{
  "abstract": "Cancer pain is a major complication that adversely affects the quality of life of cancer patients, with approximately 10%-20% of patients developing refractory cancer pain that conventional medications fail to control. Traditional unidimensional assessment tools cannot fully capture the complexity of this condition. We therefore applied a novel digital tool, the 6D BTS (Botong score) digital assessment system, which was integrated with a robotic device. This system provided a multidimensional, objective evaluation through a digital interface, assessing pain intensity, physical function, emotional status, sleep quality, neuropathic pain, and breakthrough pain. The system also enabled remote dynamic monitoring outside the hospital. We report a case of gallbladder carcinoma with clavicular metastasis and recurrent sternal pain. Using a robotic system integrated with the BTS system, we conducted a comprehensive assessment of the patient's pain. Based on the detailed information provided by the BTS system, we designed a personalized analgesic plan that controlled the cancer pain to some extent: the patient's Numeric Rating Scale score decreased from 8 to 1, and breakthrough pain episodes dropped from 6 times per day to 0. We conclude that the BTS system offers an effective digital solution for the comprehensive management of refractory cancer pain.",
  "abstract_shown": true,
  "affiliations": [
    "The Third Affiliated Hospital of Kunming Medical University, Yunnan Cancer Hospital, Peking University Cancer Hospital Yunnan, Kunming, Yunnan, China.",
    "Clinical Immunology Department, Kunming Children's Hospital & Children's Hospital Affiliated to Kunming Medical University, Kunming, Yunnan, China."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 13,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Jing Ren"
    },
    {
      "affs": [
        1
      ],
      "name": "Yuewen Li"
    },
    {
      "affs": [
        0
      ],
      "name": "Kunzhong Zhou"
    },
    {
      "affs": [
        0
      ],
      "name": "Yunhua Wang"
    },
    {
      "affs": [
        0
      ],
      "name": "Quanli Wang"
    },
    {
      "affs": [
        0
      ],
      "name": "Dongmei Hu"
    },
    {
      "affs": [
        0
      ],
      "name": "Tingting Song"
    },
    {
      "affs": [
        0
      ],
      "name": "Hui Dong"
    },
    {
      "affs": [
        0
      ],
      "name": "Zhijuan Cheng"
    },
    {
      "affs": [
        0
      ],
      "name": "Changrong Hu"
    },
    {
      "affs": [
        0
      ],
      "name": "Kunxiang Huang"
    },
    {
      "affs": [
        0
      ],
      "name": "Yuan Zhang"
    },
    {
      "affs": [
        0
      ],
      "name": "Li Zhuang"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/83md5zkwnmqd2.bib",
  "cited_by": 0,
  "doi": "10.3389/fpain.2026.1808441",
  "fulltext_url": "https://europepmc.org/articles/PMC13688096",
  "id": "83md5zkwnmqd2",
  "issns": [
    "2673-561X"
  ],
  "landing_url": "https://europepmc.org/article/MED/42923792",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2703|Pain Management and Opioid Use"
    ]
  ],
  "openalex": "W7221042208",
  "pdf_url": "https://europepmc.org/articles/PMC13688096?pdf=render",
  "pmcid": "PMC13688096",
  "pmid": "42923792",
  "published": "2026-10-08",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/83md5zkwnmqd2.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:33Z",
      "native_id": "MED:42923792",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42923792"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2703|Pain Management and Opioid Use",
      "subfield": "surgery"
    }
  ],
  "title": "Case Report: Application of the 6D BTS digital assessment system in the comprehensive management of refractory cancer pain in a patient with gallbladder carcinoma.",
  "title_text": "Case Report: Application of the 6D BTS digital assessment system in the comprehensive management of refractory cancer pain in a patient with gallbladder carcinoma.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:33Z",
  "url": "https://research.draconitic.com/paper/83md5zkwnmqd2",
  "venue": "Frontiers in pain research (Lausanne, Switzerland)",
  "versions": []
}