Physicians' knowledge about pharmacological management of cancer pain - With special reference on their prescribing responses to simulated patients with cancer pain

Acta Anaesthesiologica Taiwanica

Volumn 44, Issue 2, 2006, Pages 61-71

  Wu, Hung Bo ^a,b   Lee, Ming Chien ^a   Lai, Kwok Hung ^a   Ho, Shung Tai ^c,d   Sun, Wei Zen ^e   Wong, John On Nin ^f   Ger, Luo Ping ^a,c  

^a KAOHSIUNG VETERANS GENERAL HOSPITAL   (Taiwan)

^b E DA HOSPITAL   (Taiwan)

^c TRI SERVICE GENERAL HOSPITAL   (Taiwan)

^d TAIPEI CITY HOSPITAL   (Taiwan)

^e NATIONAL TAIWAN UNIVERSITY HOSPITAL   (Taiwan)

^f ST MARTIN DE PORRES HOSPITAL   (Taiwan)

Author keywords

Analgesics; Neoplasms; Pain; Patient Simulation; Physicians

Indexed keywords

CODEINE; FENTANYL; MORPHINE; NAPROXEN; NONSTEROID ANTIINFLAMMATORY AGENT; OPIATE DERIVATIVE; PARACETAMOL; PETHIDINE;

ADULT; ARTICLE; BONE PAIN; CANCER PAIN; CONSTIPATION; CONTROLLED STUDY; CORRELATION ANALYSIS; DISEASE SEVERITY; DRUG HALF LIFE; DRUG METABOLISM; FEMALE; GRAND MAL SEIZURE; HUMAN; MALE; MEDICAL EDUCATION; MEDICAL PRACTICE; MEDICAL SCHOOL; MUSCLE TWITCH; NEUROPATHIC PAIN; PATIENT CARE; PHYSICIAN ATTITUDE; PRESCRIPTION; PROFESSIONAL KNOWLEDGE; PROFESSIONAL PRACTICE; QUESTIONNAIRE; RATING SCALE; SIDE EFFECT; STATISTICAL ANALYSIS; STATISTICAL SIGNIFICANCE; TAIWAN; TREMOR;

ADULT; ANALGESICS; ANTI-INFLAMMATORY AGENTS, NON-STEROIDAL; FEMALE; HUMANS; KNOWLEDGE; MALE; MEPERIDINE; MIDDLE AGED; NEOPLASMS; PAIN, INTRACTABLE; PATIENT SIMULATION; PHYSICIAN'S PRACTICE PATTERNS; PHYSICIANS; PRESCRIPTIONS, DRUG;

EID: 33745626767     PISSN: 02541319     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (31)

