Clinics that primarily see members of ethnic minority groups have been found to provide inadequate treatment of cancer-related pain.
The extent of undertreatment of pain in these patients and the factors that contribute to undertreatment are not known.
To evaluate the severity of cancer-related pain and the adequacy of prescribed analgesics in minority outpatients with cancer.
Prospective clinical study.
Eastern Cooperative Oncology Group.
281 minority outpatients with recurrent or metastatic cancer.
Patients and physicians independently rated severity of pain, pain-related functional impairment, and pain relief obtained by taking analgesic drugs.
Analgesic adequacy was determined on the basis of accepted guidelines.
77% of patients reported disease-related pain or took analgesics ; 41% of patients reporting pain had severe pain.
Sixty-five percent of minority patients did not receive guideline-recommended analgesic prescriptions compared with 50% of nonminority patients (P<0.001).
Hispanic patients in particular reported less pain relief and had less adequate analgesia.
The awareness that minority patients do not receive adequate pain control and that better assessment of pain is needed may improve control of cancer-related pain in this patient population.
Mots-clés Pascal : Tumeur maligne, Métastase, Prospective, Douleur, Modalité traitement, Critère sélection, Analgésique, Evaluation, Relation médecin malade, Etude comparative, Ethnie, Etats Unis, Amérique du Nord, Amérique, Chimiothérapie
Mots-clés Pascal anglais : Malignant tumor, Metastasis, Prospective, Pain, Application method, Selection criterion, Analgesic, Evaluation, Physician patient relation, Comparative study, Ethnic group, United States, North America, America, Chemotherapy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0549152
Code Inist : 002B04H04. Création : 24/03/1998.