Oncologist's knowledge and implementation of guidelines for breakthrough cancer pain in Spain: CONOCE study
Clin. transl. oncol. (Print)
; 20(5): 613-618, mayo 2018. tab, graf
Artigo
em Inglês
| IBECS
| ID: ibc-173538
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
Purpose. Breakthrough cancer pain (BTcP) has been shown to be a prevalent and poor prognostic factor for oncologic patients, which remain under diagnosed and undertreated. In 2012, the Spanish Society of Medical Oncology (SEOM) published a clinical practice guideline (CPG) for the treatment of cancer pain which specifically addressed the management of BTcP. Methods. Fundación ECO designed a qualitative study using an Internet-based survey to investigate the attitudes toward, compliance with, and use of SEOM Guideline. Results. A total of 83 oncologists with a mean experience of 13 years responded. Overall, 82% were aware of different guidelines to manage BTcP. Notably, attitudes toward guidelines were highly positive and there was nearly unanimous agreement that CPG provided the best scientific evidence available (99%), on the minimum information to be gathered for the medical history (100%), on the need for a specific treatment for BTcP (100%), and fentanyl as the first-choice drug (99%). Interestingly, there were discrepancies between what oncologists agreed with and what they do in clinical practice. In fact, 87.6% declare full compliance with SEOM guideline, although adherence to registration of BTcP data in medical records ranged from 30.1 to 91.6% (mean 64.5%); therapeutic management compliance was higher ranging from 75.9 to 91.6%. Main barriers identified were time pressure together with vague statements and limited dissemination of the guidelines. Conclusion. Despite oncologists clinical practice is increasingly guided by GPC, it suffers from limited compliance, at least in part due to suboptimal statements. Improved dissemination and education are needed to enhance guideline implementation
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Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Fidelidade a Diretrizes
/
Dor Irruptiva
/
Manejo da Dor
/
Dor do Câncer
/
Oncologia
Tipo de estudo:
Guia de prática clínica
/
Estudo prognóstico
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Pesquisa qualitativa
Limite:
Humanos
País/Região como assunto:
Europa
Idioma:
Inglês
Revista:
Clin. transl. oncol. (Print)
Ano de publicação:
2018
Tipo de documento:
Artigo
Instituição/País de afiliação:
Complejo Universitario de Santiago de Compostela/Spain
/
Fundació Clínic/Spain
/
Fundación Instituto Valenciano de Oncología/Spain
/
General Universitario de Valencia/Spain
/
Hospital Clínico Universitario San Carlos/Spain
/
Hospital Sanitas La Moraleja/Spain
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Hospital Universitario "Fundación Jiménez Díaz"/Spain
/
Hospital Universitario Miguel Servet/Spain
/
Hospital Universitario Ramón y Cajal/Spain
/
Hospital Universitario Reina Sofía/Spain