Patient and Physician Satisfaction with Analgesic Treatment: Findings from the Analgesic Treatment for Cancer Pain in Southeast Asia (ACE) Study
Aim. The aim of this study was to examine patients’ and physicians’ satisfaction, and concordance of patient-physician satisfaction with patients’ pain control status. Methods. This cross-sectional observational study involved 465 adults prescribed analgesics for cancer-related pain from 22 sites ac...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2018/2193710 |
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| author | Dang Huy Quoc Thinh Wimonrat Sriraj Marzida Mansor Kian Hian Tan Cosphiadi Irawan Johan Kurnianda Yen Phi Nguyen Annielyn Ong-Cornel Yacine Hadjiat Hanlim Moon Francis O. Javier |
| author_facet | Dang Huy Quoc Thinh Wimonrat Sriraj Marzida Mansor Kian Hian Tan Cosphiadi Irawan Johan Kurnianda Yen Phi Nguyen Annielyn Ong-Cornel Yacine Hadjiat Hanlim Moon Francis O. Javier |
| author_sort | Dang Huy Quoc Thinh |
| collection | DOAJ |
| description | Aim. The aim of this study was to examine patients’ and physicians’ satisfaction, and concordance of patient-physician satisfaction with patients’ pain control status. Methods. This cross-sectional observational study involved 465 adults prescribed analgesics for cancer-related pain from 22 sites across Indonesia, Malaysia, Philippines, Singapore, Thailand, and Vietnam. Pain intensity, pain control satisfaction, and adequacy of analgesics for pain control were documented using questionnaires. Results. Most patients (84.4%) had stage III or IV cancer. On a scale of 0 (no pain) to 10 (worse pain), patients’ mean worst pain intensity over 24 hours was 4.76 (SD 2.47). More physicians (19.0%) than patients (8.0%) reported dissatisfaction with patient’s pain control. Concordance of patient-physician satisfaction was low (weighted kappa 0.36; 95% CI 0.03–0.24). Most physicians (71.2%) found analgesics to be adequate for pain control. Patients’ and physicians’ satisfaction with pain control and physician-assessed analgesic adequacy were significantly different across countries (P<0.001 for all). Conclusions. Despite pain-related problems with sleep and quality of life, patients were generally satisfied with their pain control status. Interestingly, physicians were more likely to be dissatisfied with patients’ pain control. Enhanced patient-physician communication, physicians’ proactivity in managing opioid-induced adverse effects, and accessibility of analgesics have been identified to be crucial for successful cancer pain management. This study was registered at ClinicalTrials.gov (identifier NCT02664987). |
| format | Article |
| id | doaj-art-cafd61ae759b45019d4c75f02c77e5b0 |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-cafd61ae759b45019d4c75f02c77e5b02025-02-03T05:47:57ZengWileyPain Research and Management1203-67651918-15232018-01-01201810.1155/2018/21937102193710Patient and Physician Satisfaction with Analgesic Treatment: Findings from the Analgesic Treatment for Cancer Pain in Southeast Asia (ACE) StudyDang Huy Quoc Thinh0Wimonrat Sriraj1Marzida Mansor2Kian Hian Tan3Cosphiadi Irawan4Johan Kurnianda5Yen Phi Nguyen6Annielyn Ong-Cornel7Yacine Hadjiat8Hanlim Moon9Francis O. Javier10Department of Radiation Oncology, HCMC Oncology Hospital, Ho Chi Minh City, VietnamDepartment of Anesthesiology, Faculty of Medicine, Srinagarind Hospital, Khon Kaen University, Khon Kaen, ThailandDepartment of Anesthesiology, Faculty of Medicine, University of Malaya, Kuala Lumpur, MalaysiaDepartment of Anaesthesiology, Singapore General Hospital, SingaporeDepartment of Internal Medicine, Cipto Mangunkusumo General Hospital (RSCM), University of Indonesia, Jakarta Pusat, IndonesiaDepartment of Internal Medicine, Dr. Sardjito General Hospital, Gadjah Mada University, Yogyakarta, IndonesiaDepartment of Palliative Care and Pain Management, K Hospital, Vietnam National Cancer Hospital, Hanoi, VietnamVeterans Memorial Medical Centre, Quezon City, PhilippinesAPAC LATAM MEA, Mundipharma, SingaporeAPAC LATAM MEA, Mundipharma, SingaporePain Management Center, St. Luke’s Medical Center, Quezon City, PhilippinesAim. The aim of this study was to examine patients’ and physicians’ satisfaction, and concordance of patient-physician satisfaction with patients’ pain control status. Methods. This cross-sectional observational study involved 465 adults prescribed analgesics for cancer-related pain from 22 sites across Indonesia, Malaysia, Philippines, Singapore, Thailand, and Vietnam. Pain intensity, pain control satisfaction, and adequacy of analgesics for pain control were documented using questionnaires. Results. Most patients (84.4%) had stage III or IV cancer. On a scale of 0 (no pain) to 10 (worse pain), patients’ mean worst pain intensity over 24 hours was 4.76 (SD 2.47). More physicians (19.0%) than patients (8.0%) reported dissatisfaction with patient’s pain control. Concordance of patient-physician satisfaction was low (weighted kappa 0.36; 95% CI 0.03–0.24). Most physicians (71.2%) found analgesics to be adequate for pain control. Patients’ and physicians’ satisfaction with pain control and physician-assessed analgesic adequacy were significantly different across countries (P<0.001 for all). Conclusions. Despite pain-related problems with sleep and quality of life, patients were generally satisfied with their pain control status. Interestingly, physicians were more likely to be dissatisfied with patients’ pain control. Enhanced patient-physician communication, physicians’ proactivity in managing opioid-induced adverse effects, and accessibility of analgesics have been identified to be crucial for successful cancer pain management. This study was registered at ClinicalTrials.gov (identifier NCT02664987).http://dx.doi.org/10.1155/2018/2193710 |
| spellingShingle | Dang Huy Quoc Thinh Wimonrat Sriraj Marzida Mansor Kian Hian Tan Cosphiadi Irawan Johan Kurnianda Yen Phi Nguyen Annielyn Ong-Cornel Yacine Hadjiat Hanlim Moon Francis O. Javier Patient and Physician Satisfaction with Analgesic Treatment: Findings from the Analgesic Treatment for Cancer Pain in Southeast Asia (ACE) Study Pain Research and Management |
| title | Patient and Physician Satisfaction with Analgesic Treatment: Findings from the Analgesic Treatment for Cancer Pain in Southeast Asia (ACE) Study |
| title_full | Patient and Physician Satisfaction with Analgesic Treatment: Findings from the Analgesic Treatment for Cancer Pain in Southeast Asia (ACE) Study |
| title_fullStr | Patient and Physician Satisfaction with Analgesic Treatment: Findings from the Analgesic Treatment for Cancer Pain in Southeast Asia (ACE) Study |
| title_full_unstemmed | Patient and Physician Satisfaction with Analgesic Treatment: Findings from the Analgesic Treatment for Cancer Pain in Southeast Asia (ACE) Study |
| title_short | Patient and Physician Satisfaction with Analgesic Treatment: Findings from the Analgesic Treatment for Cancer Pain in Southeast Asia (ACE) Study |
| title_sort | patient and physician satisfaction with analgesic treatment findings from the analgesic treatment for cancer pain in southeast asia ace study |
| url | http://dx.doi.org/10.1155/2018/2193710 |
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