Evidence map›Paper›PMID 28831441›Full record

ArticleJournal of global oncology2017

Pain Management and Use of Opioids in Pediatric Oncology in India: A Qualitative Approach.

Paola Angelini, Katherine M Boydell, Vicky Breakey, Purna A Kurkure, Marian A Muckaden, Eric Bouffet, Brijesh Arora

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of global oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Paola Angeliniand , The Hospital for Sick Children, Toronto; , McMaster University, Hamilton, Ontario, Canada; , University of New South Wales, Sydney, New South Wales, Australia; and , , and , Tata Memorial Hospital, Mumbai, India.
Katherine M Boydelland , The Hospital for Sick Children, Toronto; , McMaster University, Hamilton, Ontario, Canada; , University of New South Wales, Sydney, New South Wales, Australia; and , , and , Tata Memorial Hospital, Mumbai, India.
Vicky Breakeyand , The Hospital for Sick Children, Toronto; , McMaster University, Hamilton, Ontario, Canada; , University of New South Wales, Sydney, New South Wales, Australia; and , , and , Tata Memorial Hospital, Mumbai, India.
Purna A Kurkureand , The Hospital for Sick Children, Toronto; , McMaster University, Hamilton, Ontario, Canada; , University of New South Wales, Sydney, New South Wales, Australia; and , , and , Tata Memorial Hospital, Mumbai, India.
Marian A Muckadenand , The Hospital for Sick Children, Toronto; , McMaster University, Hamilton, Ontario, Canada; , University of New South Wales, Sydney, New South Wales, Australia; and , , and , Tata Memorial Hospital, Mumbai, India.
Eric Bouffetand , The Hospital for Sick Children, Toronto; , McMaster University, Hamilton, Ontario, Canada; , University of New South Wales, Sydney, New South Wales, Australia; and , , and , Tata Memorial Hospital, Mumbai, India.
Brijesh Aroraand , The Hospital for Sick Children, Toronto; , McMaster University, Hamilton, Ontario, Canada; , University of New South Wales, Sydney, New South Wales, Australia; and , , and , Tata Memorial Hospital, Mumbai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeConsumption of medical opium for pain relief in India is low, despite the country being one of the main world producers of the substance. We investigated obstacles to opioid use and physician perceptions about optimal pain management in pediatric oncology patients in India.

methodsSemistructured interviews were conducted with oncologists who work in pediatric oncology settings. A mixed sampling strategy was used, including maximum variation and confirmation and disconfirmation of cases, as well as snowball sampling. Key informants were identified. Interviews were audio recorded, transcribed verbatim, and analyzed by thematic analysis methodology.

resultsTwenty-three interviews were performed across 20 Indian institutions. The main obstacles identified were lack of financial resources, inadequate education of health care providers on pain management, insufficient human resources (particularly lack of dedicated trained oncology nurses), poor access to opioids, and cultural perceptions about pain. Children from rural areas, treated in public hospitals, and from lower socioeconomic classes appear disadvantaged. A significant equality gap exists between public institutions and private institutions, which provide state-of-the-art treatment.

conclusionThe study illuminates the complexity of pain management in pediatric oncology in India, where financial constraints, lack of education, and poor access to opioids play a dominant role, but lack of awareness and cultural perceptions about pain management among health care providers and parents emerged as important contributing factors. Urgent interventions are needed to optimize care in this vulnerable population.

Identifiers

PMID28831441
PMCPMC5560448
OpenAlexW2548493507

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.