Physician attitudes and practice in cancer pain management: a survey from the Eastern Cooperative Oncology Group

Article Abstract:

Physicians need more education on the evaluation and treatment of pain in cancer patients. Cancer patients need to report their pain to their physician and to learn the proper usage of different types of pain medication. A study surveyed the attitudes of 897 physicians in the Eastern Cooperative Oncology Group (ECOG) about the evaluation and treatment of cancer pain. Eighty-six percent of the physicians thought that most cancer patients did not receive enough pain medication. Seventy-six percent felt that poor pain evaluation was the main barrier to effective pain management. Other factors included reluctance of patients to report pain to their physician and reluctance by physicians to prescribe opioid drugs. Physicians were also concerned about managing the side effects of pain medication.

Beliefs, opinions and attitudes, Oncologists

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Pain and treatment of pain in minority patients with cancer: the Eastern Cooperative Oncology Group Minority Outpatient Pain study

Article Abstract:

Minority groups, and particularly Hispanics, may receive inadequate management of cancer-related pain. A survey of 281 minority patients with cancer found that of those reporting to have pain, 65% had received insufficient pain medication according to accepted guidelines. This was compared to a previous study of mostly non-minority patients with pain who received adequate pain management 50% of the time. Hispanic patients reported less satisfactory pain relief than did black persons. Improvements in the management of cancer pain in minority patients could result from awareness of this potential problem.

Minorities, Ethnic groups

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Management of Pain and Spinal Cord Compression in Patients with Advanced Cancer

Article Abstract:

Advanced cancer patients can have extreme pain as well as with spinal cord compression. Using multidisciplinary care, an estimated 90% of patients can have their pain alleviated and some 90% of the ambulatory patients with spinal cord compression can be kept ambulatory. General practitioners will occasionally have them in their care, and if this type of patient is not frequent with the particular doctor, use of a hypothetical patient designed to embody various pain and walking needs can be used as a guide for treatment of actual patients.

Spinal cord compression

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