A survey of perceptions, attitudes, knowledge and practices of medical oncologists about cancer pain management in Spain
Clin. transl. oncol. (Print)
; 20(8): 1061-1071, ago. 2018. tab, graf
Article
in English
| IBECS
| ID: ibc-173690
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
Purpose:
To monitor oncologists perspective on cancer pain management.Methods:
An anonymized survey was conducted in two waves. First, over a convenience sample of oncologists known to be particularly concerned with the management of pain. Second, using a random sample of oncologists.Results:
In total, 73 and 82 oncologists participated in the first and second wave, respectively. Many oncologists reported to have good knowledge of analgesic drugs (95.9%), the mechanism of action of opioids (79.5%), and good skills to manage opioid-related bowel dysfunction (76.7%). Appropriate adjustment of background medication to manage breakthrough pain was reported by 95.5% of oncologists. Additionally, 87.7% (68.3% in the second wave, p = 0.035) of oncologists reported suitable opioid titration practices, and 90.4% reported to use co-adjuvant medications for neuropathic pain confidently. On the other hand, just 9.6% of oncologists participated in multidisciplinary pain management teams, and merely 30.3 and 27.1% reported to routinely collaborate with the Pain Clinics or involve other staff, respectively. Only 26.4% of the oncologists of the second wave gave priority to pain pathophysiology to decide therapies, and up to 75.6% reported difficulties in treating neuropathic pain. Significantly less oncologists of the second wave (82.9 vs. 94.5%, p = 0.001) used opioid rotation routinely.Conclusions:
Unlike in previous surveys, medical oncologists reported in general good knowledge and few perceived limitations and barriers for pain management. However, multi-disciplinary management and collaboration with other specialists are still uncommon. Oncologists commitment to optimize pain management seems important to improve and maintain good practicesRESUMEN
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Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Cancer Pain
/
Analgesia
/
Analgesics, Opioid
/
Neoplasms
Type of study:
Qualitative research
Limits:
Humans
Language:
English
Journal:
Clin. transl. oncol. (Print)
Year:
2018
Document type:
Article
Institution/Affiliation country:
Alcorcón Hospital/Spain
/
Arnau de Vilanova Hospital/Spain
/
Carlos Haya Hospital/Spain
/
La Paz Hospital/Spain
/
La Princesa Hospital/Spain
/
Mundipharma Pharmaceuticals/Spain
/
Santa María Nai Hospital/Spain
/
Specialty Hospital/Spain
/
Universidad de Salamanca (USAL)/Spain
/
University of Alcalá de Henares/Spain