 36.2 | |||||
de Groef, 2017 [158] | 16 | 2 | 2 | 5 | 54.1 | 147 | 50 | |||||
Dieterich–a, 2021 [159] Dieterich–b, 2021 [159] | 15 15 | 2 2 | 2 2 | 5 5 | 60.9 64.4 | 120 55 | 60.8 62.3 | 27.5 20.8 | 8.4 15 | 11.7 16.9 | 3.3 1.9 | 39.2 37.7 |
Drury, 2017 [160] | 17 | 2 | 2 | 6 | 66.4 | 252 | 64 | 26 | 8 | 10 | 2 | 36 |
Dualé, 2014 [161] | 18 | 2 | 2 | 5 | 442 | 37.1 | ||||||
Efficace, 2019 [162] | 15 | 2 | 2 | 10 | 52.5 | 244 | 51 | 27 | 22 | 49 | ||
Engvall, 2021 [163] | 16 | 2 | 2 | 5 | 60.7 | 646 | 46.3 | |||||
Esser, 2017 [37] | 15 | 2 | 2 | 10 | 47.7 | 102 | 8 | |||||
Ezendam, 2014 [164] | 17 | 2 | 2 | 9 | 65 | 180 | 31.7 | |||||
Farrukh, 2020 [165] | 17 | 1 | 2 | 10 | 736 | 39.4 | ||||||
Feddern, 2015 [166] | 19 | 2 | 2 | 6 | 1369 | 13 | 13 | 18 | 5 | 31 | ||
Ferreira, 2019 [167] | 18 | 2 | 2 | 5 | 4262 | 51 | ||||||
Gallaway, 2020 [168] | 17 | 1 | 2 | 1 | 12,019 | 9.5 | ||||||
Gjeilo, 2020 [38] | 18 | 2 | 2 | 4 | 194 | 55 | ||||||
Gong, 2020 [169] | 16 | 3 | 2 | 5 | 49.3 | 1983 | 28.2 | |||||
Götze–a, 2018 [170] Götze–b, 2018 [170] | 16 16 | 2 2 | 2 2 | 1 1 | 66.3 67.3 | 660 342 | 51.2 50.8 | |||||
Hammer, 2014 [171] | 15 | 1 | 2 | 9 | 63.5 | 213 | 22.5 | |||||
Hamood–a, 2016 [172] Hamood–b, 2016 [172] | 15 15 | 3 3 | 2 2 | 5 5 | 57 50 | 54 29 | 25.9 10.3 | 9.3 10.3 | 48.2 34.5 | 48.2 55.2 | 0 20.7 | 57.4 65.5 |
Hamood, 2018 [173] | 17 | 3 | 2 | 5 | 410 | 64 | 74.4 | |||||
Haviland, 2017 [174] | 17 | 2 | 2 | 5 | 55.1 | 864 | 32.3 | |||||
Henderson–a, 2014 [175] Henderson–b, 2014 [175] | 16 16 | 2 2 | 2 2 | 5 5 | 63 49 | 138 134 | 73.2 61.9 | 17.4 26.1 | 9.4 10.4 | 9.4 11.9 | 0 1.5 | 26.8 38 |
Henry, 2020 [176] | 16 | 1 | 2 | 63.3 | 145 | 16.6 | 15.9 | 21.4 | 5.5 | 37.9 | ||
Hope-Stone, 2015 [177] | 15 | 2 | 2 | 11 | 66.7 | 179 | 77 | 23 | ||||
Huang, 2020 [178] | 15 | 1 | 2 | 1 | 33.6 | 1208 | 18.7 | |||||
Janah, 2020 [179] | 16 | 2 | 2 | 1 | 4093 | 36.5 | 63.5 | |||||
Jansen, 2018 [180] | 15 | 2 | 2 | 2 | 70 | 283 | 8.8 | |||||
Jardim, 2020 [181] | 16 | 4 | 2 | 5 | 55 | 151 | 18.5 | |||||
Jariwala, 2021 [182] | 19 | 3 | 2 | 5 | 50 | 212 | 12 | |||||
Johannsdottir, 2017 [183] | 15 | 2 | 2 | 11 | 124 | 56.1 | 33.3 | 10.6 | 10.6 | 0 | 43.9 | |
Johannsen, 2015 [184] | 17 | 2 | 2 | 5 | 1905 | 72.7 | ||||||
Juhl, 2016 [185] | 19 | 2 | 2 | 5 | 63.6 | 261 | 13 | 19.2 | 25.3 | 6.1 | 38.3 | |
