Cancer-related pain: a nationwide survey of patients’ treatment modification and satisfaction in Taiwan
| Autor: | Hung Bo Wu, Chuan Cheng Wang, Ruey Kuen Hsieh, Yin Che Lu, Wen Li Hwang, Sheng Fung Lin, Cheng Jeng Tai, Ming Lih Huang, Jen-Shi Chen, Kun Ming Rau |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male cancer pain Cancer Research medicine.medical_specialty Analgesic pain control Disease Medication Adherence 03 medical and health sciences 0302 clinical medicine Quality of life Pain assessment medicine Humans Outpatient clinic Radiology Nuclear Medicine and imaging guidelines 030212 general & internal medicine Medical prescription Brief Pain Inventory Aged Pain Measurement Analgesics business.industry satisfaction outpatient department General Medicine Middle Aged quality of life Oncology Patient Satisfaction 030220 oncology & carcinogenesis Family medicine Physical therapy Female Original Article business Cancer pain |
| Zdroj: | Japanese Journal of Clinical Oncology |
| ISSN: | 1465-3621 0368-2811 |
| DOI: | 10.1093/jjco/hyx124 |
| Popis: | Although cancer patients were satisfied with their physicians, treatment of cancer pain was still suboptimal. Guidelines should be revised to improve pain assessment and control in patients with cancer. Background We have limited knowledge about cancer patients’ pain control satisfaction in outpatient departments in Taiwan and doctors’ practice of adjusting analgesics according to their pain status. This survey examined pain management and satisfaction among cancer outpatients with pain and obtained information on their quality of life and treatment management for different pain intensities. Methods The Short version of the Brief Pain Inventory was used as the outcome questionnaire. Participants comprised 2075 patients with different cancers and disease statuses at 14 oncological outpatient departments, of which 1051 reported pain within the week prior to testing. The impact of pain management on physical and psychological functioning, and satisfaction with doctors were evaluated. Information about doctors’ prescriptions was collected. Logistic regression analyses were conducted to evaluate whether the interference scale performed identically in the different analgesic ladders. Results Pain was significantly linked to disease status and affected patients’ physical and psychiatric functioning. Almost 100% of patients were satisfied with their pain control, but more than 70% of doctors did not change analgesics based on patients’ current pain status. The results show that although patients were satisfied with their physicians, treatment of cancer pain was still suboptimal. Conclusion Pain assessment and treatment need to be more thorough and management guidelines should be revised to improve pain control in patients with cancer. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|