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    A comparative analysis of the health and well-being of cancer survivors to the general population
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    Abstract Purpose Physical activity can provide analgesic benefit but its effect on cancer-related pain is unclear. This review synthesised and appraised the evidence for the effect of physical activity on pain in people living with or beyond cancer. Methods A systematic search of Ovid Medline and Embase was performed to identify randomised controlled trials (RCTs), randomised cross-over studies (RXTs), and prospective observational studies that examined physical activity and pain outcomes in adults living with or beyond cancer. Meta-analyses were performed to generate effect estimates. Risk of bias was assessed, and the GRADE system was used to assess evidence quality. Results One hundred twenty-one studies ( n = 13,806), including 102 RCTs, 6 RXTs, and 13 observational studies, met the criteria for inclusion. Meta-analyses of RCTs identified a decrease in pain intensity ( n = 3734; standardised mean difference (SMD) − 0.30; 95% confidence interval (CI) − 0.45, − 0.15) and bodily pain ( n = 1170; SMD 0.28; 95% CI 0.01, 0.56) but not pain interference ( n = 207; SMD − 0.13, 95% CI − 0.42, 0.15) following physical activity interventions. Individual studies also identified a reduction in pain sensitivity but not analgesic use, although meta-analysis was not possible for these outcomes. High heterogeneity between studies, low certainty in some effect estimates, and possible publication bias meant that evidence quality was graded as very low to low. Conclusion Physical activity may decrease pain in people living with and beyond cancer; however, high heterogeneity limits the ability to generalise this finding to all people with cancer or to specific types of cancer-related pain.
    Pain medicine
    Erratum to: Curr Pain Headache Rep 2011, 15(4):271–79 DOI 10.1007/s11916-011-0201-7 Leppert W: Pain Management in Patients with Cancer. Curr Pain Headache Rep 2011, 15:271–79. This article was published in the August 2011 issue of Current Pain and Headache Reports (volume 15, issue 4). The author has found an error in the “Fentanyl” section. On page 274, the following sentence is incorrect: “There are five types of patches that release 12, 25, 50, 75, and 100 μg/h equal to 2.1-, 4.2-, 8.4-, 12.6-, and 16.8-mg fentanyl dose per day, respectively.” The author has provided this corrected text: There are five types of patches that release 12, 25, 50, 75, and 100 μg/h, equal to about 0.3-, 0.6-, 1.2-, 1.8-, and 2.4-mg fentanyl dose per day, respectively.
    Pain medicine
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