Karlson, 2020 [186] | 15 | 1 | 2 | 1 | 10,012 | 71.4 e | 20.5 | 28.6 | 8.1 | |||
Kaur, 2018 [187] | 15 | 3 | 2 | 5 | 49.76 | 230 | 63.5 | |||||
Kelada, 2019 [188] | 16 | 6 | 2 | 10,11 | 26.27 | 404 | 28.7 | |||||
Kibar, 2017 [189] | 16 | 2 | 2 | 5 | 52.5 | 201 | 68.2 | 31.8 | ||||
Kjaer, 2016 [190] | 15 | 2 | 2 | 2 | 64 | 369 | 16.0 | |||||
Knowlton, 2020 [191] | 15 | 1 | 2 | 1 | 294 | 24.2 | ||||||
Koehler, 2018 [192] | 19 | 1 | 2 | 5 | 56 | 36 | 44.0 | |||||
Kramer, 2019 [193] | 15 | 5 | 2 | 5 | 60.05 | 349 | 26 | 46 | 14 | 28 | 14 | 74 |
Lou, 2021 [194] | 16 | 1 | 2 | 2 | 59.3 | 77 | 40 f | |||||
Lunde, 2019 [43] | 18 | 2 | 2 | 9 | 67.2 | 207 | 14.9 | |||||
Lunde, 2020 [195] | 19 | 2 | 2 | 9 | 66.1 | 140 | 13.6 | |||||
Madsen, 2017 [97] | 17 | 2 | 2 | 11 | 63 | 95 | 37 | |||||
Mao, 2018 [196] | 15 | 1 | 2 | 5 | 1103 | 26.2 | ||||||
Mertz, 2017 [197] | 19 | 2 | 2 | 5 | 473 | 67 | 21 | 12 | 33 | |||
Miaskowski, 2014 [198] | 18 | 1 | 2 | 5 | 54.98 | 394 | 41.6 | 58.4 | ||||
Min, 2021 [199] | 15 | 3 | 2 | 7 | 64 | 111 | 12.6 | |||||
Mulrooney, 2019 [200] | 19 | 1 | 2 | 10 | 980 | 70 | 23 | 5 | 7 | 2 | 30 | |
Paek, 2019 [201] | 18 | 3 | 2 | 1 | 62.2 | 1037 | 71.9 | 28.1 | 28.1 | |||
Park, 2018 [202] | 17 | 3 | 2 | 11 | 36.43 | 144 | 75 | 25 | ||||
Poço Conçalves, 2021 [203] | 17 | 2 | 2 | 1 | 65.33 | 85 | 77.6 | 0 | 20 | 22.4 | 2.4 | 22.4 |
Ravn Munkvold, 2018 [44] | 18 | 2 | 2 | 2 | 357 | 70 | 19 | 7 | 11 | 4 | 30 | |
Reilly, 2016 [204] | 17 | 1 | 2 | 10 | 47.6 | 31 | 68 | |||||
Ren, 2021 [205] | 17 | 1 | 2 | 2 | 61.5 | 505 | 55 | 17.7 | 19.5 | 26.9 | 7.4 | 45 |
Rogers, 2021 [206] | 15 | 1 | 2 | 11 | 47 | 248 | 49 | |||||
Rosenberg, 2015 [207] | 15 | 1 | 2 | 5 | 55.8 | 2086 | 48 | |||||
Sanchez-Birkhead, 2017 [208] | 15 | 1 | 2 | 5 | 52.6 | 35 | 38.3 | 79 | ||||
Sanford, 2019 [209] | 15 | 1 | 2 | 1 | 7565 | 67.5 | 32.5 | |||||
Schou Bredal, 2014 [210] | 16 | 2 | 2 | 5 | 56 | 834 | 21 | 17 | 20 | 3 | 41 | |
Selvy, 2020 [211] | 16 | 2 | 2 | 6 | 66.3 | 406 | 11.5 | |||||
Steyaert, 2016 [212] | 15 | 2 | 2 | 5 | 56.5 | 128 | 43.8 | |||||
Tang, 2015 [48] | 18 | 6 | 1 | 11 | 55.1 | 76 | 53.9 | 19.7 | 46.1 | |||
Terkawi, 2017 [213] | 16 | 3 | 2 | 2 | 49.6 | 102 | 30 | |||||
Tonning Olsson, 2021 [214] | 16 | 1 | 2 | 1 | 32.2 | 2836 | 61.1 | 38.9 | 38.9 | |||
