UNASSIGNED: 190 Background: Cancer-related symptom management is best achieved by interdisciplinary teams. In 2011, the MUHC launched an @entity5 Clinic including palliative care, anesthesia, radiation oncology and nursing with rapid access to physiotherapy, occupational therapy and psychosocial oncology. METHODS: We retrospectively analysed all new outpatients completing two subsequent visits since March 2013. Variables included a) symptom severity with the Edmonton Symptom Assessment Scale (ESAS), b) @entity158 with the Brief @entity158 Inventory (BPI) and c) treatment including medication (type, formulation, dose of opioids) of non-pharmacological approaches. RESULTS: 71 @entity1 were analysed. Symptom management: Severity of @entity158 and other five symptoms decreased significantly @entity9485 or V3 (Table). @entity158 significantly decreased in all four BPI categories. One third of @entity1 had >= 50% @entity158 relief @entity9485 or V3. Number of severe @entity158 cases decreased (45% @entity9485 to 18% at V3) in parallel to an increase of mild @entity158 cases (11% @entity9485 , 41% at V3). TREATMENTS: @entity1443 , anticonvulsants and NSAIDs were the most common non-opioid drugs. Opioid prescription remained constant at an 80% yet the ratio between short acting (SA) and long acting (LA) changed at V3 compared to @entity16728 ; V3: SA/LA=48/58) and the @entity1286 equivalent daily doses decreased ( @entity16728 : 100  194 mg, V2: 84  158mg and V3: 65  80mg). Among non-pharmacological methods, 28% of @entity1 received interventional procedures, 18% psychotherapy and 12% palliative radiotherapy. CONCLUSIONS: We believe that the @entity158 and other symptom improvement observed after three visits along with a lower opioid consumption is a result of the interdisciplinary approach offered. [Table: see text].

The McGill University Health Centre interdisciplinary approach to XXXX management: Description of treatments and outcomes.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity5 :: ('MESH:D009369', 'Disease') :: ['interdisciplinary Cancer Pain'] @entity9485 :: ('4683', 'Gene') :: ['at V1', 'at V2'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain', 'pain'] @entity16728 :: ('28299', 'Gene') :: ['V1 (V1: SA/LA=76/44', 'V1'] @entity1286 :: ('MESH:D009020', 'Chemical') :: ['morphine'] @entity1443 :: ('MESH:D000082', 'Chemical') :: ['Acetaminophen']
@entity5 :: (MESH:D009369,Disease) :: ['cancer pain']
