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Strengths and Weaknesses of Cancer Pain Management in Italy: Findings from a Nationwide SIAARTI Survey
Objectives: Despite guidelines, a large percentage of cancer patients continue to suffer from ineffectively treated pain. The authors undertook this survey to assess the strengths and weaknesses of cancer pain management in Italy. Design: This was a prospectively administered survey. Participants: T...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8951760/ https://www.ncbi.nlm.nih.gov/pubmed/35326919 http://dx.doi.org/10.3390/healthcare10030441 |
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author | Cascella, Marco Vittori, Alessandro Petrucci, Emiliano Marinangeli, Franco Giarratano, Antonino Cacciagrano, Cristina Tizi, Emiliano Simone Miceli, Luca Natoli, Silvia Cuomo, Arturo |
author_facet | Cascella, Marco Vittori, Alessandro Petrucci, Emiliano Marinangeli, Franco Giarratano, Antonino Cacciagrano, Cristina Tizi, Emiliano Simone Miceli, Luca Natoli, Silvia Cuomo, Arturo |
author_sort | Cascella, Marco |
collection | PubMed |
description | Objectives: Despite guidelines, a large percentage of cancer patients continue to suffer from ineffectively treated pain. The authors undertook this survey to assess the strengths and weaknesses of cancer pain management in Italy. Design: This was a prospectively administered survey. Participants: The participants were anesthesiologists of the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI). Intervention: A 58-item questionnaire covered the demographics and features of cancer pain management in the Italian context. Results: The authors received responses from 611 pain therapists of 279 centers. Only 22% of physicians are exclusively pain therapists. Seventy-five percent are specialists in anesthesiology, intensive care, and pain medicine. Most pain centers are hospital or university facilities (78%). The strengths of cancer pain management in Italy are the careful opioid prescriptions, the use of strategies for the treatment of neuropathic pain, patient/healthcare provider partnerships, and breakthrough cancer pain management. Weaknesses to be addressed include poor adherence to guidelines, inadequate attention toward the patient’s quality of life, insufficient use of minimally invasive techniques, lack of teamwork approaches, inappropriate timing of pain specialist engagement, and poor telemedicine use. Conclusions: Despite several strengths, further efforts are needed to improve the care of patients suffering from cancer pain in Italy. |
format | Online Article Text |
id | pubmed-8951760 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89517602022-03-26 Strengths and Weaknesses of Cancer Pain Management in Italy: Findings from a Nationwide SIAARTI Survey Cascella, Marco Vittori, Alessandro Petrucci, Emiliano Marinangeli, Franco Giarratano, Antonino Cacciagrano, Cristina Tizi, Emiliano Simone Miceli, Luca Natoli, Silvia Cuomo, Arturo Healthcare (Basel) Article Objectives: Despite guidelines, a large percentage of cancer patients continue to suffer from ineffectively treated pain. The authors undertook this survey to assess the strengths and weaknesses of cancer pain management in Italy. Design: This was a prospectively administered survey. Participants: The participants were anesthesiologists of the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (SIAARTI). Intervention: A 58-item questionnaire covered the demographics and features of cancer pain management in the Italian context. Results: The authors received responses from 611 pain therapists of 279 centers. Only 22% of physicians are exclusively pain therapists. Seventy-five percent are specialists in anesthesiology, intensive care, and pain medicine. Most pain centers are hospital or university facilities (78%). The strengths of cancer pain management in Italy are the careful opioid prescriptions, the use of strategies for the treatment of neuropathic pain, patient/healthcare provider partnerships, and breakthrough cancer pain management. Weaknesses to be addressed include poor adherence to guidelines, inadequate attention toward the patient’s quality of life, insufficient use of minimally invasive techniques, lack of teamwork approaches, inappropriate timing of pain specialist engagement, and poor telemedicine use. Conclusions: Despite several strengths, further efforts are needed to improve the care of patients suffering from cancer pain in Italy. MDPI 2022-02-25 /pmc/articles/PMC8951760/ /pubmed/35326919 http://dx.doi.org/10.3390/healthcare10030441 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Cascella, Marco Vittori, Alessandro Petrucci, Emiliano Marinangeli, Franco Giarratano, Antonino Cacciagrano, Cristina Tizi, Emiliano Simone Miceli, Luca Natoli, Silvia Cuomo, Arturo Strengths and Weaknesses of Cancer Pain Management in Italy: Findings from a Nationwide SIAARTI Survey |
title | Strengths and Weaknesses of Cancer Pain Management in Italy: Findings from a Nationwide SIAARTI Survey |
title_full | Strengths and Weaknesses of Cancer Pain Management in Italy: Findings from a Nationwide SIAARTI Survey |
title_fullStr | Strengths and Weaknesses of Cancer Pain Management in Italy: Findings from a Nationwide SIAARTI Survey |
title_full_unstemmed | Strengths and Weaknesses of Cancer Pain Management in Italy: Findings from a Nationwide SIAARTI Survey |
title_short | Strengths and Weaknesses of Cancer Pain Management in Italy: Findings from a Nationwide SIAARTI Survey |
title_sort | strengths and weaknesses of cancer pain management in italy: findings from a nationwide siaarti survey |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8951760/ https://www.ncbi.nlm.nih.gov/pubmed/35326919 http://dx.doi.org/10.3390/healthcare10030441 |
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