Tung, 2019 [215] | 18 | 1 | 2 | 6 | 615 | 44.87 | ||||||
van de Luijtgaarden, 2014 [216] | 17 | 2 | 2 | 11 | 45.7 | 24 | 93 | |||||
van Eck, 2020 [217] | 15 | 2 | 2 | 11 | 60 | 752 | 14 | |||||
Variawa, 2016 [218] | 18 | 5 | 2 | 5 | 58.54 | 92 | 38.04 | |||||
Vuksanovic, 2021 [219] | 16 | 6 | 2 | 5 | 130 | 34.4 | ||||||
Wang, 2021 [50] | 16 | 3 | 2 | 5 | 75 | 4.5 | ||||||
Wilson, 2020 [220] | 17 | 1 | 1 | 11 | 136 | 16.3 |
% Pain | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Study | Quality | Continent a | Setting b | Cancer c | Mean Age | Sample | None | Mild | Moderate | ModSev d | Severe | Overall |
Aktas, 2014 [221] | 17 | 1 | 4 | 1 | 1000 | 84 | ||||||
Corli, 2020 [222] | 19 | 2 | 1,2,4 | 1 | 74.2 | 865 | 60.5 | |||||
de la Cruz, 2015 [223] | 15 | 1 | 4 | 1 | 78 | 51 | ||||||
Drat-Gzubicka, 2021 [224] | 18 | 2 | 3 | 76 | 29 | |||||||
Gupta, 2016 [225] | 16 | 3 | 1 | 1 | 52.49 | 110 | 32.73 | 11.82 | 22.73 | 55.46 | 32.73 | 67.27 |
Guthrie, 2019 [226] | 15 | 1 | 2 | 1 | 21,119 | 48.3 | ||||||
Hui, 2020 [227] | 18 | 1 | 4 | 1 | 60 | 200 | 67 | |||||
Mejin, 2019 [228] | 15 | 3 | 3 | 1 | 57,1 | 151 | 18.5 | 14.6 | 19.2 | 66.9 | 47.7 | 81.5 |
Mercadante, 2018 [229] | 15 | 2 | 3 | 1 | 72.1 | 263 | 6.9 | |||||
Morita–a, 2014 [230] Morita–b, 2014 [230] | 16 16 | 3 3 | 4 5 | 1 1 | 67 68 | 859 857 | 42 43 | 41 40 | 8.9 8.4 | 17.2 16 | 8.3 7.6 | 58 59 |
Rojas-Concha, 2020 [231] | 17 | 2 | 3 | 1 | 5449 | 95.8 | 0.4 | 1.8 | 3.9 | 2.1 | 4.2 | |
Seow–a, 2021 [232] Seow–b, 2021 [232] | 15 15 | 1 1 | 2 1 | 11,407 15,888 | 64.9 61.4 | |||||||
Silvia, 2021 [233] | 17 | 4 | 3 | 1 | 490 | 49.6 | 26.5 | 12.9 | 23.9 | 11 | 50.4 | |
Tofthagen, 2019 [234] | 16 | 1 | 4 | 1 | 72.7 | 717 | 68.9 | |||||
van der Baan, 2020 [137] | 15 | 2 | 1,2 | 1 | 63.4 | 224 | 45 | |||||
Yamagishi, 2014 [235] | 16 | 3 | 1 | 1 | 67 | 859 | 84 | 16 | ||||
Yanaizumi, 2021 [236] | 17 | 3 | 2 | 1 | 108 | 6.5 | 12.9 | 80.6 | 93.5 |
% Pain | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Study | Quality | Continent a | Setting b | Cancer c | Mean Age | Sample | None | Mild | Moderate | ModSev d | Severe | Overall |
Aguilar, 2017 [237] | 16 | 1 | 2 | 2 | 61.7 | 23 | 20.3 | |||||
Alemayehu, 2018 [238] | 18 | 5 | 1,2 | 1 | 43.5 | 390 | 31 e | 69 | ||||
