This trial is a prospective, open label, 1:1 randomized, controlled trial, conducted at a single institution. The aim of this study is to determine the effectiveness of invasive treatment of pain via splanchnicectomy, in patients with advanced pancreatic cancer. Assessments will not only include the usage of analgesic pharmacotherapy throughout the course of disease, and overall patient survival, but also subjective pain perception at rest, in movement, and after meals (measured by NRS score questionnaire), the patient’s quality of life (measured using the QLQ-C30 and FACIT questionnaires) [8, 9], and any pain-related suffering (measured with the PRISM projection test) [10, 11]. In addition, we intend to ascertain if earlier qualification for splanchnicectomy (upon lower steps of the WHO analgesic ladder) allows for a better therapeutic effect with this type of pain management.
A flow diagram of the trial is depicted in Fig. 1.
Flow diagram
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