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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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Published in: | Pain research & management 2018-01, Vol.2018 (2018), p.1-8 |
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creator | 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 |
description | 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 |
doi_str_mv | 10.1155/2018/2193710 |
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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<0.001 for all). Conclusions. Despite pain-related problems with sleep and quality of life, patients were generally satisfied with their pain control status. Interestingly, physicians were more likely to be dissatisfied with patients’ pain control. Enhanced patient-physician communication, physicians’ proactivity in managing opioid-induced adverse effects, and accessibility of analgesics have been identified to be crucial for successful cancer pain management. This study was registered at ClinicalTrials.gov (identifier NCT02664987).</description><identifier>ISSN: 1203-6765</identifier><identifier>EISSN: 1918-1523</identifier><identifier>DOI: 10.1155/2018/2193710</identifier><identifier>PMID: 29849841</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Adolescent ; Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Analgesics ; Analgesics - therapeutic use ; Asia, Southeastern - epidemiology ; Cancer ; Cancer pain ; Cancer Pain - drug therapy ; Cancer Pain - epidemiology ; Cancer Pain - psychology ; Cancer therapies ; Care and treatment ; Cross-Sectional Studies ; Demographics ; Drug Prescriptions - statistics & numerical data ; Drug therapy ; Family physicians ; Female ; Humans ; International Cooperation ; Male ; Middle Aged ; Narcotics ; Oncology ; Oncology, Experimental ; Pain ; Pain management ; Pain Measurement ; Patient compliance ; Patient education ; Patient satisfaction ; Patient Satisfaction - statistics & numerical data ; Personal Satisfaction ; Physician-Patient Relations ; Physicians ; Physicians - psychology ; Qualitative research ; Quality of Life - psychology ; Retrospective Studies ; Sleep ; Sleep Wake Disorders - etiology ; Statistical analysis ; Surveys ; Surveys and Questionnaires ; Young Adult</subject><ispartof>Pain research & management, 2018-01, Vol.2018 (2018), p.1-8</ispartof><rights>Copyright © 2018 Dang Huy Quoc Thinh et al.</rights><rights>COPYRIGHT 2018 John Wiley & Sons, Inc.</rights><rights>Copyright © 2018 Dang Huy Quoc Thinh et al.; This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2018 Dang Huy Quoc Thinh et al. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c630t-6565ecec0e365afd242af59dcbab852682043b2d531733c00d5bc416e7cc81b13</citedby><cites>FETCH-LOGICAL-c630t-6565ecec0e365afd242af59dcbab852682043b2d531733c00d5bc416e7cc81b13</cites><orcidid>0000-0002-9774-3913 ; 0000-0003-2415-8753 ; 0000-0002-2524-6854</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2032395041/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2032395041?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,74998</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29849841$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Geurts, José W.</contributor><contributor>José W Geurts</contributor><creatorcontrib>Moon, Hanlim</creatorcontrib><creatorcontrib>Javier, Francis O.</creatorcontrib><creatorcontrib>Hadjiat, Yacine</creatorcontrib><creatorcontrib>Nguyen, Yen Phi</creatorcontrib><creatorcontrib>Kurnianda, Johan</creatorcontrib><creatorcontrib>Irawan, Cosphiadi</creatorcontrib><creatorcontrib>Tan, Kian Hian</creatorcontrib><creatorcontrib>Mansor, Marzida</creatorcontrib><creatorcontrib>Sriraj, Wimonrat</creatorcontrib><creatorcontrib>Thinh, Dang Huy Quoc</creatorcontrib><creatorcontrib>Ong-Cornel, Annielyn</creatorcontrib><title>Patient and Physician Satisfaction with Analgesic Treatment: Findings from the Analgesic Treatment for Cancer Pain in Southeast Asia (ACE) Study</title><title>Pain research & management</title><addtitle>Pain Res Manag</addtitle><description>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<0.001 for all). Conclusions. Despite pain-related problems with sleep and quality of life, patients were generally satisfied with their pain control status. Interestingly, physicians were more likely to be dissatisfied with patients’ pain control. Enhanced patient-physician communication, physicians’ proactivity in managing opioid-induced adverse effects, and accessibility of analgesics have been identified to be crucial for successful cancer pain management. This study was registered at ClinicalTrials.gov (identifier NCT02664987).