Advancing pain and symptom management in cancer: A data-driven analysis of care delivery, psychosocial support, and communication strategies.

F FNU Anamika (Cleveland Clinic Akron General, Akron, Ohio, United States) A Akshit Chitkara (1Thomas Jefferson University, Philadelphia, United States) S Sakshi Bai (5Henry Ford Jackson Hospital, Jackson, United States) N Nikhil Vojjala (2Trinity Health Oakland/Wayne State University School of Medicine, Pontiac, United States) U Ujjwal Soni (6University of Oklahoma Health Sciences Center, Oklahama, United States) A Arshia Adib (NDMC Medical College, New Delhi, India) R Rushin Patel (Washington University in St. Louis, St. Louis, MO)

Abstract

e13588 Background: Effective pain and symptom management is critical in cancer care, yet gaps exist in addressing psychosocial needs and communication strategies. Non-pharmacological interventions, psychosocial support, and innovative care models have shown promise, but comprehensive, data-driven analysis is lacking, especially regarding underrepresented demographics. Methods: A systematic analysis was conducted using data from ClinicalTrials.gov and PubMed to identify studies published from 2020 to 2025 focused on pain management, psychosocial support, and communication strategies in cancer care. Outcomes analyzed include pain severity, emotional well-being, adherence, and patient satisfaction. The study also examined demographic representation, with a focus on age and ethnicity. Results: From 180 relevant studies, 40% incorporated non-pharmacological interventions (e.g., CBT, mindfulness). Psychosocial support (peer support, therapy) appeared in 30%, and 25% explored communication strategies (decision-making, symptom communication). Key findings include: Non-pharmacological interventions reduced pain severity by 35% (p < 0.01) and improved emotional well-being by 30% (p < 0.05). Psychosocial support reduced perceived stress by 40% (p < 0.001) and depressive symptoms by 25% (p < 0.05). Innovative care models, particularly telehealth, improved adherence by 50% (p < 0.001) and patient-care team communication by 45% (p < 0.01). Demographic analysis revealed underrepresentation: only 15% of trials included participants over 65 years, and 20% focused on racial/ethnic minorities. Conclusions: Psychosocial support, communication strategies, and non-pharmacological interventions enhance pain management and emotional well-being in cancer patients. Innovative care models like telehealth improve adherence and communication. However, underrepresentation of older adults and minorities in research limits the generalizability of these findings. Future research should prioritize inclusive recruitment strategies, explore the synergistic effects of combined interventions, and evaluate long-term outcomes to ensure equitable and effective care for all cancer patients. Intervention Type Studies (%) Pain Reduction (%) Emotional Improvement (%) Adherence (%) Patient Satisfaction (%) Non-pharmacological (CBT, mindfulness) 40% 35 30 N/A 85 Psychosocial Support (therapy, peer) 30% 15 40 N/A 80 Communication (decision-making) 25% 10 25 45 70 Innovative Care (telehealth) 25% 12 10 50 75

Article Details

Volume / Issue Vol. 43, Issue 16_suppl
Published June 01, 2025
ISSN 0732-183X
Publisher Lippincott Williams & Wilkins

Journal Info

Journal of Clinical Oncology

Lippincott Williams & Wilkins

ISSN: 0732-183X Health Sciences

Authors (7)

F

FNU Anamika

Cleveland Clinic Akron General, Akron, Ohio, United States

A

Akshit Chitkara

1Thomas Jefferson University, Philadelphia, United States

S

Sakshi Bai

5Henry Ford Jackson Hospital, Jackson, United States

N

Nikhil Vojjala

2Trinity Health Oakland/Wayne State University School of Medicine, Pontiac, United States

U

Ujjwal Soni

6University of Oklahoma Health Sciences Center, Oklahama, United States

A

Arshia Adib

NDMC Medical College, New Delhi, India

R

Rushin Patel

Washington University in St. Louis, St. Louis, MO