Cancer-related pain: a nationwide survey of patients’ treatment modification and satisfaction in Taiwan

Rau, Kun Ming; Chen, Jen Shi; Wu, Hung Bo; Lin, Shiu-Shiung; Huang, Ming Lih; Tai, Ching Tai; Hwang, Wen Li; Li, Yin; Wang, Chuan Cheng; Hsieh, Ruey Kuen

doi:10.1093/jjco/hyx124

Cited by 8 publications

(8 citation statements)

References 23 publications

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“…Patient demographics, cancer characteristics, treatment histories, and current analgesic prescriptions were obtained from medical records. Questionnaires were administered to patients for self-assessment of worst pain intensity over the past 24 hours (scored on a numeric rating scale (NRS), from 0 (no pain) to 10 (worst pain imaginable) [ 10 , 11 ]), sleep disturbance due to cancer pain within the past 7 days, quality of life (assessed using the EuroQol Group 5-Dimension Self-Report Questionnaire 3 Level (EQ-5D-3L) system [ 12 , 13 ]), and patients' satisfaction with pain control status (scored on a 5-point scale: very satisfied, satisfied, acceptable, dissatisfied, and very dissatisfied [ 14 – 16 ]). Attending physicians assessed their satisfaction with their patients' pain control status (scored on a 5-point scale: very satisfied, satisfied, acceptable, dissatisfied, and very dissatisfied) and adequacy of analgesics for pain control (adequate and not adequate).…”

Section: Methodsmentioning

confidence: 99%

Patient and Physician Satisfaction with Analgesic Treatment: Findings from the Analgesic Treatment for Cancer Pain in Southeast Asia (ACE) Study

Thinh

Sriraj

Mansor

et al. 2018

Pain Research and Management

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Aim The aim of this study was to examine patients' and physicians' satisfaction, and concordance of patient-physician satisfaction with patients' pain control status. Methods This cross-sectional observational study involved 465 adults prescribed analgesics for cancer-related pain from 22 sites across Indonesia, Malaysia, Philippines, Singapore, Thailand, and Vietnam. Pain intensity, pain control satisfaction, and adequacy of analgesics for pain control were documented using questionnaires. Results Most patients (84.4%) had stage III or IV cancer. On a scale of 0 (no pain) to 10 (worse pain), patients' mean worst pain intensity over 24 hours was 4.76 (SD 2.47). More physicians (19.0%) than patients (8.0%) reported dissatisfaction with patient's pain control. Concordance of patient-physician satisfaction was low (weighted kappa 0.36; 95% CI 0.03–0.24). Most physicians (71.2%) found analgesics to be adequate for pain control. Patients' and physicians' satisfaction with pain control and physician-assessed analgesic adequacy were significantly different across countries (P < 0.001 for all). Conclusions Despite pain-related problems with sleep and quality of life, patients were generally satisfied with their pain control status. Interestingly, physicians were more likely to be dissatisfied with patients' pain control. Enhanced patient-physician communication, physicians' proactivity in managing opioid-induced adverse effects, and accessibility of analgesics have been identified to be crucial for successful cancer pain management. This study was registered at ClinicalTrials.gov (identifier NCT02664987).

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Section: Methodsmentioning

confidence: 99%

Patient and Physician Satisfaction with Analgesic Treatment: Findings from the Analgesic Treatment for Cancer Pain in Southeast Asia (ACE) Study

Thinh

Sriraj

Mansor

et al. 2018

Pain Research and Management

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“…Then, pain reassessment should be performed at speci ed intervals to ensure that analgesic therapy is providing maximum bene t with minimal adverse effects [1] . However, a survey showed that 70% of doctors did not change previously prescribed analgesics based on patients' current pain status [37] . Therefore, the standardization of pain treatment still needs to be strengthened.…”

