Journal of Clinical Oncology· 2014Q1
Overcoming Barriers in Cancer Pain Management
- 360citations
- Q1SCImago
- 2014year
Short summary
Cancer pain remains inadequately managed due to multifaceted barriers from healthcare professionals (poor assessment, opioid reluctance), patients (cognitive/affective factors, adherence), and the healthcare system (opioid access limits, specialist availability).
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Key points
- Cancer pain is a multidimensional symptom (physical, psychosocial, emotional, spiritual) that is often undertreated.
- Barriers to adequate pain management exist at professional, patient, and system levels.
- Professional barriers include poor pain assessment and physician reluctance to prescribe opioids.
- Patient barriers involve cognitive/affective factors and adherence to treatment.
- Systemic barriers include limited opioid access and availability of pain/palliative care specialists.
AI-generated from the title and abstract; the full text is not read.
Abstract
Pain is a devastating symptom of cancer that affects the quality of life of patients, families, and caregivers. It is a multidimensional symptom that includes physical, psychosocial, emotional, and spiritual components. Despite the development of novel analgesics and updated pain guidelines, cancer pain remains undermanaged, and some patients with moderate to severe pain do not receive adequate pain treatment. Inadequate pain management can be attributed to barriers related to health care professionals, patients, and the health care system. Common professional-related barriers include poor pain assessment, lack of knowledge and skill, and the reluctance of physicians to prescribe opioids. Patient-related barriers include cognitive factors, affective factors, and adherence to analgesic regimens. System-related barriers such as limits on access to opioids and the availability of pain and palliative care specialists present additional challenges, particularly in resource-poor regions. Given the multidimensional nature of cancer pain and the multifaceted barriers involved, effective pain control mandates multidisciplinary interventions from interprofessional teams. Educational interventions for patients and health care professionals may improve the success of pain management.
The authors' abstract, as published at the source. Journal of Clinical Oncology, 2014 · DOI ↗
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Field: Anesthesiology and Pain Medicine
Anesthesiology and Pain MedicineMedicine