Cancer-related pain: A nationwide survey of patients' treatment modification and satisfaction in Taiwan

Kun Ming Rau, Jen Shi Chen, Hung Bo Wu, Sheng Fung Lin, Ming Lih Huang, Cheng Jeng Tai, Wen Li Hwang, Yin Che Lu, Chuan Cheng Wang, Ruey Kuen Hsieh

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: We have limited knowledge about cancer patients' pain control satisfaction in outpatient departments in Taiwan and doctors' practice of adjusting analgesics according to their pain status. This survey examined pain management and satisfaction among cancer outpatients with pain and obtained information on their quality of life and treatment management for different pain intensities. Methods: The Short version of the Brief Pain Inventory was used as the outcome questionnaire. Participants comprised 2075 patients with different cancers and disease statuses at 14 oncological outpatient departments, of which 1051 reported pain within the week prior to testing. The impact of pain management on physical and psychological functioning, and satisfaction with doctors were evaluated. Information about doctors' prescriptions was collected. Logistic regression analyses were conducted to evaluate whether the interference scale performed identically in the different analgesic ladders. Results: Pain was significantly linked to disease status and affected patients' physical and psychiatric functioning. Almost 100% of patients were satisfied with their pain control, but more than 70% of doctors did not change analgesics based on patients' current pain status. The results show that although patients were satisfied with their physicians, treatment of cancer pain was still suboptimal. Conclusion: Pain assessment and treatment need to be more thorough and management guidelines should be revised to improve pain control in patients with cancer.

Original languageEnglish
Pages (from-to)1060-1065
Number of pages6
JournalJapanese Journal of Clinical Oncology
Volume47
Issue number11
DOIs
Publication statusPublished - Jan 1 2017

Keywords

  • Cancer pain
  • Guidelines
  • Outpatient department
  • Pain control
  • Quality of life
  • Satisfaction

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Cancer Research

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  • Cite this

    Rau, K. M., Chen, J. S., Wu, H. B., Lin, S. F., Huang, M. L., Tai, C. J., Hwang, W. L., Lu, Y. C., Wang, C. C., & Hsieh, R. K. (2017). Cancer-related pain: A nationwide survey of patients' treatment modification and satisfaction in Taiwan. Japanese Journal of Clinical Oncology, 47(11), 1060-1065. https://doi.org/10.1093/jjco/hyx124