Section: Discussionmentioning

confidence: 99%

Pain knowledge of patients and family caregivers as predictors of pain management outcomes in cancer patients: a multicenter study in China

et al. 2021

Support Care Cancer

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Purpose The purposes of this study were to evaluate the current situation of pain management outcomes, patients' pain knowledge and family caregivers' pain knowledge in China. And explore the impact of pain knowledge of patients and family caregivers on pain management outcomes. Methods A multicenter cross-sectional survey was conducted. A total of 410 patient-family caregiver dyads completed questionnaires, which included basic characters of patients and family caregivers, Brief Pain Inventory (BPI), the Pain Knowledge subscales of Patient Pain Questionnaire(PPQ) and Family Pain Questionnaire(FPQ). The difference in pain management outcomes was analyzed using the two independent-samples t test, one way ANOVA analysis and Wilcoxon rank sum test. Variables with statistical signi cance in bivariate analysis were included in multivariable linear regression analysis.Results The majority of the patients were male (57.1%), with the mean (SD) age of 59.34 (12.59). And strong opioids has been prescribed for 72.4% of the patients. The mean (SD) age of 410 family caregivers was 48.25(13.27) and nearly half of participants were female (54.9%). The average patient pain score in the last 24h was 3.23(SD = 2.16). The total average score on pain knowledge of 410 patients and family caregivers were 3.60 ± 1.90 and 3.57 ± 1.76. Taking strong opioids, patients' perceived moderate performance, patients' pain knowledge and family caregivers' pain knowledge were the main factors in uencing the pain management outcomes. ConclusionThe ndings of this study revealed that patients pain are at a moderate level and not satisfactory. Pain knowledge of patients and family caregivers are also at a moderate level. Moreover, this study reveals that pain management outcomes are obviously in uenced by analgesics, performance status and pain knowledge of patients and family caregivers. Advancing pain management by standardizing and individualizing pain treatment, implementing tailored education program to patients and family caregivers are important to improve cancer pain management outcomes.

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“…Pain severity was signi cantly related with psychological distress among ACPs 33 . Although Taiwanese patients were satis ed with their physicians in terms of pain control, treatment of cancer pain is still suboptimal as more than 70% of physicians do not prescribe analgesics based on their patient's current status 34 . Interestingly, Indonesian patients experienced more pain in this study.…”

Section: Discussionmentioning

confidence: 99%

Psychological distress and problem list among patients with advanced cancer: A comparative study of Indonesia and Taiwan

Huda¹,

Shaw²,

Lin³

et al. 2021

Preprint

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Background We assumed that patients in a country with lower economic development will have more psychological distress and problems than an economically stronger country. Therefore, the aims of this study were to determine whether advanced cancer patients in Indonesia have more psychological distress and experience more problems contributing to distress than a similar group of patients in Taiwan. We also examined the determinants of psychological distress. Methods We conducted a secondary data analysis comparing the data from 286 Indonesian and 70 Taiwanese participants, focusing on distress score and the Problem List (PL) of the Distress Thermometer. Descriptive analysis, Chi-Square test, independent t-test, One-way Anova and multiple linear regression with enter method were applied to analyse the data. Results Overall, more Indonesian respondents experienced distress and had more problems across all PL domains than Taiwanese participants. Being an early adult, having problems with childcare, housing and transportation were associated with higher distress while a higher depression score and having stage 4 cancer demonstrated lower distress among Indonesians. For Taiwanese respondents, appearance, bathing/dressing and pain determined psychological distress. Conclusions Differences in the healthcare system, economic level, culture, gender and age influenced the problems experienced by patients. Finding from our comparative study provide important insight into understanding distress and PL among ACPs in economically advanced countries compared with economically weak countries. Future collaboration to deliver interventions considering cultural and healthcare system differences between two countries should be developed

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Cancer-related pain: a nationwide survey of patients’ treatment modification and satisfaction in Taiwan

Abstract: 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.

Cited by 8 publications

References 23 publications

Patient and Physician Satisfaction with Analgesic Treatment: Findings from the Analgesic Treatment for Cancer Pain in Southeast Asia (ACE) Study

Patient and Physician Satisfaction with Analgesic Treatment: Findings from the Analgesic Treatment for Cancer Pain in Southeast Asia (ACE) Study

Pain knowledge of patients and family caregivers as predictors of pain management outcomes in cancer patients: a multicenter study in China

Psychological distress and problem list among patients with advanced cancer: A comparative study of Indonesia and Taiwan

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