</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analgesics</subject><subject>Analgesics - therapeutic use</subject><subject>Asia, Southeastern - epidemiology</subject><subject>Cancer</subject><subject>Cancer pain</subject><subject>Cancer Pain - drug therapy</subject><subject>Cancer Pain - epidemiology</subject><subject>Cancer Pain - psychology</subject><subject>Cancer therapies</subject><subject>Care and treatment</subject><subject>Cross-Sectional Studies</subject><subject>Demographics</subject><subject>Drug Prescriptions - statistics & numerical data</subject><subject>Drug therapy</subject><subject>Family physicians</subject><subject>Female</subject><subject>Humans</subject><subject>International Cooperation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Narcotics</subject><subject>Oncology</subject><subject>Oncology, Experimental</subject><subject>Pain</subject><subject>Pain management</subject><subject>Pain Measurement</subject><subject>Patient compliance</subject><subject>Patient education</subject><subject>Patient satisfaction</subject><subject>Patient Satisfaction - statistics & numerical data</subject><subject>Personal Satisfaction</subject><subject>Physician-Patient Relations</subject><subject>Physicians</subject><subject>Physicians - psychology</subject><subject>Qualitative research</subject><subject>Quality of Life - psychology</subject><subject>Retrospective Studies</subject><subject>Sleep</subject><subject>Sleep Wake Disorders - etiology</subject><subject>Statistical analysis</subject><subject>Surveys</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>1203-6765</issn><issn>1918-1523</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNkl1v0zAUhiMEYmNwxzWyxM0QdPNHHCdcIFXVBpMmUanj2jpxnNZVYg87Yeq_4CdzupZB0S5QLMU6fs6TvNbJsteMnjEm5TmnrDznrBKK0SfZMatYOWGSi6e451RMClXIo-xFSmtKc1ZS8Tw74lWZ42LH2c85DM76gYBvyHy1Sc448GSB1dSCGVzw5M4NKzL10C0tHpObaGHosecjuXS-cX6ZSBtDT4aVfQwjbYhkBt7YSObgPMG1CCPSkAYyTQ7I6XR28Y4shrHZvMyetdAl-2r_Psm-XV7czL5Mrr9-vppNryemEHSYFLKQ1lhDrSgktA3PObSyakwNdSl5UXKai5o3UjAlhKG0kbXJWWGVMSWrmTjJrnbeJsBa30bXQ9zoAE7fF0JcaoiDM53VBv0FA6tkVeeSsqrJjZIt5UYpK2uKrk871-1Y97YxGDpCdyA9PPFupZfhh5aV4Hm-_ZnTvSCG76NNg-5dMrbrwNswJo1hVJXnXFWIvv0HXYcx4q1vKcFFJem9cE8tAQM43wb8rtlK9VSWCjNwKZE6e4TCp7G9M8Hb1mH9oOHDrsHEkFK07UNGRvV2GvV2GvV-GhF_8_e9PMC_xw-B9ztghYMEd-4_dRYZ28IfmjMuUfcLjA_v5A</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Moon, Hanlim</creator><creator>Javier, Francis O.</creator><creator>Hadjiat, Yacine</creator><creator>Nguyen, Yen Phi</creator><creator>Kurnianda, Johan</creator><creator>Irawan, Cosphiadi</creator><creator>Tan, Kian Hian</creator><creator>Mansor, Marzida</creator><creator>Sriraj, Wimonrat</creator><creator>Thinh, Dang Huy Quoc</creator><creator>Ong-Cornel, Annielyn</creator><general>Hindawi Publishing Corporation</general><general>Hindawi</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M3G</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-9774-3913</orcidid><orcidid>https://orcid.org/0000-0003-2415-8753</orcidid><orcidid>https://orcid.org/0000-0002-2524-6854</orcidid></search><sort><creationdate>20180101</creationdate><title>Patient and Physician Satisfaction with Analgesic Treatment: Findings from the Analgesic Treatment for Cancer Pain in Southeast Asia (ACE) Study</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c630t-6565ecec0e365afd242af59dcbab852682043b2d531733c00d5bc416e7cc81b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analgesics</topic><topic>Analgesics - therapeutic use</topic><topic>Asia, Southeastern - epidemiology</topic><topic>Cancer</topic><topic>Cancer pain</topic><topic>Cancer Pain - drug therapy</topic><topic>Cancer Pain - epidemiology</topic><topic>Cancer Pain - psychology</topic><topic>Cancer therapies</topic><topic>Care and treatment</topic><topic>Cross-Sectional Studies</topic><topic>Demographics</topic><topic>Drug Prescriptions - statistics & numerical data</topic><topic>Drug therapy</topic><topic>Family