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Evaluating Pain Management Practices for Cancer Patients among Health Professionals: A Global Survey
Michael Silbermann1, Maria Minerva Calimag2, Elon Eisenberg3
1Middle East Cancer Consortium, Haifa, Israel.
Journal of Palliative Medicine
|April 20, 2022
Summary
Cancer pain management requires improvement globally, especially in low-income nations. Key barriers include education gaps, patient reluctance, and strict opioid regulations, necessitating enhanced training and policy advocacy.
Area of Science:
- Oncology
- Pain Management
- Global Health
Background:
- Global cancer incidence is rising, highlighting the need for improved cancer pain therapy.
- Significant disparities exist in cancer pain management, particularly affecting underserved populations in low-income countries.
Purpose of the Study:
- To assess knowledge, beliefs, and barriers related to cancer pain management in high- and low-income countries.
- To identify strategies for enhancing current cancer pain management practices worldwide.
Main Methods:
- A descriptive survey was conducted across 56 countries.
- A convenience sample of 1639 healthcare professionals (physicians, nurses, pharmacists) participated.
Main Results:
- Major barriers identified include religious factors, inadequate education and training, guideline nonadherence, patient reluctance to report pain, and stringent opioid regulations.
- Fear of addiction and lack of open discussion regarding prognosis and treatment planning also impede effective pain management.
Conclusions:
- Patients with cancer in low-income countries are frequently undertreated for pain.
- Accredited training programs for physicians and nurses, alongside advocacy for policymakers and the public, are crucial for improving cancer pain management.
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