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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
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
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cited_by cdi_FETCH-LOGICAL-c630t-6565ecec0e365afd242af59dcbab852682043b2d531733c00d5bc416e7cc81b13
cites cdi_FETCH-LOGICAL-c630t-6565ecec0e365afd242af59dcbab852682043b2d531733c00d5bc416e7cc81b13
container_end_page 8
container_issue 2018
container_start_page 1
container_title Pain research & management
container_volume 2018
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&lt;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. 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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&lt;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. 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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 &amp; 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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&lt;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. 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identifier ISSN: 1203-6765
ispartof Pain research & management, 2018-01, Vol.2018 (2018), p.1-8
issn 1203-6765
1918-1523
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_cafd61ae759b45019d4c75f02c77e5b0
source Wiley Online Library Open Access; Publicly Available Content Database; PubMed Central
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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