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Kunitomi T, Nasu J, Minami D, et al. Differences in Attitudes and Practices of Cancer Pain Management between Medical Oncologists and Palliative Care Physicians. Acta Med Okayama. 2021;75(4):431-437doi: 10.18926/AMO/62394.
Kunitomi, T., Nasu, J., Minami, D., Iwamoto, T., Nishie, H., Saito, S., Fujiwara, T., & Matsuoka, J. (2021). Differences in Attitudes and Practices of Cancer Pain Management between Medical Oncologists and Palliative Care Physicians. Acta medica Okayama, 75(4), 431-437. https://doi.org/10.18926/AMO/62394
Kunitomi, Toshiki, et al. "Differences in Attitudes and Practices of Cancer Pain Management between Medical Oncologists and Palliative Care Physicians." Acta medica Okayama vol. 75,4 (2021): 431-437. doi: https://doi.org/10.18926/AMO/62394
Kunitomi T, Nasu J, Minami D, Iwamoto T, Nishie H, Saito S, Fujiwara T, Matsuoka J. Differences in Attitudes and Practices of Cancer Pain Management between Medical Oncologists and Palliative Care Physicians. Acta Med Okayama. 2021 Aug;75(4):431-437. doi: 10.18926/AMO/62394. PMID: 34511609.
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Acta Med Okayama. 2021 Aug;75(4):431-437. doi: 10.18926/AMO/62394.

Differences in Attitudes and Practices of Cancer Pain Management between Medical Oncologists and Palliative Care Physicians.

Acta medica Okayama

Toshiki Kunitomi, Junichirou Nasu, Daisuke Minami, Takayuki Iwamoto, Hiroyuki Nishie, Shinya Saito, Toshiyoshi Fujiwara, Junji Matsuoka

Affiliations

  1. Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.
  2. Department of Palliative Care Team, Okayama University Hospital.
  3. Department of Internal Medicine, Okayama Saiseikai General Hospital.
  4. Palliative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.
  5. Department of Anesthesiology and Intensive Care 1, Kawasaki Medical School.
  6. Graduate School of Health Sciences, Okayama University.
  7. Department of Palliative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.
  8. Graduate School of Interdisciplinary Science and Engineering in Health Systems, Okayama University.

PMID: 34511609 DOI: 10.18926/AMO/62394

Abstract

This study aimed to evaluate whether there are differences in the attitudes and practices of cancer pain manage-ment between medical oncologists and palliative care physicians. An online nationwide survey was used to collect responses from board-certified medical oncologists and palliative care physicians in Japan. The survey questionnaire comprised 30 questions. The differences in responses between medical oncologists and palliative care physicians were examined. Out of the 1,227 questionnaires sent, 522 (42.5%) were returned. After apply-ing the exclusion criteria, 445 questionnaires (medical oncologists: n = 283; palliative care physicians: n = 162) were retained for analysis. Among the questions about potential barriers to optimal cancer pain man-agement, both medical oncologists and palliative care physicians considered the reluctance of patients to take opioids due to fear of adverse effects as the greatest barrier. Significantly different ratings between medical oncologists and palliative care physicians were observed on 5 of the 8 questions in this area. Significantly differ-ent ratings were observed for all questions concerning pain specialists and their knowledge. For effective cancer pain management, it is important to account for differences in attitudes and practice between medical oncolo-gists and palliative care physicians.

Keywords: barriers; cancer pain management; medical oncologist; opioid; palliative care physician

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

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