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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2003-01-01
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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". |
format | Article |
id | doaj-art-a54d1ba660844a28af600fe9e3706717 |
institution | Kabale University |
issn | 1203-6765 |
language | English |
publishDate | 2003-01-01 |
publisher | Wiley |
record_format | Article |
series | Pain Research and Management |
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 |
work_keys_str_mv | AT eldontunks thechronicneedtoimprovethemanagementofpain AT eldontunks chronicneedtoimprovethemanagementofpain |