Evaluating Pain Management Practices for Cancer Patients among Health Professionals: A Global Survey
Silbermann M. Calimag M.M. Eisenberg E. Futerman B. Fernandez-Ortega P. Oliver A. Yaeger Monje J.P. Guo P. Charalambous H. Nestoros S. Pozo X. Bhattacharyya G. Katz G.J. Tralongo P. Fujisawa D. Kunirova G. Punjwani R. Ayyash H. Ghrayeb I. Manasrah N. Bautista M.J.S. Kotinska-Lemieszek A. De Simone G. Cerutti J. Gafer N. Can G. Terzioglu F. Kebudi R. Tuncel-Oguz G. Aydin A. Ozalp Şenel G. Mwaka A.D. Youssef A. Brant J. Alvarez G.P. Weru J. Rudilla D. Fahmi R. Hablas M. Rassouli M. Mula-Hussain L. Faraj S. Al-Hadad S. Al-Jadiry M. Ghali H. Fadhil S.A. Abu-Sharour L. Omran S. Al-Qadire M. Hassan A. Khader K. Alalfi N. Ahmed G. Galiana L. Sansó N. Abe A. Vidal-Blanco G. Rochina A.
1 August 2022Mary Ann Liebert Inc.
Journal of Palliative Medicine
2022#25Issue 81243 - 1248 pp.
Background: Cancer incidence in the world is predicted to increase in the next decade. While progress has been in diagnosis and treatment, much still remains to be done to improve cancer pain therapy, mainly in underserved communities in low-income countries. Objective: To determine knowledge, beliefs, and barriers regarding pain management in both high- and low-income countries (according to the WHO classification); and to learn about ways to improve the current state of affairs. Design: Descriptive survey. Setting/Subjects: Fifty-six countries worldwide; convenience sample of 1639 consisted of 36.8% physicians; 45.1% nurses, and 4.5% pharmacists employed in varied settings. Results: Improved pain management services are key elements. Top barriers include religion factors, lack of appropriate education and training at all levels, nonadherence to guidelines, patients reluctance to report on pains, over regulation associated with prescribing and access to opioid analgesics, fear of addiction to opioids, and lack of discussions around prognosis and treatment planning. Conclusion: The majority of patients with cancer in low-income countries are undertreated for their pain. Promoting cancer pain accredited program of training and education on pain management for physicians and nurses is crucial, as well as advocating policymakers and the public at large.
cancer , global , management , opioids , pain
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Middle East Cancer Consortium, Haifa, Israel
Faculty of Medicine and Surgery, University of Santo Tomas, Manila, Philippines
Bruce and Ruth Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
Department Salut Pública, Catalan Institute of Oncology, Barcelona, Spain
Department of Methodology for the Behavioral Sciences, University of Valencia, Valencia, Spain
Palliative Care Unit, Gustavo Fricke Hospital, Santiago, de Chile, Chile
Cecily Saunders Institute of Pediatric Care, Kings College, London, United Kingdom
Department of Medical Oncology, Bank of Cyprus Oncology Center, Nicosia, Cyprus
BOC Oncology Centre Nicosia, Nicosia, Cyprus
Pontifical Catholic University of Ecuador, Faculty of Medicine, Quito, Ecuador
Department of Medical Oncology, Chittaranjan National Cancer Institute, Kolkata, India
Department of Information and Control, Sabar Health, Haifa, Israel
Department of Medical Oncology, Umberto I Hospital - RAO, Sicily, Siracuse, Italy
Department of Neuropsychiatry and Palliative Care, Keio University School of Medicine, Tokyo, Japan
Kazakhstan Palliative Care Association, Almaty, Kazakhstan
Indus Research Centre, Indus Hospital and Health Network, Karachi, Pakistan
Department of Clinical Hemato-Oncology, European Gaza Hospital, Gaza, Khan Yunis, Palestine
Intensive Care Unit, Makassed Islamic Charitable Hospital, East Jerusalem, Palestine
Faculty of Nursing, Hebron University, West Bank, Palestinian Authority, Hebron, Palestine
