ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2017
A multicenter study of attitudinal barriers to cancer pain management.
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 24 papers.
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Who cites it
24 citing papers in PubMed.
- Effectiveness of a therapeutic patient education program in improving cancer pain management: EFFADOL, a stepped-wedge randomised controlled trial.BMC cancer · 2019Trial
- Understanding Barriers to Cancer Pain Management: Insights From Patients and Healthcare Professionals-A Systematic Review.Public health challenges · 2026Review
- Attitude changes of cancer pain and opioids among cancer patients: a cross-sectional study spanning a decade.BMC cancer · 2025Article
- Psychological Barriers to the Use of Opioid Analgesics for Treating Pain in Patients With Advanced Recurrent Cancer: A Multicenter Cohort Study.Palliative medicine reports · 2024Article
- Article
- Pain knowledge of patients and family caregivers as predictors of pain management outcomes in cancer patients: a multicenter study in China.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Barriers to cancer pain management from the perspective of patients: A qualitative study.Nursing open · 2022Article
- Shared Decision-Making in Managing Breakthrough Cancer Pain in Patients With Advanced Cancer.Journal of the advanced practitioner in oncology · 2022Article
- Appropriate Opioid Use After Spine Surgery: Psychobehavioral Barriers and Patient Knowledge.World neurosurgery · 2021Article
- Global Perspectives on Palliative Care for Cancer Patients: Not All Countries Are the Same.Current oncology reports · 2021Review
- Practices and Hindrances in Cancer Pain Management: Results of a National Multi-Cancer Center Survey Among Healthcare Professionals in China.Cancer management and research · 2021Article
- Gender Difference in Pain Management Among Adult Cancer Patients in Saudi Arabia: A Cross-Sectional Assessment.Frontiers in psychology · 2021Article
- Fear of analgesic side effects predicts preference for acupuncture: a cross-sectional study of cancer patients with pain in the USA.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- "No thanks, I don't want to see snakes again": a qualitative study of pain management versus preservation of cognition in palliative care patients.BMC palliative care · 2020Article
- Characterizing Pain Experiences: African American Patients With Multiple Myeloma Taking Around-the-Clock Opioids.Clinical journal of oncology nursing · 2020Article
- Relationships between patient-related attitudinal barriers, analgesic adherence and pain relief in Chinese cancer inpatients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Cognition and Sociodemographic Determinants for Effective Pain Control in Patients with Cancer Pain: a Cross-sectional Survey in China.Current medical science · 2020Article
- Pain management index (PMI)-does it reflect cancer patients' wish for focus on pain?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Observational
- Unmet needs of patients with cancer in their last year of life as described by caregivers in a developing world setting: a qualitative study.BMC palliative care · 2020Article
- Risk Assessment and Monitoring of Patients with Cancer Receiving Opioid Therapy.The oncologist · 2019Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to examine attitudinal barriers to cancer pain management and their relationship to pain, analgesic use, clinical, and demographic variables, as well as QOL, in a large sample of patients receiving strong opioids for pain in three European countries.
methodsParticipants in the present study were 555 patients with cancer, 18 years and older recruited from six centers in Germany, Iceland, and Norway. All had received strong opioids for at least 72 h. Data was collected with the Barriers Questionnaire-II, the Brief Pain Inventory, and the European Organization for Research and Treatment of Cancer QLQ-C30.
resultsThe mean (SD) age of patients was 61.68 (12.35) years and 53% were men. Most common diagnoses were gastrointestinal, lung, prostate, and breast cancer. The mean (SD) time from diagnosis was 32.24 (44.55) and 4.97 (9.64) months from start of opioid therapy. Mean (SD) pain severity was 3.19 (1.93) on a 0 to 10 scale, and 46.5% reported worst pain of 7 or higher. Attitudinal barriers had a mean (SD) of 1.95 (0.82) on a 0-5 scale, with fear of addiction as the strongest barrier across countries 2.85 (1.49). Barrier scores increased with age, and were higher among men than women. Higher barrier scores were associated with higher pain severity and interference, and lower performance status, but not with global health-QOL. Patients who had been on opioids for a shorter time reported higher barriers.
conclusionsAttitudinal barriers are frequent in cancer pain patients on opioids and are associated with less effective pain control.
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