physicians</topic><topic>Female</topic><topic>Humans</topic><topic>International Cooperation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Narcotics</topic><topic>Oncology</topic><topic>Oncology, Experimental</topic><topic>Pain</topic><topic>Pain management</topic><topic>Pain Measurement</topic><topic>Patient compliance</topic><topic>Patient education</topic><topic>Patient satisfaction</topic><topic>Patient Satisfaction - statistics & numerical data</topic><topic>Personal Satisfaction</topic><topic>Physician-Patient Relations</topic><topic>Physicians</topic><topic>Physicians - psychology</topic><topic>Qualitative research</topic><topic>Quality of Life - psychology</topic><topic>Retrospective Studies</topic><topic>Sleep</topic><topic>Sleep Wake Disorders - etiology</topic><topic>Statistical analysis</topic><topic>Surveys</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moon, Hanlim</creatorcontrib><creatorcontrib>Javier, Francis O.</creatorcontrib><creatorcontrib>Hadjiat, Yacine</creatorcontrib><creatorcontrib>Nguyen, Yen Phi</creatorcontrib><creatorcontrib>Kurnianda, Johan</creatorcontrib><creatorcontrib>Irawan, Cosphiadi</creatorcontrib><creatorcontrib>Tan, Kian Hian</creatorcontrib><creatorcontrib>Mansor, Marzida</creatorcontrib><creatorcontrib>Sriraj, Wimonrat</creatorcontrib><creatorcontrib>Thinh, Dang Huy Quoc</creatorcontrib><creatorcontrib>Ong-Cornel, Annielyn</creatorcontrib><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Pain research & management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moon, Hanlim</au><au>Javier, Francis O.</au><au>Hadjiat, Yacine</au><au>Nguyen, Yen Phi</au><au>Kurnianda, Johan</au><au>Irawan, Cosphiadi</au><au>Tan, Kian Hian</au><au>Mansor, Marzida</au><au>Sriraj, Wimonrat</au><au>Thinh, Dang Huy Quoc</au><au>Ong-Cornel, Annielyn</au><au>Geurts, José W.</au><au>José W Geurts</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient and Physician Satisfaction with Analgesic Treatment: Findings from the Analgesic Treatment for Cancer Pain in Southeast Asia (ACE) Study</atitle><jtitle>Pain research & management</jtitle><addtitle>Pain Res Manag</addtitle><date>2018-01-01</date><risdate>2018</risdate><volume>2018</volume><issue>2018</issue><spage>1</spage><epage>8</epage><pages>1-8</pages><issn>1203-6765</issn><eissn>1918-1523</eissn><abstract>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<0.001 for all). Conclusions. Despite pain-related problems with sleep and quality of life, patients were generally satisfied with their pain control status. Interestingly, physicians were more likely to be dissatisfied with patients’ pain control. Enhanced patient-physician communication, physicians’ proactivity in managing opioid-induced adverse effects, and accessibility of analgesics have been identified to be crucial for successful cancer pain management. This study was registered at ClinicalTrials.gov (identifier NCT02664987).</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>29849841</pmid><doi>10.1155/2018/2193710</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9774-3913</orcidid><orcidid>https://orcid.org/0000-0003-2415-8753</orcidid><orcidid>https://orcid.org/0000-0002-2524-6854</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Age Distribution Aged Aged, 80 and over Analgesics Analgesics - therapeutic use Asia, Southeastern - epidemiology Cancer Cancer pain Cancer Pain - drug therapy Cancer Pain - epidemiology Cancer Pain - psychology Cancer therapies Care and treatment Cross-Sectional Studies Demographics Drug Prescriptions - statistics & numerical data Drug therapy Family physicians Female Humans International Cooperation Male Middle Aged Narcotics Oncology Oncology, Experimental Pain Pain management Pain Measurement Patient compliance Patient education Patient satisfaction Patient Satisfaction - statistics & numerical data Personal Satisfaction Physician-Patient Relations Physicians Physicians - psychology Qualitative research Quality of Life - psychology Retrospective Studies Sleep Sleep Wake Disorders - etiology Statistical analysis Surveys Surveys and Questionnaires Young Adult |
title | Patient and Physician Satisfaction with Analgesic Treatment: Findings from the Analgesic Treatment for Cancer Pain in Southeast Asia (ACE) Study |
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