Audit of cancer pain management practices at the adult oncology center, University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

IntroductionCancer is one of the leading causes of death globally, with an estimated 19.3 million new cancer cases and nearly 10.0 million cancer deaths occurring in 2020. Pain is common among patients with cancer, particularly in the advanced stages of the disease, where the prevalence is estimated...

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Main Authors: Temesgen Birlie Asmare, Hailu Yimer Tawuye, Biresaw Ayen Tegegne, Negesse Zurabachew Gobezie, Habtie Bantider Wubet, Gezahagn Demisu Gedefaw, Molla Amsalu Tadesse, Biruk Adie Admass
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2025.1542227/full
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author Temesgen Birlie Asmare
Hailu Yimer Tawuye
Biresaw Ayen Tegegne
Negesse Zurabachew Gobezie
Habtie Bantider Wubet
Gezahagn Demisu Gedefaw
Molla Amsalu Tadesse
Biruk Adie Admass
author_facet Temesgen Birlie Asmare
Hailu Yimer Tawuye
Biresaw Ayen Tegegne
Negesse Zurabachew Gobezie
Habtie Bantider Wubet
Gezahagn Demisu Gedefaw
Molla Amsalu Tadesse
Biruk Adie Admass
author_sort Temesgen Birlie Asmare
collection DOAJ
description IntroductionCancer is one of the leading causes of death globally, with an estimated 19.3 million new cancer cases and nearly 10.0 million cancer deaths occurring in 2020. Pain is common among patients with cancer, particularly in the advanced stages of the disease, where the prevalence is estimated to exceed 70%. In our setting, the prevalence of cancer pain is high (59.9%), which makes the study of cancer pain management essential in order to identify specific gaps in current practices. This research aimed to enhance the quality of pain management and to improve patient care and safety in accordance with the European Society of Medical Oncology (ESMO) cancer pain management guidelines.MethodA hospital-based cross-sectional study was conducted from July 2 to August 1, 2024. All consecutive adult patients in the oncology ward during this period were included. Data were collected according to the ESMO guidelines through direct observations, chart reviews, and interviews. The data were then entered into EpiData version 4.6 and exported to Stata version 17 for analysis.ResultThe study included 171 patients, of whom 96 (56.14%) were women. The overall compliance rate for oncologic pain management according with the ESMO guidelines was 55.46%. The ages of the participants ranged from 23 to 85 years, with a mean age of 51.2 years. The pain severity and the treatment outcomes were assessed regularly and consistently using the Numeric Rating Scale (NRS) for all 171 patients (100%). However, the subcutaneous route was considered as the first choice in only 2 (1.16%) patients who were unable to receive opioids via the oral route.Conclusion and recommendationsIn this study, the overall compliance with the adult oncologic pain management guidelines was found to be suboptimal. It is recommended to establish a regular training program for healthcare professionals focusing on oncologic pain management.
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publisher Frontiers Media S.A.
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spelling doaj-art-13702b8ca44249beb6739ca5e7298b2f2025-08-20T02:55:12ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-05-011510.3389/fonc.2025.15422271542227Audit of cancer pain management practices at the adult oncology center, University of Gondar Comprehensive Specialized Hospital, Northwest EthiopiaTemesgen Birlie Asmare0Hailu Yimer Tawuye1Biresaw Ayen Tegegne2Negesse Zurabachew Gobezie3Habtie Bantider Wubet4Gezahagn Demisu Gedefaw5Molla Amsalu Tadesse6Biruk Adie Admass7Department of Anesthesia, School of Medicine, College of Health Science, Debre Tabor University, Debre Tabor, EthiopiaDepartment of Anesthesia, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Anesthesia, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaDepartment of Anesthesia, School of Medicine, College of Health Science, Debre Tabor University, Debre Tabor, EthiopiaDepartment of Anesthesia, School of Medicine, College of Health Science, Debre Tabor University, Debre Tabor, EthiopiaDepartment of Neonatal Health Nursing, School of Nursing, College of Medicine and Health Science, and Specialized Hospital, University of Gondar, Gondar, EthiopiaDepartment of Anesthesia, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, EthiopiaDepartment of Anesthesia, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaIntroductionCancer is one of the leading causes of death globally, with an estimated 19.3 million new cancer cases and nearly 10.0 million cancer deaths occurring in 2020. Pain is common among patients with cancer, particularly in the advanced stages of the disease, where the prevalence is estimated to exceed 70%. In our setting, the prevalence of cancer pain is high (59.9%), which makes the study of cancer pain management essential in order to identify specific gaps in current practices. This research aimed to enhance the quality of pain management and to improve patient care and safety in accordance with the European Society of Medical Oncology (ESMO) cancer pain management guidelines.MethodA hospital-based cross-sectional study was conducted from July 2 to August 1, 2024. All consecutive adult patients in the oncology ward during this period were included. Data were collected according to the ESMO guidelines through direct observations, chart reviews, and interviews. The data were then entered into EpiData version 4.6 and exported to Stata version 17 for analysis.ResultThe study included 171 patients, of whom 96 (56.14%) were women. The overall compliance rate for oncologic pain management according with the ESMO guidelines was 55.46%. The ages of the participants ranged from 23 to 85 years, with a mean age of 51.2 years. The pain severity and the treatment outcomes were assessed regularly and consistently using the Numeric Rating Scale (NRS) for all 171 patients (100%). However, the subcutaneous route was considered as the first choice in only 2 (1.16%) patients who were unable to receive opioids via the oral route.Conclusion and recommendationsIn this study, the overall compliance with the adult oncologic pain management guidelines was found to be suboptimal. It is recommended to establish a regular training program for healthcare professionals focusing on oncologic pain management.https://www.frontiersin.org/articles/10.3389/fonc.2025.1542227/fulloncologycancerpainpain managementadult
spellingShingle Temesgen Birlie Asmare
Hailu Yimer Tawuye
Biresaw Ayen Tegegne
Negesse Zurabachew Gobezie
Habtie Bantider Wubet
Gezahagn Demisu Gedefaw
Molla Amsalu Tadesse
Biruk Adie Admass
Audit of cancer pain management practices at the adult oncology center, University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia
Frontiers in Oncology
oncology
cancer
pain
pain management
adult
title Audit of cancer pain management practices at the adult oncology center, University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia
title_full Audit of cancer pain management practices at the adult oncology center, University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia
title_fullStr Audit of cancer pain management practices at the adult oncology center, University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia
title_full_unstemmed Audit of cancer pain management practices at the adult oncology center, University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia
title_short Audit of cancer pain management practices at the adult oncology center, University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia
title_sort audit of cancer pain management practices at the adult oncology center university of gondar comprehensive specialized hospital northwest ethiopia
topic oncology
cancer
pain
pain management
adult
url https://www.frontiersin.org/articles/10.3389/fonc.2025.1542227/full
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