Effects of a pain consult and patient education and monitoring: a prospective study in oncology patients

INTERVENTION: 1. Standard care 2. Second opinion pain consult at the specialist pain clinic 3. Second opinion pain consult combined with Pain Education Program and monitoring by nurse specialists CONDITION: Cancer pain ; Signs and Symptoms ; Pain, not elsewhere classified PRIMARY OUTCOME: Average pain reduction measured by numeric rating scale during the study period. SECONDARY OUTCOME: Effect of the interventions after 2, 4 and 8 weeks on:; 1. Adherence to ATC analgesics; 2. Worst pain reduction; 3. Average pain reduction; 4. Present pain reduction; 5. Proportion of patients with clinically relevant pain reduction; 6. Pain interference; 7. Quality of life; 8. Reduction of side effects; 9. Adequacy of pain treatment; 10. Pain knowledge INCLUSION CRITERIA: 1. Cancer‐related pain or cancer treatment related pain for at least two weeks 2. Nociceptive pain 3. Average pain intensity score of 4 or more 4. Accessibility by telephone 5. A life expectancy of at least three months 6. Informed consent