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  1. Pain and treatment of pain in minority patients with cancer : The Eastern Cooperative Oncology Group minority outpatient pain study.

    Article - En anglais

    Background 

    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.

    Objectives 

    To evaluate the severity of cancer-related pain and the adequacy of prescribed analgesics in minority outpatients with cancer.

    Design 

    Prospective clinical study.

    Setting 

    Eastern Cooperative Oncology Group.

    Patients 

    281 minority outpatients with recurrent or metastatic cancer.

    Measurements 

    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.

    Results 

    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.

    Conclusions 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0549152

    Code Inist : 002B04H04. Création : 24/03/1998.