Document Detail

Predictors of high score patient-reported barriers to controlling cancer pain: a preliminary report.
MedLine Citation:
PMID:  23151648     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Pain is one of the most common and devastating symptoms in cancer patients, and misunderstandings on the patient's part can cause major obstacles in pain management.
METHOD: We evaluated factors associated with patient's high barrier score to managing cancer-associated pain by having 201 patients complete the Korean Barriers Questionnaire II, the Brief Pain Inventory--Korean, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30, and the Korean Beck Depression Inventory. The Pain Management Index (PMI) was also assessed.
RESULTS: The patients were from nine oncology clinics in university hospitals and a veterans' hospital in South Korea. The median pain score (0-10 scale) was 4, with a median percentage of pain improvement during the last 24 h of 70 %. A total of 150 patients (75 %) received strong opioids, and 177 (88 %) achieved adequate analgesia (positive PMI). Mean scores ± SD for the Barriers Questionnaire II ranged from 1.5 ± 1 to 2.8 ± 1.1, with the harmful effects subscale the highest. In the multiple regression model, depression was significantly associated with total barrier score to pain management (p < 0.0001). Pain reduction was significantly associated with the fatalism subscale.
CONCLUSIONS: Depression was associated with high barrier score in patients with cancer pain. Management of cancer pain should include screening for depression, and management of depression could reduce patient-reported barriers to pain management.
Jung Hye Kwon; Sung Yong Oh; Gary Chisholm; Jung-Ae Lee; Jae Jin Lee; Keon Woo Park; Seung-Hyun Nam; Hun Ho Song; Keehyun Lee; Dae Young Zang; Ho Young Kim; Dae Ro Choi; Hyo Jung Kim; Jung Han Kim; Joo Young Jung; Geundoo Jang; Hyeong Su Kim; Ji Yun Won; Eduardo Bruera
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-11-15
Journal Detail:
Title:  Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer     Volume:  21     ISSN:  1433-7339     ISO Abbreviation:  Support Care Cancer     Publication Date:  2013 Apr 
Date Detail:
Created Date:  2013-02-28     Completed Date:  2013-09-17     Revised Date:  2014-04-02    
Medline Journal Info:
Nlm Unique ID:  9302957     Medline TA:  Support Care Cancer     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1175-83     Citation Subset:  IM    
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MeSH Terms
Confidence Intervals
Cross-Sectional Studies
Linear Models
Middle Aged
Neoplasms / complications*,  drug therapy,  physiopathology
Pain / drug therapy*,  etiology,  psychology*
Pain Management* / psychology
Patient Satisfaction
Quality of Life
Republic of Korea
Severity of Illness Index
Grant Support
CA016672/CA/NCI NIH HHS; P30 CA016672/CA/NCI NIH HHS; R01CA122292-01/CA/NCI NIH HHS; R01CA124481-01/CA/NCI NIH HHS; R01NRO10162-01A1//PHS HHS

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