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Collaborative Efforts May Improve Chronic Non-Cancer Pain Management in Asia: Findings from a Ten-Country Regional Survey
DC Field | Value | Language |
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dc.contributor.author | 문성환 | - |
dc.date.accessioned | 2018-01-23T05:55:01Z | - |
dc.date.available | 2018-01-23T05:55:01Z | - |
dc.date.issued | 2016 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/155814 | - |
dc.description.abstract | Background: The objective of the ACHEON survey was to investigate current practices in chronic non-cancer pain (CNCP) management in Asia, with a focus on opioid use. Methods: A questionnaire-based survey conducted in 10 Asian countries/regions was answered by 695 physicians managing pain (median experience: 15 years) and 1,305 patients experiencing CNCP within the preceding 3 months. Results: Overall, 89.3% of patients reported experiencing moderate-to-severe pain (median pain duration of 24 months). Continuing pain management education of ≤10 hours was reported by 71.1% of the physicians. While approximately 80% of physicians reported quantifying pain in practice, 65.0% of patients reported that no scale was used for their pain assessment. A significant proportion of physicians (78%) perceived discordance between their patients’ actual pain level and their own evaluation. Opioids were considered necessary for CNCP management by 63.6% of physicians. However, while non-opioid oral medication was prescribed to 66.8% of patients, only 4.4% of patients were prescribed opioids. CNCP was reported to affect activities of daily living for 80.8% of patients. Physicianperceived barriers to optimal therapy included patients’ reluctance to use opioids owing to fear of adverse effects (65.0%) and addiction (64.9%), while physicians’ reluctance to prescribe opioids (63.7%) was partially attributable to inadequate pain assessment (60.9%) and excessive regulation of opioids (57.3%). Conclusion: While the majority of patients surveyed reported moderate-to-severe CNCP, opioid use was suboptimal. Physician and patient education to address stigmas associated with opioid use may improve pain management practices in these countries. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | Journal of Pain & Relief | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Collaborative Efforts May Improve Chronic Non-Cancer Pain Management in Asia: Findings from a Ten-Country Regional Survey | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Orthopedic Surgery | - |
dc.contributor.googleauthor | Chi Wai Cheung | - |
dc.contributor.googleauthor | Chee Yong Choo | - |
dc.contributor.googleauthor | Yong-Chul Kim | - |
dc.contributor.googleauthor | Feng Sheng Lin | - |
dc.contributor.googleauthor | Seong-Hwan Moon | - |
dc.contributor.googleauthor | Evelyn Osio-Salido | - |
dc.contributor.googleauthor | Sheng-Fa Pan | - |
dc.contributor.googleauthor | Vivek Ajit Singh | - |
dc.contributor.googleauthor | Seung-Hwan Yoon | - |
dc.contributor.googleauthor | Lois Ward | - |
dc.contributor.googleauthor | Hanlim Moon | - |
dc.contributor.googleauthor | Abhishek Bhagat | - |
dc.identifier.doi | 10.4172/2187-0846.1000225 | - |
dc.contributor.localId | A01365 | - |
dc.relation.journalcode | J03270 | - |
dc.contributor.alternativeName | Moon, Seong Hwan | - |
dc.contributor.affiliatedAuthor | Moon, Seong Hwan | - |
dc.citation.volume | 5 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 1000225 | - |
dc.identifier.bibliographicCitation | Journal of Pain & Relief, Vol.5(1) : 1000225, 2016 | - |
dc.identifier.rimsid | 48844 | - |
dc.type.rims | ART | - |
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