The chronic need to improve the management of pain

In this issue, Drs Morley-Forster, Clark, Speechley and Moulin report on their survey conducted by Ipsos-Reid in June 2001 (pages 189-194). Only physicians who met the eligibility criteria of having written 20 or more prescriptions for moderate to severe pain in the preceding four weeks or having de...

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Main Author: Eldon Tunks
Format: Article
Language:English
Published: Wiley 2003-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2003/548943
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author Eldon Tunks
author_facet Eldon Tunks
author_sort Eldon Tunks
collection DOAJ
description In this issue, Drs Morley-Forster, Clark, Speechley and Moulin report on their survey conducted by Ipsos-Reid in June 2001 (pages 189-194). Only physicians who met the eligibility criteria of having written 20 or more prescriptions for moderate to severe pain in the preceding four weeks or having devoted 20% of their time to palliative care were eligible to participate. Sixty-eight per cent of the respondents thought that moderate to severe chronic pain was not well managed in Canada. Despite this opinion, 23% of physicians in palliative care practice and 34% of primary care doctors stated that they would not use opioids to treat moderate to severe chronic noncancer pain even as a third-line treatment after two previous medications had failed. One-quarter to one-third were concerned about the potential for addiction, and a smaller percentage reported concern about the potential for patient abuse and/or misuse, and side effects. Fear of a College audit resulting in the loss of their medical licence was cited by 10% of primary care physicians. When asked what obstacle hindered their use of strong opioid analgesics, an unexplained 10% of palliative care doctors and 14% of primary care doctors answered "nothing in particular".
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spelling doaj-art-a54d1ba660844a28af600fe9e37067172025-02-03T05:58:48ZengWileyPain Research and Management1203-67652003-01-018418718810.1155/2003/548943The chronic need to improve the management of painEldon Tunks0Hamilton Health Sciences, Chedoke Site, Chedoke Rehabilitation Centre, Hamilton, Ontario, CanadaIn this issue, Drs Morley-Forster, Clark, Speechley and Moulin report on their survey conducted by Ipsos-Reid in June 2001 (pages 189-194). Only physicians who met the eligibility criteria of having written 20 or more prescriptions for moderate to severe pain in the preceding four weeks or having devoted 20% of their time to palliative care were eligible to participate. Sixty-eight per cent of the respondents thought that moderate to severe chronic pain was not well managed in Canada. Despite this opinion, 23% of physicians in palliative care practice and 34% of primary care doctors stated that they would not use opioids to treat moderate to severe chronic noncancer pain even as a third-line treatment after two previous medications had failed. One-quarter to one-third were concerned about the potential for addiction, and a smaller percentage reported concern about the potential for patient abuse and/or misuse, and side effects. Fear of a College audit resulting in the loss of their medical licence was cited by 10% of primary care physicians. When asked what obstacle hindered their use of strong opioid analgesics, an unexplained 10% of palliative care doctors and 14% of primary care doctors answered "nothing in particular".http://dx.doi.org/10.1155/2003/548943
spellingShingle Eldon Tunks
The chronic need to improve the management of pain
Pain Research and Management
title The chronic need to improve the management of pain
title_full The chronic need to improve the management of pain
title_fullStr The chronic need to improve the management of pain
title_full_unstemmed The chronic need to improve the management of pain
title_short The chronic need to improve the management of pain
title_sort chronic need to improve the management of pain
url http://dx.doi.org/10.1155/2003/548943
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