Takayuki Iwamoto
   Department   Kawasaki Medical School  Kawasaki Medical School, Department of Breast and Thyroid Surgery,
   Position   Assistant Professor
Article types 原著
Language English
Peer review Peer reviewed
Title Differences in Attitudes and Practices of Cancer Pain Management between Medical Oncologists and Palliative Care Physicians.
Journal Formal name：Acta medica Okayama
Abbreviation：Acta Med Okayama
ISSN code：0386300X/0386300X
Domestic / ForeginForegin
Volume, Issue, Page 75(4),pp.431-437
Author and coauthor Toshiki Kunitomi, Junichirou Nasu, Daisuke Minami, Takayuki Iwamoto, Hiroyuki Nishie, Shinya Saito, Toshiyoshi Fujiwara, Junji Matsuoka
Publication date 2021/08
Summary 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.
DOI 10.18926/AMO/62394
PMID 34511609