Predictors of prescription of morphine for severe cancer pain by physicians in Korea
Open Access
- 27 April 2005
- journal article
- research article
- Published by Elsevier BV in Annals of Oncology
- Vol. 16 (6), 966-971
- https://doi.org/10.1093/annonc/mdi180
Abstract
Background:: This study was undertaken to identify predictors of the prescription of strong opioids, which are important for the management of severe cancer pain, by Korean physicians. Methods:: A questionnaire based on a hypothetical case designed to assess the prescription of morphine by physicians was administered to 800 specialists in the Korea Cancer Association, of whom 147 (18.4%) responded, and to 2200 specialists in the Korean Academy of Family Medicine, of whom 388 (17.6%) responded. We used a multidimensional approach to identify the predictors of prescription of morphine by physicians. Results:: In the hypothetical case scenario, only 16.5% of the respondents stated that they would prescribe morphine for severe cancer pain. Multiple logistic regression analysis showed that physicians with a positive attitude regarding opioid addiction [odds ratio (OR) 2.62; 95% confidence interval (CI) 1.54–4.46], experience of pain assessment (OR 2.09; 95% CI 1.13–3.87), recent residency training (OR 2.27; 95% CI 1.30–4.0) and positive self-evaluation as an oncology specialist (OR 2.60; 95% CI 1.41–4.78) were more likely to prescribe morphine. None of the 13 variables in the knowledge dimension significantly predicted prescription of morphine for severe cancer pain. Conclusions:: The results of the survey suggest that we need to develop strategies to develop a positive attitude toward opioids, to increase experience in pain assessment and to improve cancer pain management training among Korean physicians.This publication has 20 references indexed in Scilit:
- Multicenter Study of Pain and Its Management in Patients with Advanced Cancer in KoreaJournal of Pain and Symptom Management, 2003
- Cancer Pain: Knowledge and Attitudes of Physicians in IsraelJournal of Pain and Symptom Management, 1999
- Cancer pain education for physicians in practice: Establishing a new paradigmJournal of Pain and Symptom Management, 1996
- Multicentre study of cancer pain and its treatment in FranceBMJ, 1995
- New Clinical-Practice Guidelines for the Management of Pain in Patients with CancerThe New England Journal of Medicine, 1994
- Pain and Its Treatment in Outpatients with Metastatic CancerThe New England Journal of Medicine, 1994
- Management of terminal cancer pain in Sweden: a nationwide surveyPain, 1993
- The prevalence of pain in four cancersCancer, 1987
- The Treatment of Cancer PainThe New England Journal of Medicine, 1985
- The prevalence and severity of pain in cancerCancer, 1982