| Autor: |
Kay, S., Husbands, E., Antrobus, J. H., Munday, D. |
| Předmět: |
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| Zdroj: |
Palliative Medicine; Jun2007, Vol. 21 Issue 4, p279-284, 6p, 3 Charts, 1 Graph |
| Abstrakt: |
Introduction: It is estimated that 8% of cancer patients could benefit from advanced pain management techniques; some 12 000 patients per year in the UK. In 2002, Linklater et al. surveyed palliative medicine consultants to assess their access and attitude to such techniques, finding under-utilization with a lack of formal arrangements for referral. We report a survey of pain specialist anaesthetists on the same topic. Method: Postal questionnaire survey of lead anaesthetists in UK pain clinics. Results: 106 responses were received from 170 questionnaires sent (62%). Referral rates from palliative medicine to pain clinics were low; only 31% of respondents received more than 12 per year. Joint consulting arrangements were rare, but were associated with more referrals. Only 25% of anaesthetists' job plans had time allocated for palliative medicine referrals, but where present this correlated positively with referrals received (P<0.002). Total interventions were estimated at less than 1000 per year. Discussion: There is evidence of under-referral of patients for advanced pain management procedures with a lack of integrated services. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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