Armstrong, 2016 [239] | 15 | 1 | 2 | 11 | 621 | 15.6 | ||||||
Bacorro, 2017 [240] | 15 | 3 | 1,2 | 2 | 51.8 | 100 | 53 | 26 | 9 | 21 | 12 | 47 |
Batalini, 2017 [241] | 16 | 4 | 2 | 1 | 59 | 277 | 40 | |||||
Bauml, 2015 [242] | 16 | 1 | 2 | 5 | 60.5 | 203 | 78.7 e | 21.3 | ||||
Beesley, 2016 [243] | 15 | 6 | 2 | 6 | 67 | 116 | 32 | |||||
Bhattacharya, 2019 [244] | 16 | 2 | 2 | 5 | 957 | 10.5 | ||||||
Bonhof, 2018 [245] | 16 | 2 | 2 | 9 | 64.8 | 98 | 37.5 | |||||
Bouhassira, 2017 [246] | 18 | 2 | 2 | 1 | 61.4 | 509 | 28.2 | |||||
Boyes, 2015 [247] | 17 | 6 | 2 | 10 | 311 | 12 | ||||||
Braamse–a, 2014 [248] Braamse–b, 2014 [248] | 16 16 | 2 2 | 2 2 | 10 10 | 55.4 57.8 | 123 125 | 34.8 32.2 | |||||
Braga-Neto, 2018 [249] | 16 | 4 | 2 | 6 | 207 | 83 | ||||||
Bubis, 2020 [250] | 15 | 1 | 2,4 | 1 | 22,650 | 33 | ||||||
Buckley, 2018 [251] | 16 | 1 | 1,2 | 10 | 82 | 60 | ||||||
Cho–a, 2019 [252] Cho–b, 2019 [252] | 16 16 | 3 3 | 2 1 | 53.7 58.02 | 708 2581 | 60.6 44 | ||||||
Clover, 2017 [253] | 15 | 6 | 2 | 1 | 62 | 9133 | 17 | |||||
Daly, 2020 [254] | 15 | 2 | 5 | 1 | 1027 | 25.3 | ||||||
Davies, 2021 [255] | 17 | 2 | 3 | 1 | 250 | 6.0 | 11.6 | 24.5 | 12.9 | 30.5 | ||
Davis, 2018 [256] | 15 | 1 | 2 | 5 | 59.7 | 23,840 | 35.5 | 13.2 | ||||
de Groef, 2016 [257] | 18 | 2 | 2 | 5 | 60.5 | 100 | 50 | |||||
de Mello, 2020 [258] | 16 | 4 | 1 | 6 | 348 | 55.61 | ||||||
de Oliveira, 2014 [259] | 18 | 1 | 2 | 5 | 300 | 36.7 | ||||||
Deshields, 2014 [260] | 16 | 1 | 2 | 1 | 60.6 | 513 | 44 | |||||
Deshields, 2017 [261] | 16 | 1 | 2 | 1 | 60.63 | 558 | 45 | |||||
Dhingra, 2015 [262] | 17 | 1 | 2 | 1 | 62.3 | 1436 | 44.9 | |||||
Donovan, 2014 [263] | 18 | 1 | 2 | 9 | 56 | 104 | 31.7 | |||||
Doubova–a, 2021 [264] Doubova–b, 2021 [264] | 19 19 | 4 4 | 2 2 | 5 9 | 247 165 | 75.3 e 67.3 e | 24.7 32.7 | |||||
Feiten, 2014 [265] | 16 | 2 | 2 | 5 | 730 | 34 | ||||||
Fokdal, 2018 [266] | 18 | 1,2,3 | 2 | 9 | 914 | 13.4 | ||||||
Giuliani, 2016 [267] | 15 | 1 | 2 | 4 | 89 | 21 | ||||||
Götze, 2019 [268] | 16 | 2 | 2 | 10 | 75.6 | 200 | 34 | |||||
Gough, 2017 [269] | 16 | 2 | 11 | 59 | 113 | 24 | 77 | |||||
Guedes, 2018 [270] | 16 | 4 | 2 | 5 | 55.97 | 103 | 44.7 | 55.3 | ||||
Honkanen, 2021 [271] | 16 | 2 | 2 | 5 | 56.9 | 121 | 35.5 | 14 | 49.5 | |||
Horick, 2018 [272] | 18 | 1 | 2 | 1 | 309 | 45 | ||||||
