The Experts below are selected from a list of 13605 Experts worldwide ranked by ideXlab platform
Lona L. Christrup - One of the best experts on this subject based on the ideXlab platform.
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Barriers to Cancer Pain Management: a review of empirical research.
Medicina (Kaunas Lithuania), 2009Co-Authors: Ramune Jacobsen, Zita Vincentina Liubarskiene, Claus Møldrup, Lona L. Christrup, Per Sjøgren, Jurgita SamsanavicieneAbstract:Patient-, physician-, and health care system-related barriers of Cancer Pain Management in patients with malignant diseases are a recognized and widely investigated issue. The purpose of this review is to summarize the main findings of empirical research on these barriers in the literature. The most significant patientrelated barriers were patient reluctance to report Pain and adhere to treatment recommendations. Besides that, cognitive, affective, and sensory patient-related barriers to Cancer Pain Management with opioid analgesics have been studied using quantitative and qualitative research methods. The Barriers Questionnaire and its shortened and modified versions were the most commonly used instruments in the context of research on patient-related barriers to Cancer Pain Management. The most prominent physicianrelated barriers were insufficient physicians’ knowledge about Cancer Pain Management, inadequate patterns of Pain assessment, and inadequate opioid prescription. The methodologies used to conduct the majority of the studies on physician-related barriers were weak. Nevertheless, physician knowledge of Pain Management guidelines, the quality of Pain assessment and opioid prescription have been shown to be obviously better in a few Western countries. Institutional and health care system-related barriers were relevant only in countries with restrictive opioid prescription regulations. The evaluation of the influence of cultural-social-economical background on Cancer Pain Management could probably help to obtain better insight into the problems of unrelieved Cancer Pain.
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patient related barriers to Cancer Pain Management a systematic exploratory review
Scandinavian Journal of Caring Sciences, 2009Co-Authors: Ramune Jacobsen, Claus Møldrup, Lona L. Christrup, Per SjøgrenAbstract:The aim of this review was to systemically explore the current evidence regarding patient-related barriers to Cancer Pain Management to find new areas that might be important for better understanding of patient barriers' phenomenon. The method used in this study was a computerised literature search, carried out in Cochrane Library, Medline (through PubMed), Web of Science and EMBASE databases for the period 1994-2005. Thirty-seven studies, dealing with cognitive, sensory and affective patient-related barriers, as well as studies, describing patients' Pain communication and their adherence to analgesic regimen were included and analysed. The dominant part of articles studied cognitive patient-related barriers to Cancer Pain Management, while affective, sensory barriers, as well as Pain communication and Pain medication adherence were studied in much less extend. However, the findings from different studies regarding relationships between cognitive barriers and Pain intensity were not consistent. On the contrary, the quality of Pain communication was consistently found to be not satisfactory in some key areas. The associations between more expressed attitudinal as well as sensory barriers and less optimal adherence were also consistent. In conclusions suggestion for the new research areas on patient-related barriers to Cancer Pain Management are made. Firstly, further research is needed to differentiate the role of cognitive, affective and sensory factors with respect to their impact on Pain relief, Pain communication and medication adherence. Besides that, validated instruments to assess patients' Pain communication and adherence to analgesic regimen are lacking.
