A Nationwide Survey of Knowledge of and Compliance with Cancer Pain Management Guidelines by Korean Physicians
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PurposeAlthough cancer pain is prevalent, under-treatment still remains a problem. Knowledgeof and compliance with guidelines for management of cancer pain wereanalyzed for exploration of physician-related barriers to cancer pain management. In addition, physicians’ knowledge and its correlation with cancer pain control wereaudited. Materials and MethodsFrom July 8 to December 2, 2010, a nationwide survey of house staff enquired abouttheir knowledge of cancer pain control guidelines, and the medical records of patientsunder their care were analyzed. ResultsIn total, 180 physicians participated in the study. Their average score for knowledgewas 14.6 (range, 7 to 19; maximum possible, 20). When the knowledge score wasdivided into low, medium, and high scores, patients receiving care from physicianswith high levels of knowledge tended to have better cancer pain control (p＜0.001). Of the total patients with severe pain, 19.5% were not prescribed strong opioids, and40% were not prescribed any medication for breakthrough pain. ConclusionPhysicians’ knowledge of guidelines for control of cancer pain showed an associationwith improvement of pain management. Overall adherence to the guidelines was lacking. Continuous interventions such as education and audits regarding cancer paincontrol guidelines for physician are needed.
Abstract
PurposeAlthough cancer pain is prevalent, under-treatment still remains a problem. Knowledgeof and compliance with guidelines for management of cancer pain wereanalyzed for exploration of physician-related barriers to cancer pain management. In addition, physicians’ knowledge and its correlation with cancer pain control wereaudited. Materials and MethodsFrom July 8 to December 2, 2010, a nationwide survey of house staff enquired abouttheir knowledge of cancer pain control guidelines, and the medical records of patientsunder their care were analyzed. ResultsIn total, 180 physicians participated in the study. Their average score for knowledgewas 14.6 (range, 7 to 19; maximum possible, 20). When the knowledge score wasdivided into low, medium, and high scores, patients receiving care from physicianswith high levels of knowledge tended to have better cancer pain control (p＜0.001). Of the total patients with severe pain, 19.5% were not prescribed strong opioids, and40% were not prescribed any medication for breakthrough pain. ConclusionPhysicians’ knowledge of guidelines for control of cancer pain showed an associationwith improvement of pain management. Overall adherence to the guidelines was lacking. Continuous interventions such as education and audits regarding cancer paincontrol guidelines for physician are needed.
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