Huang, 2018 [273] | 17 | 3 | 1 | 6 | 59 | 300 | 39.7 | 25 | 25.3 | 35.5 | 10 | 60.3 |
Hunnicutt–a, 2017 [274] Hunnicutt–b, 2017 [274] | 15 15 | 1 1 | 4 1 | 1 1 | 27,790 31,271 | 40.0 50.0 | 38.2 31.6 | 21.7 18.4 | 59.9 50.0 | |||
Jesdale–a, 2020 [275] Jesdale–b, 2020 [275] Jesdale–c, 2020 [275] | 15 15 15 | 1 1 1 | 2 2 2 | 329,150 42,317 12,290 | 77.8 74.6 75.4 | |||||||
Jewett, 2020 [276] | 17 | 1 | 2 | 9 | 59.9 | 355 | 25.1 | |||||
Karawekpanyawong–a, 2021 [277] Karawekpanyawong–b, 2021 [277] | 16 16 | 3 3 | 2 2 | 9 9 | 52.7 55.8 | 27 173 | 23.51 46.3 | |||||
Khan, 2021 [278] | 15 | 3 | 2 | 5 | 97 | 75.3 | 24.7 | |||||
Kim, 2015 [279] | 15 | 3 | 2 | 5 | 52.1 | 827 | 56.5 | 1.1 | 43.5 | |||
Kim–a, 2017 [280] Kim–b, 2017 [280] | 15 15 | 3 3 | 2 2 | 2 2 | 53.2 43.6 | 77 81 | 37.7 27.0 | |||||
Lefkowits, 2014 [281] | 15 | 1 | 2 | 9 | 305 | 32 | 60.1 | |||||
Liu, 2015 [282] | 16 | 1 | 5 | 5 | 51.7 | 97 | 53.6 | |||||
Loh, 2018 [283] | 15 | 1 | 2 | 1 | 389 | 49.6 | ||||||
Lu, 2017 [284] | 15 | 3 | 2 | 1 | 52.9 | 919 | 49.4 | |||||
Mavros, 2020 [285] | 16 | 1 | 5 | 6 | 2168 | 39 | ||||||
Mejdahl, 2015 [286] | 15 | 2 | 2 | 5 | 286 | 28 | ||||||
Nakanotani, 2014 [287] | 15 | 3 | 2 | 1 | 57.6 | 807 | 17.6 | |||||
Nappi, 2021 [288] | 15 | 2 | 2 | 5 | 58.4 | 175 | 65.9 | |||||
Oosterling, 2016 [289] | 17 | 2 | 2 | 1 | 892 | 77 e | 23 | |||||
Pandya, 2019 [290] | 16 | 1 | 1 | 1 | 81 | 359 | 56 | |||||
Pinto, 2021 [291] | 15 | 5 | 1,3 | 1 | 46.1 | 294 | 33.3 | 62.6 | 29.3 | 83.7 | ||
Ramsenthaler, 2016 [292] | 15 | 2 | 1,2 | 10 | 68.4 | 557 | 24 | 34 | 47.8 | 13.8 | 71.5 | |
Rau, 2015 [293] | 19 | 3 | 2 | 1 | 57.47 | 2075 | 50.7 | |||||
Reuter, 2019 [294] | 16 | 1 | 2 | 1 | 61.62 | 817 | 35.4 | |||||
Rosario, 2019 [295] | 17 | 1 | 1 | 1 | 75 | 33 | 60 | |||||
Saarelainen, 2014 [296] | 15 | 6 | 2 | 1 | 76.7 | 385 | 26 | |||||
Sager, 2020 [297] | 18 | 1 | 2 | 1 | 65.31 | 123 | 26.8 | |||||
Sakurai, 2019 [298] | 17 | 3 | 2,3 | 1 | 64.4 | 142 | 66.2 | |||||
Sampogna, 2020 [299] | 16 | 2 | 2 | 11 | 44.3 | |||||||
Sánchez Sánchez, 2020 [300] | 15 | 2 | 2 | 7 | 70.71 | 184 | 60.9 | 39.1 | 39.1 | |||
Schreiber, 2021 [301] | 15 | 1 | 2 | 5 | 55.5 | 201 | 32 | |||||
Shen, 2017 [302] | 16 | 3 | 2 | 1 | 57 | 2652 | 37.4 | 29.8 | 23.2 | 32.8 | 9.6 | 62.6 |
