In this too warm study, pain outcomes were observed and 19 cancer centers. Primary outcome was clinically significant pain control. This was on the hospital setting. 1900 patients. Several cancer types were represented. The Edinburg pain assessment and management was compared to standard of care. There is nearly a 7% improvement in pain control for patients enrolled in the program versus nearly a 4% decrease in those that were not. Absolute difference for nearly 10.7%. This increased to nearly 50% when to the cancer centers that were not complying with the protocol were excluded. The authors concluded that the systematic integrated approach for improving pain control improves patient pain.