Evidence map›Paper›PMID 40496099›Full record

ArticlePublic health challenges2025

Opioid-Related Challenges Faced by Palliative Healthcare Providers in Both Hospital and Home Care Settings: A Multi-Center-Based Descriptive Cross-Sectional Study.

Mastura Kashmeeri, A N M Shamsul Islam, Palash Chandra Banik

Abstract read
In one paragraph

Article in Public health challenges, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Mastura KashmeeriDepartment of Public Health & Hospital Administration NIPSOM Dhaka Bangladesh.ORCID https://orcid.org/0009-0000-4664-6761
A N M Shamsul IslamDepartment of Public Health & Hospital Administration NIPSOM Dhaka Bangladesh.ORCID https://orcid.org/0000-0001-6234-2207
Palash Chandra BanikDepartment of Noncommunicable Diseases Bangladesh University of Health Sciences (BUHS) Dhaka Bangladesh.ORCID https://orcid.org/0000-0003-2395-9049

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Palliative care aims to alleviate suffering and improve the quality of life for patients with life-limiting illnesses through effective pain management with opioids. Despite its global importance, opioid use in palliative care faces significant challenges, particularly in resource-poor settings like Bangladesh. In Bangladesh, opioid use is notably low, with disparities between urban and rural areas. Cultural stigmas, strict regulations, and inadequate healthcare provider training further obstruct effective pain management. Objective: This study aims to explore the challenges healthcare providers face regarding opioid use in both hospital and home-based palliative care settings. Method: A descriptive cross-sectional study was conducted using face-to-face semistructured interviews with 135 licensed healthcare providers from August to September 2022. Results: The respondents, predominantly young (57% aged 20-39) and female (68.9%), primarily manage late-stage cancer patients (98.5%), with pain (100%) being the primary symptom treated. Morphine syrup is commonly used (68.1%), whereas oxycodone and buprenorphine are unavailable. Side effects such as deep sedation (43.7%) and addiction (34.1%) highlight the need for careful monitoring. Limited awareness (10.4%) of national opioid policies results in inconsistent practices ( Conclusion: Inconsistent awareness of opioid policies causes varied practices and attitudes. Addressing referral challenges and prescribing restrictions requires interdisciplinary solutions, enhanced education, better policy dissemination, and standardized guidelines for effective palliative care opioid management.

Indexed as

addictionopioid‐related challengesopioidspain managementpain policypalliative care

Identifiers

PMID40496099
PMCPMC12039347

What OpenQuestion holds

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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.