1. Cleeland CS: The impact of pain on the patient with caner. Cancer 54:2635-2641, 1984.
2. Foley KM: The treatment of cancer pain. N Engl J Med 313: 84-95, 1985.
3. World Health Organization. Cancer pain relief and palliative care. Geneva: World Health Organization, p1-75, 1990.
4. Jacox A, Carr DB, Payne R, et al. Management of cancer pain. Clinical practice guideline no. 9. AHCPR publication no. 94-0592. Rockville, MD: Agency for Health Care Policy and Research. U.S. Department of Health and Human Services, Public Health Service, p1-74, 1994.
5. Hanks GW, Justins DM: Cancer Pain: management. Lancet 339:1031-1036, 1992.
6. Van Roenn JH, Cleeland CS, Gonin R, Hatfield AK, Pandya KJ: Physician attitudes and practice in cancer pain management: a survey from the Eastern Cooperative Oncology Group. Ann Intern Med 119:121-126, 1993.
7. Cleeland CS, Gonin R, Hatfield AK, Edmonson JH, Blum RH, Stewart JA, Pandya KJ: Pain and pain treatment in outpatients with metastatic cancer. N Engl J Med 330:592-596, 1994.
8. Elliott TF, Murray DM, Elliott BA, Braun B, Oken MM, Johnson KM, Post-White J, Lichtblau L: Physician knowledge and attitudes about cancer pain management: a survey from the Minnesota Cancer Pain Project. J Pain Symptom Manage 10:494-504, 1995.
9. Elliott TE, Elliott BA: Physician attitudes and beliefs about use of morphine for cancer pain. J Pain Symptom Manage 7: 141-148, 1992.
10. Zenz M, Zenz T, Tryba M, Strumpf M: Severe undertreatment of cancer pain: a 3 year survey of the German situation. J Pain Symptom Manage 10:187-191, 1995.
11. Ger LP, Ho ST, Wang JJ, Cherng CH: The prevalence and severity of cancer pain: a study of newly diagnosed cancer patients in Taiwan. J Pain Symptom Manage 15:285-293, 1998.
12. Ger LP, Ho ST, Wang JJ: Physicians' knowledge and attitudes toward the use of analgesics for cancer pain management: a survey of two medical centers in Taiwan. J Pain Symptom Manage 20:335-344, 2000.
13. Marks RM, Sachar EJ: Undertreatment of medical inpatiets with narcotic analgesics. Ann Intern Med 78:173-181, 1973.
14. Walsh TD: Common misunderstandings about the use of morphine for chronic pain in advanced cancer. CA Cancer J Clin 35:164-169, 1985.
15. Cleeland CS, Cleeland LM, Dar R, Rinehardt LC: Factors influencing physician management of cancer pain. Cancer 58: 796-800, 1986.
16. Vainio A: Treatment of terminal cancer pain in France: a questionnaire study. Pain 65:155-162, 1995.
17. Mercadante S, Salvaggio L: Cancer pain knowledge in southern Italy: data from a postgraduate refresher course. J Pain Symptom Manage 11:108-115, 1996.
18. Larue F, Colleau SM, Fontaine A, Brasseur L: Oncologists and primary care physicians' attitudes toward pain control and morphine prescribing in France. Cancer 76:2375-2382, 1995.
19. Elsner F, Sonntag B, Schmeisser N, Kiencke P, Sabatowski R, Loick G, Radbruch L: Application of guidelines for the treatment of headache and cancer pain by private practitioners. Schmerz 16:41-47, 2002.
20. Department of Health, Executive Yuan, Republic of China. Health statistics, Vol II. Vital statistics, Taipei: Department of Health, 1983-2003
21. Bauwens S, Distelmans W, Storme G, Kaufman L: Attitudes and knowledge about cancer pain in Flanders. The educational effect of workshops regarding pain and symptom control. Palliative Med 15:181-189, 2001.
22. Ger LP, Chang CY, Ho ST, Lee MC, Chang HH, Chao CS, Lai KH, Huang JM, and Wang SC: Effects of a continuing education program on nurses' practices of cancer pain assessment and their acceptance of patients' pain reports. J Pain Symptom Manage 27:61-71, 2004.
23. Yu S, Wang XS, Cheng Y, Yang J, Cleeland CS: Special aspects of cancer pain management in a Chinese general hospital. Eur J Pain 5 Suppl A:15-20, 2001.
24. Mortimer JE, Bartlett NL: Assessment of knowledge about cancer pain management by physicians in training. J Pain Symptom Manage 14:21-28, 1997.
25. Wells M, Dryden H, Guild P, Levack P, Farrer K, Mowat P: The knowledge and attitudes of surgical staff towards the use of opioids in cancer pain management: can the hospital palliative care team make a difference? Euro J Cancer Care 10: 201-211, 2001.
26. Sapir R, Pharm B, Catane R, Strauss-Liviatan N, Cherny NI: Cancer pain: knowledge and attitudes of physicians in Israel. J Pain Symptom Manage 17:266-276, 1999.
27. Fife BL, Irick N, Painter JD: A comparative study of the attitudes of physicians and nurses toward the management of cancer pain. J Pain Symptom Manage 8:132-139, 1993.
28. Temin P: Taking your medicine: drug regulation in the United States. Cambridge, MA: Harvard University Press, p106-119, 1980.
29. Levin ML, Berry JI, Leiter J: Management of pain in terminally ill patients: physician reports of knowledge attitudes and behaviors. J Pain Symptom Manage 15:27-40, 1998.
30. Furstenberg CT, Ahles TA, Whedon MB, Pierce KL, Dolan M, Roberts L, Silberfarb PM: Knowledge and attitudes of health care providers toward cancer pain management: a comparison of physicians, nurses and pharmacist in the state of New Hampshire. J Pain Symptom Manage 15:335-349, 1998.
31. Barclay S, Todd C, Grande G, Lipscombe J: Controlling cancer pain in primary care: the prescribing habits and knowledge base of general practitioners. J Pain Symptom Manage 23: 383-392, 2002.