Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Cascella, Marco, Vittori, Alessandro, Petrucci, Emiliano, Marinangeli, Franco, Giarratano, Antonino, Cacciagrano, Cristina, Tizi, Emiliano Simone, Miceli, Luca, Natoli, Silvia, Cuomo, Arturo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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
_version_ 1784675464735883264
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
work_keys_str_mv AT cascellamarco strengthsandweaknessesofcancerpainmanagementinitalyfindingsfromanationwidesiaartisurvey
AT vittorialessandro strengthsandweaknessesofcancerpainmanagementinitalyfindingsfromanationwidesiaartisurvey
AT petrucciemiliano strengthsandweaknessesofcancerpainmanagementinitalyfindingsfromanationwidesiaartisurvey
AT marinangelifranco strengthsandweaknessesofcancerpainmanagementinitalyfindingsfromanationwidesiaartisurvey
AT giarratanoantonino strengthsandweaknessesofcancerpainmanagementinitalyfindingsfromanationwidesiaartisurvey
AT cacciagranocristina strengthsandweaknessesofcancerpainmanagementinitalyfindingsfromanationwidesiaartisurvey
AT tiziemilianosimone strengthsandweaknessesofcancerpainmanagementinitalyfindingsfromanationwidesiaartisurvey
AT miceliluca strengthsandweaknessesofcancerpainmanagementinitalyfindingsfromanationwidesiaartisurvey
AT natolisilvia strengthsandweaknessesofcancerpainmanagementinitalyfindingsfromanationwidesiaartisurvey
AT cuomoarturo strengthsandweaknessesofcancerpainmanagementinitalyfindingsfromanationwidesiaartisurvey