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Analgesic Prescription Patterns and Pain Outcomes in Southeast Asia: Findings From the Analgesic Treatment of Cancer Pain in Southeast Asia Study

Published on Nov 1, 2018in Journal of Global Oncology
· DOI :10.1200/JGO.17.00055
Dang Huy Quoc Thinh2
Estimated H-index: 2
,
Wimonrat Sriraj6
Estimated H-index: 6
(KKU: Khon Kaen University)
+ 8 AuthorsFrancis O. Javier2
Estimated H-index: 2
Abstract
PurposeTo identify patterns of analgesic prescription and to explore patient-reported pain intensity, sleep disturbance, and quality of life among cancer patients with pain in Southeast Asia (SEA).MethodsThis cross-sectional observational study included 465 adult outpatients prescribed analgesics for cancer pain for 1 month or longer at 22 sites in Indonesia, Malaysia, Philippines, Singapore, Thailand, and Vietnam. Data on analgesic prescription and cancer characteristics were extracted from medical records. Pain intensity, sleep disturbance, and quality of life measures were recorded via questionnaires.ResultsMost patients (84.4%) had stage III or IV cancer. A total of 419 patients (90.7%) were prescribed opioids; of these, 42.2% received only weak opioids, whereas 57.8% received at least one strong opioid. The mean worst pain intensity during the past 24 hours was 4.76 (standard deviation [SD], 2.47) on a scale of 0 (no pain) to 10 (worst possible pain); the mean current pain intensity was 4.10 (SD, 2.6...
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#1Gulbeyaz Can (Istanbul University)H-Index: 14
#2Tayreez Mushani (Aga Khan University)
Last. Jeannine M. Brant (Billings Clinic)H-Index: 15
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ABSTRACT Objectives To provide an overview of the global disparities in cancer pain management. To discuss cultural, religious, and spiritual considerations in cancer pain assessment and management. Data Sources Peer-reviewed articles, book chapters, Internet. Conclusion Significant disparities in pain management exist globally, especially in developing countries. Cultural and religious differences influence pain care and opioid availability is lacking in many countries. Significant barriers imp...
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