Sloan–a, 2016 [303] Sloan–b, 2016 [303] | 16 16 | 1 1 | 2 2 | 4 4 | 66 66 | 296 1013 | 49.0 33.5 | |||||
Smith, 2019 [304] | 15 | 1 | 2 | 5,6 | 59.7 | 2257 | 61.2 | |||||
Tadele, 2015 [305] | 18 | 5 | 2 | 1 | 388 | 77.6 | ||||||
Tegegn, 2017 [306] | 15 | 5 | 1 | 1 | 83 | 8.4 | 25.3 | 57.8 | 66.2 | 8.4 | 91.6 | |
Tjong, 2021 [307] | 17 | 1 | 2 | 4 | 13,289 | 62 | ||||||
Tung, 2019 [308] | 18 | 1 | 2 | 6 | 2623 | 61.8 | ||||||
Valery, 2017 [309] | 15 | 6 | 1 | 82 | 10 | |||||||
van Arsdale, 2016 [310] | 16 | 1 | 2 | 9 | 59 | 165 | 18.8 | |||||
van den Brekel, 2020 [311] | 15 | 2 | 1 | 1 | 60 | 2144 | 28 | |||||
Vistad, 2018 [312] | 16 | 2 | 9 | 61.9 | 82 | 56 | ||||||
von Gruenigen, 2018 [313] | 17 | 1 | 2 | 9 | 63.6 | 65 | 69 | |||||
Williams, 2020 [314] | 17 | 1 | 1 | 6 | 70.1 | 336 | 20.9 | |||||
Xu, 2017 [315] | 15 | 3 | 2 | 11 | 43.5 | 142 | 30 |
N Studies | N cancer Patients | Overall Pain | |
---|---|---|---|
Group 1 | 18 | 3294 | 40.3% (95% CI 30.2–50.4) |
Group 2 | 31 | 7995 | 47.8% (95% CI 39.4–56.1) |
Group 3 | 19 | 8719 | 54.3% (95% CI 42.0–66.6) |
Group 4 | 32 | 9118 | 50.3% (95% CI 42.5–58.0) |
Group 5 | 77 | 59,766 | 35.8% (95% CI 31.5–40.1) |
Group 6 | 15 | 33,162 | 55.2% (95% CI 39.2–71.3) |
Group 7 | 66 | 508,827 | 45.0% (95% CI 39.8–50.1) |
Group 8 | 81 | 25,832 | 50.3% (95% CI 44.6–56.1) |
Group 9 | 34 | 41,881 | 54.6% (95% CI 43.8–65.5) |
Moderate–Severe Pain | |||
Group 1 | 9 | 1895 | 33.1% (95% CI 22.0–44.2) |
Group 2 | 12 | 5483 | 27.8% (95% CI 6.7–48.8) |
Group 3 | 11 | 8057 | 39.1% (95% CI 30.0–48.1) |
Group 4 | 16 | 4966 | 25.2% (95% CI 19.0–31.4) |
Group 5 | 30 | 24,490 | 22.8% (95% CI 19.0–26.7) |
Group 6 | 7 | 35,319 | 43.3% (95% CI 19.7–66.9) |
Group 7 | 22 | 107,128 | 34.2% (95% CI 27.6–40.8) |
Group 8 | 39 | 18,506 | 31.0% (95% CI 22.7–39.3) |
Group 9 | 18 | 43,376 | 40.7% (95% CI 28.5–52.9) |
Determinant | β (95% CI) | p-Value |
---|---|---|
Age (years) | ||
18–49 | 0.45 (0.37 to 0.54) | ref. |
50–59 | 0.01 (–0.09 to 0.11) | 0.787 |
60–69 | –0.03 (–0.13 to 0.07) | 0.570 |
70+ | 0.01 (–0.12 to 0.15) | 0.843 |
Type of cancer | ||
Prostate | 0.25 (0.08 to 0.41) | ref. |
Head and neck | 0.16 (–0.04 to 0.35) | 0.116 |
Lung | 0.22 (0.01 to 0.43) | 0.039 |
Breast | 0.19 (0.01 to 0.36) | 0.036 |
Gastro-intestinal | 0.18 (–0.01 to 0.36) | 0.061 |
