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Special aspects of cancer pain management in a Chinese general hospital
Institution:1. Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China;2. University for Development Studies, Department of Community Health and Family Medicine, School of Medicine and Health Sciences, Tamale, Ghana;3. Department of Epidemiology, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, PR. China;1. University of Washington School of Nursing, Box 357260, 1959 NE Pacific Street, Seattle, WA 98195, United States;2. UW School of Nursing, Box 357266, 1959 NE Pacific Street, Seattle, WA 98195-7266, United States;3. Center for Anxiety and Depression, 400 Island Corporate Center, 7525 SE 24th St, Mercer Island, WA, United States;1. Department of Psychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, Finland;2. Department of Public Health Solutions, National Institute for Health and Welfare, Helsinki, Finland;1. Department of Psychiatry, University of Helsinki and Helsinki University Hospital, Helsinki, Finland;2. Department of Public Health Solutions, Finnish Institute for Health and Welfare, Helsinki, Finland
Abstract:China is still faced with a challenge in cancer pain management. The purposes of this study are to assess the current status of cancer pain management, and physicians' attitudes in China towards cancer pain management. The survey was done in a Chinese general hospital; 427 physicians and 387 cancer pain patients participated. The survey consisted of questionnaires to evaluate cancer pain management and physicians' knowledge of, and attitudes towards, cancer pain management. A total of 43% of patients with cancer pain and 51% with bone pain felt that they had been inadequately treated. The physicians rated the main reason for not using opioid drugs as the strong and difficult to control side-effects. The four main barriers to optimal management of cancer pain were: inadequate pain assessment; excessive state regulation of the prescribing of opioids; inadequate staff knowledge of pain management; and lack of access to powerful analgesics. To conclude: In China, there are some special aspects of cancer pain management, including physicians' concern about using opioid drugs, fear of being unable to manage adverse effects of opioids, and inadequately treated bone pain.
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