Attitude changes of cancer pain and opioids among cancer patients: a cross-sectional study spanning a decade
Abstract Objectives A comprehensive understanding of attitudes and changes in attitudes towards cancer pain and opioid analgesics among cancer patients can help healthcare professionals to provide more targeted and effective health education to improve the quality of care and health education for pa...
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| Format: | Article |
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BMC
2025-03-01
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| Series: | BMC Cancer |
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| Online Access: | https://doi.org/10.1186/s12885-025-13594-2 |
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| author | Juan Wu Gui-Xia Wei Lin-Juan Li Yu-Wen Zhou Jia-Ling Wang Yi-Xiao Bai Cong-Jun Li Meng Qiu |
| author_facet | Juan Wu Gui-Xia Wei Lin-Juan Li Yu-Wen Zhou Jia-Ling Wang Yi-Xiao Bai Cong-Jun Li Meng Qiu |
| author_sort | Juan Wu |
| collection | DOAJ |
| description | Abstract Objectives A comprehensive understanding of attitudes and changes in attitudes towards cancer pain and opioid analgesics among cancer patients can help healthcare professionals to provide more targeted and effective health education to improve the quality of care and health education for patients with cancer pain. Methods A cross-sectional study was conducted from January 2013 to December 2013 and from January 2023 to December 2023, respectively. Questionnaires were used to collect data, including the clinical characteristics of patients and their perspectives on cancer pain and opioids. A propensity score matching (PSM) analysis was performed to balance the baseline characteristics. Results A total of 894 patients were enrolled in this study, 474 patients in 2013 and 420 patients in 2023. After PSM, 600 patients were included in this analysis. Over the course of a decade, an increasing number of patients were able to accept cancer pain management, opioid medication, and adverse events of opioids. With regard to opioid analgesics, patients’ primary concern had shifted over the decade from addiction to the analgesic effect of opioids. Although understanding of opioids had improved over a decade, the vast majority of the population was still poorly informed about opioids. In addition, approximately 90% of participants believed that their education about opioids was insufficient. Conclusions Over a decade, although patients had more positive attitudes towards cancer pain management, their knowledge and health education about cancer pain was poor. This finding suggests that health professionals should work together to disseminate knowledge about cancer pain and strengthen health education to manage cancer pain well and improve the quality of life of cancer patients. |
| format | Article |
| id | doaj-art-b208cc18c778418cb4a4fdb66cd3bc3a |
| institution | DOAJ |
| issn | 1471-2407 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Cancer |
| spelling | doaj-art-b208cc18c778418cb4a4fdb66cd3bc3a2025-08-20T03:05:56ZengBMCBMC Cancer1471-24072025-03-0125111010.1186/s12885-025-13594-2Attitude changes of cancer pain and opioids among cancer patients: a cross-sectional study spanning a decadeJuan Wu0Gui-Xia Wei1Lin-Juan Li2Yu-Wen Zhou3Jia-Ling Wang4Yi-Xiao Bai5Cong-Jun Li6Meng Qiu7Out-patient Department, West China Hospital, Sichuan UniversityDepartment of Colorectal Cancer Center, West China Hospital of Sichuan UniversityHospital of Chengdu University of Traditional Chinese Medicine, School of Clinical Medicine, Chengdu University of Traditional Chinese MedicineDepartment of Abdominal Oncology, West China Hospital of Sichuan UniversityWest China School of Medicine, Sichuan UniversityWest China School of Medicine, Sichuan UniversityWest China School of Medicine, Sichuan UniversityDepartment of Colorectal Cancer Center, West China Hospital of Sichuan UniversityAbstract Objectives A comprehensive understanding of attitudes and changes in attitudes towards cancer pain and opioid analgesics among cancer patients can help healthcare professionals to provide more targeted and effective health education to improve the quality of care and health education for patients with cancer pain. Methods A cross-sectional study was conducted from January 2013 to December 2013 and from January 2023 to December 2023, respectively. Questionnaires were used to collect data, including the clinical characteristics of patients and their perspectives on cancer pain and opioids. A propensity score matching (PSM) analysis was performed to balance the baseline characteristics. Results A total of 894 patients were enrolled in this study, 474 patients in 2013 and 420 patients in 2023. After PSM, 600 patients were included in this analysis. Over the course of a decade, an increasing number of patients were able to accept cancer pain management, opioid medication, and adverse events of opioids. With regard to opioid analgesics, patients’ primary concern had shifted over the decade from addiction to the analgesic effect of opioids. Although understanding of opioids had improved over a decade, the vast majority of the population was still poorly informed about opioids. In addition, approximately 90% of participants believed that their education about opioids was insufficient. Conclusions Over a decade, although patients had more positive attitudes towards cancer pain management, their knowledge and health education about cancer pain was poor. This finding suggests that health professionals should work together to disseminate knowledge about cancer pain and strengthen health education to manage cancer pain well and improve the quality of life of cancer patients.https://doi.org/10.1186/s12885-025-13594-2Cancer painAnalgesicsOpioidsAttitudeHealth education |
| spellingShingle | Juan Wu Gui-Xia Wei Lin-Juan Li Yu-Wen Zhou Jia-Ling Wang Yi-Xiao Bai Cong-Jun Li Meng Qiu Attitude changes of cancer pain and opioids among cancer patients: a cross-sectional study spanning a decade BMC Cancer Cancer pain Analgesics Opioids Attitude Health education |
| title | Attitude changes of cancer pain and opioids among cancer patients: a cross-sectional study spanning a decade |
| title_full | Attitude changes of cancer pain and opioids among cancer patients: a cross-sectional study spanning a decade |
| title_fullStr | Attitude changes of cancer pain and opioids among cancer patients: a cross-sectional study spanning a decade |
| title_full_unstemmed | Attitude changes of cancer pain and opioids among cancer patients: a cross-sectional study spanning a decade |
| title_short | Attitude changes of cancer pain and opioids among cancer patients: a cross-sectional study spanning a decade |
| title_sort | attitude changes of cancer pain and opioids among cancer patients a cross sectional study spanning a decade |
| topic | Cancer pain Analgesics Opioids Attitude Health education |
| url | https://doi.org/10.1186/s12885-025-13594-2 |
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