Observational studyJournal of pain and symptom management2019
Factors Related to Adherence to Opioids in Black Patients With Cancer Pain.
Observational study in Journal of pain and symptom management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Does ethnicity affect pain management for people with advanced disease? A mixed methods cross-national systematic review of 'very high' Human Development Index English-speaking countries.BMC palliative care · 2022Pooled it
- Black Youth and Caregiver Experiences of Racism in Pain Management: A Narrative Inquiry.Journal of pain research · 2026Article
- Attitude changes of cancer pain and opioids among cancer patients: a cross-sectional study spanning a decade.BMC cancer · 2025Article
- Adherence to Opioids for Cancer-Related Pain Among Patients with Cancer in a Resource-Restricted Hospital in Palestine.Patient preference and adherence · 2025Article
- Cannabis and opioid perceptions, co-use, and substitution among patients across 4 NCI-Designated Cancer Centers.Journal of the National Cancer Institute. Monographs · 2024Article
- The Impact of Multidisciplinary Educational Team-Based Clinical Nursing Pathway on the Psychological Resilience, Treatment Adherence, Pain Management and Quality of Life in Cancer Patients.Iranian journal of public health · 2024Article
- Trajectories and predictors of high-occurrence pain flares in ambulatory cancer patients on opioids.JNCI cancer spectrum · 2024Article
- Electronic Real-Time Monitoring Reveals Limited Adherence to Long-Term Opioid Prescriptions in Pain Patients.Journal of pain research · 2024Article
- Pain among older adults with gastrointestinal malignancies- results from the cancer and aging resilience evaluation (CARE) Registry.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Pain, depressive symptoms, and self-efficacy for pain management: examination in African-American women with breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- A Decade of Studying Drivers of Disparities in End-of-Life Care for Black Americans: Using the NIMHD Framework for Health Disparities Research to Map the Path Ahead.Journal of pain and symptom management · 2022Review
- Barriers to Pain Management: Incongruence in Black Cancer Caregiving Dyads.Journal of pain and symptom management · 2022Article
- Gaps in the Use of Long-Acting Opioids Within Intervals of Consecutive Days Among Cancer Outpatients Using Electronic Pill Caps.Pain medicine (Malden, Mass.) · 2021Observational
- The Association Between Analgesic Treatment Beliefs and Electronically Monitored Adherence for Cancer Pain.Oncology nursing forum · 2021Article
- Palliative Care's Role Managing Cancer Pain During the Opioid Crisis: A Qualitative Study of Patients, Caregivers, and Clinicians.Journal of pain and symptom management · 2020Article
- Characterizing Pain Experiences: African American Patients With Multiple Myeloma Taking Around-the-Clock Opioids.Clinical journal of oncology nursing · 2020Article
- Factors Associated with Depression in African American Patients Being Treated for Cancer Pain.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2020Article
- Psychotropic and Opioid-Based Medication Use among Economically Disadvantaged African-American Older Adults.Pharmacy (Basel, Switzerland) · 2020Article
- Both Race and Insurance Type Independently Predict the Selection of Oral Opioids Prescribed to Cancer Outpatients.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2020Article
- A Qualitative Study of the Pain Experience of Black Individuals With Cancer Taking Long-Acting Opioids.Cancer nursingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
contextCancer pain relief is often inadequate because of poor adherence to pain medication, especially for black patients.
objectivesThe purpose of this study is to describe factors related to adherence to around-the-clock opioids among 110 black patients being treated for cancer pain.
methodsSociodemographic, clinical, symptoms, and social support data were collected at baseline; pain and adherence data were collected at 30 days. Associations between these variables and opioid adherence measured by Medication Event Monitoring System were estimated using multiple regression.
resultsMean age was 56 (±10.1), the majority were women (63%) and college educated (56%). Mean pain severity at baseline equaled 4.6 (±2.3). Mean dose adherence was 60% (±28.5), while mean schedule adherence was 33.0% (±31.0). In adjusted analysis, 26% of the variance in dose adherence was explained by recent chemotherapy, changes in pain, concerns about nausea, and doctors' focus on cure versus pain control (P<0.001); 27% of the variance in schedule adherence was explained by recent chemotherapy, changes in pain, symptom burden, and concerns about doctors focus on cure versus pain control (P<0.001).
conclusionFindings confirm pain medication adherence is poor and pain was not well relieved. Multiple factors influence adherence to around-the-clock opioids. Clinicians need to partner with patients by providing a personalized pain treatment plan including an in-depth assessment of treatment choices and adherence.
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