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Patient‐related barriers to Cancer Pain Management: a systematic exploratory review
Scandinavian journal of caring sciences, 2008Co-Authors: Ramune Jacobsen, Claus Møldrup, Lona L. Christrup, Per SjøgrenAbstract:The aim of this review was to systemically explore the current evidence regarding patient-related barriers to Cancer Pain Management to find new areas that might be important for better understanding of patient barriers' phenomenon. The method used in this study was a computerised literature search, carried out in Cochrane Library, Medline (through PubMed), Web of Science and EMBASE databases for the period 1994-2005. Thirty-seven studies, dealing with cognitive, sensory and affective patient-related barriers, as well as studies, describing patients' Pain communication and their adherence to analgesic regimen were included and analysed. The dominant part of articles studied cognitive patient-related barriers to Cancer Pain Management, while affective, sensory barriers, as well as Pain communication and Pain medication adherence were studied in much less extend. However, the findings from different studies regarding relationships between cognitive barriers and Pain intensity were not consistent. On the contrary, the quality of Pain communication was consistently found to be not satisfactory in some key areas. The associations between more expressed attitudinal as well as sensory barriers and less optimal adherence were also consistent. In conclusions suggestion for the new research areas on patient-related barriers to Cancer Pain Management are made. Firstly, further research is needed to differentiate the role of cognitive, affective and sensory factors with respect to their impact on Pain relief, Pain communication and medication adherence. Besides that, validated instruments to assess patients' Pain communication and adherence to analgesic regimen are lacking.
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Physician-related barriers to Cancer Pain Management with opioid analgesics: a systematic review.
Journal of opioid management, 2007Co-Authors: Mph Ramune Jacobsen, Claus Møldrup, Dms Per Sjøgren, Lona L. ChristrupAbstract:Objective: The purpose of this review is to summarize the results of studies on physician-related barriers to Cancer Pain Management with opioid analgesics. Methods: A literature search was conducted in PUBMED, using a combined text word and MeSH heading search strategy. Those articles whose full texts were not available in PUBMED were retrieved from the electronic databases of specific journals. Results: Sixty-five relevant articles, published in the period from 1986 to 2006, were identified. Physicians’ barriers to Cancer Pain Management were studied in questionnaire surveys and in the reviews of drug prescribing documents. The results of the articles found were analyzed with respect to (a) knowledge, beliefs, concerns, problems endorsed or acknowledged by physicians treating Cancer Pain, (b) physicians’ skills in Pain assessment, and (c) adequacy of opioid prescription. Conclusions: This review revealed mostly general and common physician-related barriers to Cancer Pain Management: concerns about side effects to opioids, prescription of not efficient doses of opioids, and very poor prescription for the treatment of side effects from opioids. In the future, the evaluation of the influence of cultural-social-economical background, as well as the differences between the various specialists involved in the care of patients with Cancer, should be explored to better understand physicians’ barriers and more effectively address them in interventional and educational programs.
Eun Jung Park - One of the best experts on this subject based on the ideXlab platform.
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Knowledge, practices, and perceived barriers regarding Cancer Pain Management among physicians and nurses in Korea: a nationwide multicenter survey.
PloS one, 2014Co-Authors: Hyun Jung Jho, Yeol Kim, Kyung Ae Kong, Dae Hyun Kim, Jin-young Choi, Eun Jeong Nam, Sujin Koh, Kwan Ok Hwang, Sun Kyung Baek, Eun Jung ParkAbstract:Medical professionals' practices and knowledge regarding Cancer Pain Management have often been cited as inadequate. This study aimed to evaluate knowledge, practices and perceived barriers regarding Cancer Pain Management among physicians and nurses in Korea. A nationwide questionnaire survey was administered to physicians and nurses involved in the care of Cancer patients. Questionnaire items covered Pain assessment and documentation practices, knowledge regarding Cancer Pain Management, the perceived barriers to Cancer Pain control, and processes perceived as the major causes of delay in opioid administration. A total of 333 questionnaires (149 physicians and 284 nurses) were analyzed. Nurses performed Pain assessment and documentation more regularly than physicians did. Although physicians had better knowledge of Pain Management than did nurses, both groups lacked knowledge regarding the side effects and pharmacology of opioids. Physicians working in the palliative care ward and nurses who had received Pain Management education obtained higher scores on knowledge. Physicians perceived patients' reluctance to take opioids as a barrier to Pain control, more so than did nurses, while nurses perceived patients' tendency to under-report of Pain as a barrier, more so than did physicians. Physicians and nurses held different perceptions regarding major cause of delay during opioid administration. There were differences between physicians and nurses in knowledge and practices for Cancer Pain Management. An effective educational strategy for Cancer Pain Management is needed in order to improve medical professionals' knowledge and clinical practices.
