Patient and Physician Satisfaction with Analgesic Treatment: Findings from the Analgesic Treatment for Cancer Pain in Southeast Asia (ACE) Study

Aim. The aim of this study was to examine patients’ and physicians’ satisfaction, and concordance of patient-physician satisfaction with patients’ pain control status. Methods. This cross-sectional observational study involved 465 adults prescribed analgesics for cancer-related pain from 22 sites ac...

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Bibliographic Details
Published in:Pain research & management 2018-01, Vol.2018 (2018), p.1-8
Main Authors: Moon, Hanlim, Javier, Francis O., Hadjiat, Yacine, Nguyen, Yen Phi, Kurnianda, Johan, Irawan, Cosphiadi, Tan, Kian Hian, Mansor, Marzida, Sriraj, Wimonrat, Thinh, Dang Huy Quoc, Ong-Cornel, Annielyn
Format: Article
Language:English
Subjects:
Analgesics
Cancer
Cancer pain
Cancer therapies
Care and treatment
Demographics
Drug therapy
Family physicians
Narcotics
Oncology
Oncology, Experimental
Pain
Pain management
Patient compliance
Patient education
Patient satisfaction
Physicians
Qualitative research
Sleep
Statistical analysis
Surveys
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Summary:Aim. The aim of this study was to examine patients’ and physicians’ satisfaction, and concordance of patient-physician satisfaction with patients’ pain control status. Methods. This cross-sectional observational study involved 465 adults prescribed analgesics for cancer-related pain from 22 sites across Indonesia, Malaysia, Philippines, Singapore, Thailand, and Vietnam. Pain intensity, pain control satisfaction, and adequacy of analgesics for pain control were documented using questionnaires. Results. Most patients (84.4%) had stage III or IV cancer. On a scale of 0 (no pain) to 10 (worse pain), patients’ mean worst pain intensity over 24 hours was 4.76 (SD 2.47). More physicians (19.0%) than patients (8.0%) reported dissatisfaction with patient’s pain control. Concordance of patient-physician satisfaction was low (weighted kappa 0.36; 95% CI 0.03–0.24). Most physicians (71.2%) found analgesics to be adequate for pain control. Patients’ and physicians’ satisfaction with pain control and physician-assessed analgesic adequacy were significantly different across countries (P
ISSN:1203-6765
1918-1523
DOI:10.1155/2018/2193710