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A survey of perceptions, attitudes, knowledge and practices of medical oncologists about cancer pain management in Spain
García-Mata, Jesús; Álamo, Cecilio; Castro, Javier de; Contreras, Jorge; Gálvez, Rafael; Jara, Carlos; Llombart, Antonio; Pérez, Concepción; Sánchez, Pedro; Traseira, Susana; Cruz, Juan-Jesús.
Afiliación
  • García-Mata, Jesús; Santa María Nai Hospital. Medical Oncology Department. Orense. Spain
  • Álamo, Cecilio; University of Alcalá de Henares. Department of Pharmacology. Alcalá de Henares. Spain
  • Castro, Javier de; La Paz Hospital. Medical Oncology Department. Madrid. Spain
  • Contreras, Jorge; Carlos Haya Hospital. Radiotherapeutic Oncology Department. Málaga. Spain
  • Gálvez, Rafael; Virgen de las Nieves Hospital. Pain Clinic and Palliative Care Unit. Granada. Spain
  • Jara, Carlos; Alcorcón Hospital. Medical Oncology Department. Alcorcón. Spain
  • Llombart, Antonio; Arnau de Vilanova Hospital. Medical Oncology Department. Valencia. Spain
  • Pérez, Concepción; La Princesa Hospital. Pain Clinic. Madrid. Spain
  • Sánchez, Pedro; Specialty Hospital. Medical Oncology Department. Jaén. Spain
  • Traseira, Susana; Mundipharma Pharmaceuticals. Medical Department. Madrid. Spain
  • Cruz, Juan-Jesús; Universidad de Salamanca (USAL). Hospital Universitario de Salamanca. Instituto de Investigación Biomédica de Salamanca (IBSAL). Salamanca. Spain
Clin. transl. oncol. (Print) ; 20(8): 1061-1071, ago. 2018. tab, graf
Article en En | IBECS | ID: ibc-173690
Biblioteca responsable: ES1.1
Ubicación: 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 practices
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Colección: 06-national / ES Base de datos: IBECS Asunto principal: Dolor en Cáncer / Analgesia / Analgésicos Opioides / Neoplasias Tipo de estudio: Qualitative_research Límite: Humans Idioma: En Revista: Clin. transl. oncol. (Print) Año: 2018 Tipo del documento: Article
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Colección: 06-national / ES Base de datos: IBECS Asunto principal: Dolor en Cáncer / Analgesia / Analgésicos Opioides / Neoplasias Tipo de estudio: Qualitative_research Límite: Humans Idioma: En Revista: Clin. transl. oncol. (Print) Año: 2018 Tipo del documento: Article