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knowledge practices and perceived barriers regarding Cancer Pain Management among physicians and nurses in korea a nationwide multicenter survey
PLOS ONE, 2014Co-Authors: Hyun Jung Jho, Yeol Kim, Kyung Ae Kong, Dae Hyun Kim, Jin-young Choi, Eun Jeong Nam, Sujin Koh, Kwan Ok Hwang, Sun Kyung Baek, Eun Jung ParkAbstract:Purpose Medical professionals’ practices and knowledge regarding Cancer Pain Management have often been cited as inadequate. This study aimed to evaluate knowledge, practices and perceived barriers regarding Cancer Pain Management among physicians and nurses in Korea. Methods A nationwide questionnaire survey was administered to physicians and nurses involved in the care of Cancer patients. Questionnaire items covered Pain assessment and documentation practices, knowledge regarding Cancer Pain Management, the perceived barriers to Cancer Pain control, and processes perceived as the major causes of delay in opioid administration. Results A total of 333 questionnaires (149 physicians and 284 nurses) were analyzed. Nurses performed Pain assessment and documentation more regularly than physicians did. Although physicians had better knowledge of Pain Management than did nurses, both groups lacked knowledge regarding the side effects and pharmacology of opioids. Physicians working in the palliative care ward and nurses who had received Pain Management education obtained higher scores on knowledge. Physicians perceived patients’ reluctance to take opioids as a barrier to Pain control, more so than did nurses, while nurses perceived patients’ tendency to under-report of Pain as a barrier, more so than did physicians. Physicians and nurses held different perceptions regarding major cause of delay during opioid administration. Conclusions There were differences between physicians and nurses in knowledge and practices for Cancer Pain Management. An effective educational strategy for Cancer Pain Management is needed in order to improve medical professionals’ knowledge and clinical practices.
Jin Seok Ahn - One of the best experts on this subject based on the ideXlab platform.
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Cancer Pain Management practices and their impact on quality of life for Asian Cancer patients.
Journal of Clinical Oncology, 2015Co-Authors: Yong Chul Kim, Jin Seok Ahn, Zhongjun Xia, Hanlim Moon, Maria Minerva P. Calimag, Ta-chung Chao, Lye Mun Tho, Lois WardAbstract:6531 Background: In order to implement more effective policies for Cancer Pain Management, a better understanding of current practices and their effects on patients are needed. The ACHEON study was a survey-based investigation of the impact of Cancer Pain and Management practices on patients’ quality of life in 10 Asian countries. Methods: Patients experiencing Cancer Pain were randomly surveyed in 10 Asian countries with a 33-item questionnaire assessing attitudes and perceptions towards Cancer Pain Management. Patients aged ≥ 18 years with a documented history of Cancer Pain in the preceding month were selected. Results: Of the 1,190 patients (median age; 53, male/female 805/385) surveyed, 1,026 reported moderate-to-severe Pain (median duration, 12 months). The attribution of the Pain was 53% from Cancer, 18% from Cancer-related therapy and 29% from mixed sources. 1,056 (90%) patients were treated for their Cancer Pain and only 308 patients were receiving opioids, to their knowledge. Patients agreed tha...
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Current practices in Cancer Pain Management in Asia: a survey of patients and physicians across 10 countries.