Department of Palliative Medicine, Poznan University of Medical Sciences, Poznan, Poland
Department of Palliative Care, Bonorino Udaondo Public Hospital, Buenos Aires, Argentina
Department of Pediatric Oncology, Child Cancer Institute, Porto Alegre, Brazil
Department of Palliative Care, Radiation and Isotope Center, Khartoum, Sudan
Florence Nightingale Faculty of Nursing, Istanbul University, Cerrahpasa, Istanbul, Turkey
Faculty of Health Science, Kocaeli University of Health Sciences, Turkey
Cerrahpasa Medical Faculty, Istanbul University Oncology Institute, Istanbul, Turkey
Dr. AY Ankara Oncology Education and Research Hospital, Ankara, Turkey
Faculty of Nursing, Koç University, Istanbul, Turkey
College of Health Sciences, Makerere University, Kampala, Uganda
Queens College, University of Oxford, Oxford, United Kingdom
Billings Clinic Collaborative Science and Innovation, Billings, MT, United States
Public Health Services in Primary Care, Montevideo Metropolitan Area, Uruguay
Department of Palliative Medicine, Aga Khan University Hospital, Nairobi, Kenya
Pulmonology Service, La Princesa University Hospital and Air Liquide Healthcare, Madrid, Spain
Department of Clinical Oncology, El-Salam Oncology Center Cairo, Cairo, Egypt
Gharbia Cancer Society, Tanta, Egypt
Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Sultan Qaboos Comprehensive Cancer Care and Research Center, Muscat, Oman
Department of Pediatric Oncology, Children Welfare Teaching Hospital, Medical City, Baghdad, Iraq
Al-Zaytoonah University of Jordan, Amman, Jordan
Department of Adult Health, Jordan University of Science and Technology, Irbid, Jordan
Al-Bayt University, Mafraq, Jordan
Department of Palliative Medicine, National Center for Cancer Care and Research, Doha, Qatar
Department of Nursing and Midwifery, Taif University, Taif, Saudi Arabia
University of Sulaimani, Kurdistan, Sulaimani, Iraq
Department of Psycho-Oncology, National Cancer Center, Aden, Yemen
Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma, de Mallorca, Spain
Department of Nursing, University of Valencia, Valencia, Spain
Hospital Padre Jofre, Valencia, Spain
Sultan Qaboos University, Muscat, Oman
Middle East Cancer Consortium
Faculty of Medicine and Surgery
Bruce and Ruth Rappaport Faculty of Medicine
Department Salut Pública
Department of Methodology for the Behavioral Sciences
Palliative Care Unit
Cecily Saunders Institute of Pediatric Care
Department of Medical Oncology
BOC Oncology Centre Nicosia
Pontifical Catholic University of Ecuador
Department of Medical Oncology
Department of Information and Control
Department of Medical Oncology
Department of Neuropsychiatry and Palliative Care
Kazakhstan Palliative Care Association
Indus Research Centre
Department of Clinical Hemato-Oncology
Intensive Care Unit
Faculty of Nursing
Department of Palliative Medicine
Department of Palliative Care
Department of Pediatric Oncology
Department of Palliative Care
Florence Nightingale Faculty of Nursing
Faculty of Health Science
Cerrahpasa Medical Faculty
Dr. AY Ankara Oncology Education and Research Hospital
Faculty of Nursing
College of Health Sciences
Queens College
Billings Clinic Collaborative Science and Innovation
Public Health Services in Primary Care
Department of Palliative Medicine
Pulmonology Service
Department of Clinical Oncology
Gharbia Cancer Society
Cancer Research Center
Sultan Qaboos Comprehensive Cancer Care and Research Center
Department of Pediatric Oncology
Al-Zaytoonah University of Jordan
Department of Adult Health
Al-Bayt University
Department of Palliative Medicine
Department of Nursing and Midwifery
University of Sulaimani
Department of Psycho-Oncology
Department of Nursing and Physiotherapy
Department of Nursing
Hospital Padre Jofre
Sultan Qaboos University
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