How Do Hospital Palliative Care Teams Use the WHO Guidelines to Manage Unrelieved Cancer Pain? A 1-Year, Multicenter Audit in Japan.

Autor:	Yoshimoto T; 1 Department of Palliative and Supportive Care, Chukyo Hospital, Aichi, Japan., Tomiyasu S; 2 Department of Anesthesia and Palliative Care, Nishida Hospital, Saga, Japan., Saeki T; 3 Department of Palliative Care Medicine, Municipal Miyoshi Central Hospital, Hiroshima, Japan., Tamaki T; 4 Department of Palliative Care, Cancer Center, Hokkaido University Hospital, Hokkaido, Japan., Hashizume T; 5 Hashizume Clinic, Akita, Japan., Murakami M; 6 Department of Palliative Care Medicine, Iwate Prefectural Ofunato Hospital, Iwate, Japan., Matoba M; 7 Department of Palliative Care Medicine, Japanese Red Cross Medical Center, Tokyo, Japan.
Jazyk:	angličtina
Zdroj:	The American journal of hospice & palliative care [Am J Hosp Palliat Care] 2017 Feb; Vol. 34 (1), pp. 92-99. Date of Electronic Publication: 2016 Jul 11.
DOI:	10.1177/1049909115608810
Abstrakt:	It has been reported that pain relief for patients with cancer is suboptimal in Japan. This has been mainly attributed to inadequate dissemination of the World Health Organization (WHO) guidelines for cancer pain management. To better understand this problem, we reviewed how 6 hospital palliative care teams (HPCTs) used the WHO guidelines for unrelieved pain in a 1-year audit that included 534 patients. The HPCT interventions were classified according to the contents of the WHO guidelines. In our study, HPCT interventions involved opioid prescriptions in >80% of referred patients, and "For the Individual" and "Attention to Detail" were the 2 most important principles. Our study indicates which parts of the WHO guidelines should be most heavily emphasized, when disseminating them in Japan.
Databáze:	MEDLINE
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