Cancer medicine, 2015Co-Authors: Yong Chul Kim, Jin Seok Ahn, Zhongjun Xia, Hanlim Moon, Maria Minerva P. Calimag, Ta-chung Chao, Lye Mun Tho, Lois Ward, Abhishek BhagatAbstract:In order to implement more effective policies for Cancer Pain Management, a better understanding of current practices is needed. Physicians managing Cancer Pain and patients experiencing Cancer Pain were randomly surveyed across 10 Asian countries to assess attitudes and perceptions toward Cancer Pain Management. A total of 463 physicians (77.3% oncologists) with a median experience of 13 years were included. Medical school training on opioid use was considered inadequate by 30.5% of physicians and 55.9% indicated ≤10 h of continuing medical education (CME). Of the 1190 patients included, 1026 reported moderate-to-severe Pain (median duration, 12 months). Discordance was observed between physician and patient outcomes on Pain assessment with 88.3% of physicians reporting Pain quantification, while 49.5% of patients claimed that no scale was used. Inadequate assessment of Pain was recognized as a barrier to therapy optimization by 49.7% of physicians. Additional barriers identified were patients’ reluctance owing to fear of addiction (67.2%) and adverse events (65.0%), patients’ reluctance to report Pain (52.5%), excessive regulations (48.0%) and reluctance to prescribe opioids (42.8%). Opioid use was confirmed only in 53.2% (286/538) of patients remembering their medication. Pain affected the activities of daily living for 81.3% of patients. These findings highlight the need for better training and CME opportunities for Cancer Pain Management in Asia. Collaborative efforts between physicians, patients, policy makers, and related parties may assist in overcoming the barriers identified. Addressing the opioid stigma and enhancing awareness is vital to improving current standards of patient care.
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Progress of Cancer Pain Management in Korea.
Oncology, 2008Co-Authors: Jee Yun Lee, Jin Seok AhnAbstract:Cancer Pain Management had received relatively little attention until the late 1990s, when approximately 100,000 new Cancer cases and 60,000 Cancer deaths occurred each year in Korea. In 2001, a Cancer Pain Management Guideline was prepared for the first time by the Korean Society of Hospice and Palliative Care. This guideline facilitated Cancer Pain Management by health professionals since then. In addition, Cancer Pain Management has been included in the regular curriculum of all medical schools in Korea. The Korean Cancer Pain Assessment Tool, which was developed in 2003, has been accepted as a reliable and valid instrument for assessing Cancer Pain in Korea. The Korean version of quality of life assessment tools has also been accepted as a useful method. Oral short-acting opioids became available, along with other effective and convenient opioid drugs. The Korean government first published the Cancer Pain Management Guideline for health care professionals in 2004 and expanded the medical reimbursement criteria for Cancer Pain Management, which reflect the government's support and interest in Cancer Pain care. The Cancer Pain surveys conducted in 2001 and 2006 demonstrated a significantly increased patient satisfaction on Pain control (37% in 2001, n = 3,006 vs. 42% in 2006, n = 3,737, p = 0.003). Therefore, Cancer Pain Management has been systematically approached both by health professionals as well as the government and resulted in a vast improvement in Cancer Pain control.
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Progress of Cancer Pain Management in Korea
Oncology, 2008Co-Authors: Jee Yun Lee, Jin Seok AhnAbstract:Cancer Pain Management had received relatively little attention until the late 1990s, when approximately 100,000 new Cancer cases and 60,000 Cancer deaths occurred each year in Korea. In 2001, a Cance
Ahmet Özet - One of the best experts on this subject based on the ideXlab platform.
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Analysis of Patient-Related Barriers in Cancer Pain Management in Turkish Patients
Journal of pain and symptom management, 2009Co-Authors: Guelcan Bagcivan, Nuran Tosun, Seref Komurcu, Nalan Akbayrak, Ahmet ÖzetAbstract:The purpose of this study was to evaluate the validity and reliability of the Barriers Questionnaire II (BQ-II) for Turkish patients and to define the patient-related barriers to Cancer Pain Management in Turkey. For this, 170 patients with Cancer who used or were still using analgesic medication for Pain related to Cancer participated in the study. It was found that patients have beliefs that may be barriers to optimal Pain Management, mostly in relation to addiction, and to a small extent, physical side effects. It was ascertained that male, unmarried patients, patients with Cancer who also have another chronic disease, patients whose "average Pain" intensity is more than 5 for the past 24 hours, and patients who use an inadequate analgesic have more beliefs that may be barriers to optimal Pain Management. It was concluded that the BQ-II is a valid and reliable scale in Turkey for defining patient-related barriers to Cancer Pain Management.