Gynaecological | 0.11 (–0.08 to 0.30) | 0.253 |
Haematological | 0.21 (0.02 to 0.40) | 0.034 |
Ethnicity | ||
Caucasian | 0.38 (0.18 to 0.59) | ref. |
Black | 0.36 (–0.15 to 0.87) | 0.144 |
Asian | 0.17 (–0.12 to 0.45) | 0.219 |
Hispanic | 0.39 (–0.01 to 0.78) | 0.054 |
Performance status | ||
ECOG 2 | 0.68 (0.43 to 0.94) | ref. |
ECOG 0 | –0.28 (–0.74 to 0.17) | 0.198 |
ECOG 1 | –0.05 (–0.35 to 0.25) | 0.733 |
Data collection method | ||
Questionnaire patient | 0.43 (0.40 to 0.45) | ref. |
Interview patient | 0.07 (–0.02 to 0.16) | 0.106 |
Medical record | 0.19 (0.05 to 0.32) | 0.007 |
Recall period | ||
Point | 0.50 (0.45 to 0.55) | ref. |
Week(s) | –0.08 (–0.14 to –0.02) | 0.013 |
Month(s) | –0.18 (–0.28 to –0.07) | 0.001 |
Setting | ||
Outpatient | 0.42 (0.39 to 0.45) | ref. |
Inpatient | 0.08 (–0.02 to 0.18) | 0.115 |
Palliative care setting | 0.16 (0.01 to 0.32) | 0.040 |
Continent of origin | ||
Europe | 0.39 (0.36 to 0.43) | ref. |
North America | 0.06 (–0.00 to 0.12) | 0.068 |
South America | 0.15 (0.01 to 0.29) | 0.033 |
Asia | 0.08 (0.01 to 0.14) | 0.016 |
Africa | 0.43 (0.25 to 0.62) | 0.000 |
Australia/New Zealand | 0.06 (–0.03 to 0.16) | 0.193 |
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Snijders, R.A.H.; Brom, L.; Theunissen, M.; van den Beuken-van Everdingen, M.H.J. Update on Prevalence of Pain in Patients with Cancer 2022: A Systematic Literature Review and Meta-Analysis. Cancers 2023, 15, 591. https://doi.org/10.3390/cancers15030591
Snijders RAH, Brom L, Theunissen M, van den Beuken-van Everdingen MHJ. Update on Prevalence of Pain in Patients with Cancer 2022: A Systematic Literature Review and Meta-Analysis. Cancers. 2023; 15(3):591. https://doi.org/10.3390/cancers15030591
Chicago/Turabian StyleSnijders, Rolf A. H., Linda Brom, Maurice Theunissen, and Marieke H. J. van den Beuken-van Everdingen. 2023. "Update on Prevalence of Pain in Patients with Cancer 2022: A Systematic Literature Review and Meta-Analysis" Cancers 15, no. 3: 591. https://doi.org/10.3390/cancers15030591
APA StyleSnijders, R. A. H., Brom, L., Theunissen, M., & van den Beuken-van Everdingen, M. H. J. (2023). Update on Prevalence of Pain in Patients with Cancer 2022: A Systematic Literature Review and Meta-Analysis. Cancers, 15(3), 591. https://doi.org/10.3390/cancers15030591