A Randomized, Single-Blind Study Evaluating the Effect of a Bone Pain Education Video on Reported Bone Pain in Patients with Breast Cancer Receiving Chemotherapy and Pegfilgrastim

Pain Manag Nurs. 2018 Dec;19(6):693-706. doi: 10.1016/j.pmn.2018.04.002. Epub 2018 Jun 21.

Abstract

Background: Mild-to-moderate bone pain is the most commonly reported adverse event associated with pegfilgrastim.

Aims: To investigate the effect of bone pain education on pegfilgrastim-related bone pain in patients with breast cancer receiving chemotherapy and pegfilgrastim.

Design: Randomized, single-blind study.

Settings: Forty-eight community oncology clinics throughout the United States.

Participants: Three hundred women ≥18 years of age with newly diagnosed stage I -III breast cancer, who were planning ≥4 cycles of neoadjuvant or adjuvant chemotherapy with pegfilgrastim support starting in cycle 1.

Methods: Patients were randomized 1:1 to view a general education DVD on chemotherapy side effects (GE-DVD) or a DVD on bone pain following chemotherapy and pegfilgrastim (BP-DVD). Patients recorded severity of bone pain on a scale of 0-10, location of pain, and use of bone pain medications (i.e., analgesics, antihistamines, and nonsteroidal anti-inflammatory drugs) for 5 days, beginning on the day of pegfilgrastim administration, in each of the first four chemotherapy cycles.

Results: Patient-reported maximum bone pain was similar in the two groups (GE-DVD vs BP-DVD: cycle 1, 3.2 vs. 3.5, p = .3479; across all cycles, 4.1 vs. 4.6, p = .2196). Other measures of bone pain were also similar between the groups. Bone pain was highest in cycle 1 but decreased and then remained stable in subsequent cycles. Bone pain medication use was similar in both groups and was highest in cycle 1.

Conclusions: The bone pain-specific education evaluated here did not improve perceptions of bone pain reported in this patient population.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Bone Neoplasms / drug therapy*
  • Bone Neoplasms / secondary
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / pathology
  • Female
  • Filgrastim / administration & dosage
  • Filgrastim / therapeutic use
  • Humans
  • Middle Aged
  • Neoplasm Metastasis
  • Pain Management / nursing
  • Pain Measurement
  • Pain, Intractable / nursing
  • Pain, Intractable / prevention & control*
  • Patient Education as Topic*
  • Polyethylene Glycols / administration & dosage
  • Polyethylene Glycols / therapeutic use
  • Single-Blind Method
  • Treatment Outcome
  • United States
  • Video Recording

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • pegfilgrastim
  • Polyethylene Glycols
  • Filgrastim