Hyun Jung Jho - One of the best experts on this subject based on the ideXlab platform.
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Knowledge, practices, and perceived barriers regarding Cancer Pain Management among physicians and nurses in Korea: a nationwide multicenter survey.
PloS one, 2014Co-Authors: Hyun Jung Jho, Yeol Kim, Kyung Ae Kong, Dae Hyun Kim, Jin-young Choi, Eun Jeong Nam, Sujin Koh, Kwan Ok Hwang, Sun Kyung Baek, Eun Jung ParkAbstract:Medical professionals' practices and knowledge regarding Cancer Pain Management have often been cited as inadequate. This study aimed to evaluate knowledge, practices and perceived barriers regarding Cancer Pain Management among physicians and nurses in Korea. A nationwide questionnaire survey was administered to physicians and nurses involved in the care of Cancer patients. Questionnaire items covered Pain assessment and documentation practices, knowledge regarding Cancer Pain Management, the perceived barriers to Cancer Pain control, and processes perceived as the major causes of delay in opioid administration. A total of 333 questionnaires (149 physicians and 284 nurses) were analyzed. Nurses performed Pain assessment and documentation more regularly than physicians did. Although physicians had better knowledge of Pain Management than did nurses, both groups lacked knowledge regarding the side effects and pharmacology of opioids. Physicians working in the palliative care ward and nurses who had received Pain Management education obtained higher scores on knowledge. Physicians perceived patients' reluctance to take opioids as a barrier to Pain control, more so than did nurses, while nurses perceived patients' tendency to under-report of Pain as a barrier, more so than did physicians. Physicians and nurses held different perceptions regarding major cause of delay during opioid administration. There were differences between physicians and nurses in knowledge and practices for Cancer Pain Management. An effective educational strategy for Cancer Pain Management is needed in order to improve medical professionals' knowledge and clinical practices.
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knowledge practices and perceived barriers regarding Cancer Pain Management among physicians and nurses in korea a nationwide multicenter survey
PLOS ONE, 2014Co-Authors: Hyun Jung Jho, Yeol Kim, Kyung Ae Kong, Dae Hyun Kim, Jin-young Choi, Eun Jeong Nam, Sujin Koh, Kwan Ok Hwang, Sun Kyung Baek, Eun Jung ParkAbstract:Purpose Medical professionals’ practices and knowledge regarding Cancer Pain Management have often been cited as inadequate. This study aimed to evaluate knowledge, practices and perceived barriers regarding Cancer Pain Management among physicians and nurses in Korea. Methods A nationwide questionnaire survey was administered to physicians and nurses involved in the care of Cancer patients. Questionnaire items covered Pain assessment and documentation practices, knowledge regarding Cancer Pain Management, the perceived barriers to Cancer Pain control, and processes perceived as the major causes of delay in opioid administration. Results A total of 333 questionnaires (149 physicians and 284 nurses) were analyzed. Nurses performed Pain assessment and documentation more regularly than physicians did. Although physicians had better knowledge of Pain Management than did nurses, both groups lacked knowledge regarding the side effects and pharmacology of opioids. Physicians working in the palliative care ward and nurses who had received Pain Management education obtained higher scores on knowledge. Physicians perceived patients’ reluctance to take opioids as a barrier to Pain control, more so than did nurses, while nurses perceived patients’ tendency to under-report of Pain as a barrier, more so than did physicians. Physicians and nurses held different perceptions regarding major cause of delay during opioid administration. Conclusions There were differences between physicians and nurses in knowledge and practices for Cancer Pain Management. An effective educational strategy for Cancer Pain Management is needed in order to improve medical professionals’ knowledge and clinical practices.
