A Nationwide Survey of Knowledge of and Compliance with Cancer Pain Management Guidelines by Korean Physicians

Title
A Nationwide Survey of Knowledge of and Compliance with Cancer Pain Management Guidelines by Korean Physicians
Author(s)
이경희김도연[김도연]안진석[안진석]김영철[김영철]이준영[이준영]김시영[김시영]
Keywords
CONTINUING-EDUCATION PROGRAM; OPIOID ANALGESICS; ATTITUDES; NURSES; BELIEFS
Issue Date
201404
Publisher
KOREAN CANCER ASSOCIATION
Citation
CANCER RESEARCH AND TREATMENT, v.46, no.2, pp.131 - 140
Abstract
Although cancer pain is prevalent, under-treatment still remains a problem. Knowledge of and compliance with guidelines for management of cancer pain were analyzed for exploration of physician-related barriers to cancer pain management. In addition, physicians' knowledge and its correlation with cancer pain control were audited. Materials and Methods From July 8 to December 2, 2010, a nationwide survey of house staff enquired about their knowledge of cancer pain control guidelines, and the medical records of patients under their care were analyzed. Results In total, 180 physicians participated in the study. Their average score for knowledge was 14.6 (range, 7 to 19; maximum possible, 20). When the knowledge score was divided into low, medium, and high scores, patients receiving care from physicians with 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, and 40% were not prescribed any medication for breakthrough pain. Conclusion Physicians' knowledge of guidelines for control of cancer pain showed an association with improvement of pain management. Overall adherence to the guidelines was lacking. Continuous interventions such as education and audits regarding cancer pain control guidelines for physician are needed.
URI
http://hdl.handle.net/YU.REPOSITORY/32461http://dx.doi.org/10.4143/crt.2014.46.2.131
ISSN
1598-2998
Appears in Collections:
의과대학 > 내과학교실 > Articles
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