UNASSIGNED: 180 Background: There is no standardized and universally accepted @entity158 classification system for the assessment and management of @entity5 in both clinical practice and in research studies. The Edmonton Classification System for @entity5 (ECS-CP) is an assessment tool that has demonstrated value in assessing @entity158 characteristics and response. The purpose of the study was to determine the relationship between the negative ECS-CP features and some @entity158 related variables like @entity158 intensity and opioid use. Also, we explored whether the number of negative ECS-CP features was associated with higher @entity158 intensity. METHODS: Electronic charts of 100 @entity1 at the outpatient supportive care clinic in a comprehensive @entity5 center were reviewed for @entity1 characteristics, initial ECS-CP assessment, the @entity1286 equivalent daily dose (MEDD), @entity717 , the Edmonton Symptom Assessment Score (ESAS), Memorial Delirium Assessment Scale (MDAS), performance status, and the use of adjuvant analgesics. RESULTS: Ninety one out of the 100 charts were therefore eligible for analysis. The median age was 58.4 years. The most common primary @entity5 site was @entity1820 (22.1%). The median @entity158 intensity was 6 and the median MEDD was 45mg. Incident @entity158 was the most common ECS-CP feature (60%) and @entity73 was the least frequent feature (2%). @entity9 was associated with higher median @entity158 intensity (7 vs. 5, p=0.007) and median MEDD requirement (83 vs. 30, p=0.013). Psychological distress was associated with higher median @entity158 intensity (7 vs. 5, p=0.042). Incident @entity158 was also associated with a trend for higher @entity158 intensity (6 vs 5, p= 0.06). A higher number of negative ECS-CP features was associated with higher @entity158 intensity (p=0.01). CONCLUSIONS: The ECS-CP was successfully completed in the majority of @entity1 , demonstrating its utility in routine clinical practice. @entity9 and @entity458 were associated with higher @entity158 intensity. Also, @entity9 was associated with higher MEDD. A higher sum of negative ECS-CP features was associated with higher @entity158 intensity. Further studies will be needed to explore this observation.

The routine use of the Edmonton classification system for XXXX in an outpatient supportive care center.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['Cancer Pain', 'cancer', 'cancer pain'] @entity73 :: ('MESH:D003072', 'Disease') :: ['cognitive dysfunction'] @entity458 :: ('MESH:D020018', 'Disease') :: ['psychological distress'] @entity1820 :: ('MESH:D005770', 'Disease') :: ['gastrointestinal cancer'] @entity1286 :: ('MESH:D009020', 'Chemical') :: ['morphine'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity717 :: ('MESH:D009069', 'Disease') :: ['opioid rotation'] @entity9 :: ('MESH:D009437', 'Disease') :: ['neuropathic pain', 'Neuropathic pain']
@entity5 :: (MESH:D009369,Disease) :: ['cancer pain']
