Cognition and Sociodemographic Determinants for Effective Pain Control in Patients with Cancer Pain: a Cross-sectional Survey in China

Shangguan, Xiaofang; Yu, Zehao; Ji, Lü; Chen, Yangyang; Wu, Hongyan; Huang, Rui; Zhang, Chengliang

doi:10.1007/s11596-020-2167-3

Cited by 9 publications

(4 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…From the perspective of patients with cancer pain, our previous study also showed that patients’ lack of knowledge of cancer pain and poor drug adherence were crucial factors of poor pain control. 36 In addition, patient factors, such as cancer stage (curative vs non-curative) and timing (during or after cancer treatment) can also affect pain control and should be addressed by the medical staff. These findings indicated that education programs for medical staff and patients and relevant guidelines on cancer pain are needed to overcome these obstacles that hinder effective pain management.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Practices, and Perceived Barriers in Cancer Pain Management at Oncology Units: A Cross-Sectional Survey of Medical Staff in China

Z¹,

Li²,

Shangguan³

et al. 2022

JPR

View full text Add to dashboard Cite

Background Despite the great signs of progress in cancer pain management in China, the associated pain remains under-treated. Poor knowledge among the medical staff is an important factor contributing to the under-treatment of cancer pain. This study aimed to evaluate the knowledge, practices, and perceived barriers in cancer pain management among the medical staff at oncology units in China. Patients and Methods A cross-sectional survey was conducted with the medical staff (including physicians, nurses, and pharmacists) at oncology units in tertiary hospitals of China between December 2020 and January 2021. The questionnaire assessed the knowledge, practices, and perceived barriers in cancer pain management. Results A total of 1262 medical staff responded to the questionnaire; the response rate was 94.2%. Most participants had good knowledge of the three-step analgesic ladder of the World Health Organization (WHO) and the National Comprehensive Cancer Network (NCCN) guidelines for Adult Cancer Pain . Knowledge deficit was prominent in questions on opioid dose titration and rotation and adverse effects of opioids; the correct response rate was less than 40%. Training, work experience in oncology, and education level were significantly related to knowledge of cancer pain management (all P < 0.001). In clinical practice for cancer pain management, approximately 57.2% of medical staff were unfamiliar with opioid dose titration and rotation; only 14.4% treated cancer pain through multidisciplinary collaboration. Poor medication compliance, difficult individualized analgesia protocols, and insufficient multidisciplinary participation were the most frequently perceived barriers by the medical staff for pain management. Conclusion These findings suggested a further need for integrating recent guidelines to strengthen continued training (especially among juniors and those with low education levels) and patient education to improve the knowledge and clinical practices of cancer pain management among the medical staff in China. Multi-disciplinary management is required for the effective treatment of cancer pain.

show abstract

Section: Discussionmentioning

confidence: 99%

Knowledge, Practices, and Perceived Barriers in Cancer Pain Management at Oncology Units: A Cross-Sectional Survey of Medical Staff in China

Z¹,

Li²,

Shangguan³

et al. 2022

JPR

View full text Add to dashboard Cite

show abstract

“…Longitudinal studies are needed to determine a causal direction, since pain may have an impact on employment status or vice versa. Several studies found that household income and educational level were inversely associated with pain prevalence and severity, and with feeling impaired through pain (50)(51)(52). This association might be caused by differences in the ability to adequately describe pain and in access to and knowledge of pain medication (53).…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Severity of Pain in Cancer Patients in Germany

et al. 2021

View full text Add to dashboard Cite

Pain is a common symptom in cancer patients, restricts daily life activities and reduces survival time. Identification of sociodemographic, medical and psychological correlates of pain among cancer patients in Germany could help identify subgroups most in need of pain management. In this multicenter, epidemiologic cross-sectional study, we assessed pain prevalence and severity, quality of life (QoL) and psychological distress in a sample of 3,745 cancer patients across all tumor entities. In total, 37.9% patients suffered from cancer-related pain and 56.1% suffered from non-specific pain. Younger, female, less educated and unemployed patients reported pain more frequently and more severe pain (p < 0.001). Pain was associated with distress, depression, anxiety, QoL, tumor stage (p < 0.001), and time since diagnosis (p = 0.012). Pain assessment and pain management should be a routine part of cancer treatment and cancer survivorship care plans.

show abstract

“…The willingness of oncologists to optimize pain outcomes and ongoing medical education are important tools to enhance cancer pain management [11]. Likewise, for pharmacists and nurses, pain management education programs for nurses and pharmacists are essential to improve pain assessment and accuracy of analgesic use [12]. Online voice/video and live lecture, case sharing and discussion, live case exercise, and theory test can all be used as re-education methods.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes, And Practices Towards Cancer Pain Management Amongst Healthcare Workers (Physicians, Pharmacists, And Nurses): A Cross-Sectional Study From First-Tier Cities in China

Xie

Zhang

et al. 2021

Preprint

View full text Add to dashboard Cite

Purpose China is currently one of the countries with the largest increased number of new cancer cases in the world, but cancer pain management (CPM) is still inadequate. This study, through a questionnaire designed to show the knowledge, attitudes, and practices (KAP) status and differences towards CPM among healthcare workers (HCWs) in developed areas of China and explore areas and advantages of the role of pharmacists and mobile devices.Methods This study used data from a questionnaire on CPM from March to June 2019. The study population consisted of a total of 515 HCWs in four first-tier developed cities in China. The questionnaire has four major components, analysis of differences in KAP of different occupations through one-way analysis of variance (ANOVA).Results Among the respondents, the physicians had the highest knowledge scores towards CPM, pharmacists had the lowest practice scores. Around half of the respondents indicated that their hospital or department have a pharmacist participating in CPM. Physicians, and nurses were more likely to expect pharmacists to provide drug counseling. The HCWs interviewed most expect that the mobile-based pain management system can automatically screen and mark patients with pain.Conclusion From this study, it can be suggested that pharmacists and nurses in the CPM team should actively promote relevant knowledge. Besides, pharmacists should focus on improving practical ability such as increasing the frequency of pain assessment. Multidisciplinary collaboration and the introduction of mobile devices can improve and refine the CPM.

show abstract

Cognition and Sociodemographic Determinants for Effective Pain Control in Patients with Cancer Pain: a Cross-sectional Survey in China

Cited by 9 publications

References 48 publications

Knowledge, Practices, and Perceived Barriers in Cancer Pain Management at Oncology Units: A Cross-Sectional Survey of Medical Staff in China

Knowledge, Practices, and Perceived Barriers in Cancer Pain Management at Oncology Units: A Cross-Sectional Survey of Medical Staff in China

Prevalence and Severity of Pain in Cancer Patients in Germany

Knowledge, Attitudes, And Practices Towards Cancer Pain Management Amongst Healthcare Workers (Physicians, Pharmacists, And Nurses): A Cross-Sectional Study From First-Tier Cities in China

Contact Info

Product

Resources

About