ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2017
Needs assessment of primary care physicians in the management of chronic pain in cancer survivors.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Primary care physicians' knowledge and confidence in providing cancer survivorship care: a systematic review.Journal of cancer survivorship : research and practice · 2024Pooled it
- Acceptance and Commitment Therapy for Addressing Chronic Cancer Pain: A Narrative Review with Considerations for Utilization in Primary Care.Healthcare (Basel, Switzerland) · 2026Review
- Consensus statement on chronic pain treatment in cancer survivors.Journal of anesthesia · 2025Review
- Primary care provider-led cancer survivorship care in the first 5 years following initial cancer treatment: a scoping review of the barriers and solutions to implementation.Journal of cancer survivorship : research and practice · 2024Article
- Association between trajectories of prescription opioid use and risk of opioid use disorder and overdose among US nonmetastatic breast cancer survivors.Breast cancer research and treatment · 2024Article
- Physician perspectives on chronic pain management: barriers and the use of eHealth in the COVID-19 era.BMC health services research · 2023Article
- A Scoping Review of Gaps Identified by Primary Care Providers in Caring for Patients with Chronic Noncancer Pain.Canadian journal of pain = Revue canadienne de la douleur · 2023Article
- Lifestyle and Pain following Cancer: State-of-the-Art and Future Directions.Journal of clinical medicine · 2021Review
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- Prediction of Future Chronic Opioid Use Among Hospitalized Patients.Journal of general internal medicine · 2018Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCancer patients live longer with effective anti-cancer therapy and supportive care. About 30% of cancer survivors (non-palliative cancer patients who completed treatment) suffer from chronic pain, which will be managed by their primary care physician (PCP). The aim of this study was to assess practice patterns and treatment barriers in the management of chronic pain in cancer survivors among PCPs.
methodsA survey using a 16-item questionnaire was sent to PCPs across Canada.
resultsA total of 162 responses were collected. The majority of participants were in group (59%) or solo (33%) practice, with an average of 25 years of clinical experience. Seventy-one percent of PCPs were practicing in communities of 10,000 to 100,000 people. Respondents were treating approximately 10 cancer survivors with chronic pain per month. The majority of PCPs (59%) reported having "little knowledge" or "some understanding" of chronic pain management in cancer survivors. They did not usually refer these patients to other specialists. Patient comorbidities (79%), pain medication side effects (78%), previous pain treatment (76%), effect of pain on daily functioning (75%), and drug interactions (71%) were identified as factors that guided PCP treatment choices. Major barriers included medication cost (54%), concerns about opioid abuse (51%), and patient non-compliance (46%). PCPs indicated that treatment guidelines (74%) and knowledge of pharmacological (64%) and non-pharmacological (62%) treatment options would help their chronic pain management.
conclusionMost PCPs report a lack of knowledge in the management of chronic pain in cancer survivors but are keen to receive medical education on treatment options and clinical practice guidelines.
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