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What is cancer pain? Investigating attitudes of patients, carers, and health professionals: A cross‐sectional survey.

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Title: What is cancer pain? Investigating attitudes of patients, carers, and health professionals: A cross‐sectional survey.
Authors: Henriksen, E., Young, J., Power, C., Chan, C.
Source: Pain Practice. Mar2025, Vol. 25 Issue 3, p1-11. 11p.
Subjects: Cancer treatment, Cross-sectional method, Questionnaires, Tertiary care, Hospitals, Descriptive statistics, Cancer pain, Pain management, Attitudes of medical personnel, Research, Cancer patient psychology, Psychology of caregivers, Comparative studies, Patients' attitudes, Caregiver attitudes, Psychosocial factors, Health facility employees, Specialty hospitals
Geographic Terms: Australia
Abstract: Background: Cancer pain is a prevalent and debilitating symptom that impacts quality of life. Pain management remains challenging; however, due to various barriers, including stigma associated with opioid use, ambiguous roles of clinicians, and diverse attitudes toward pain management among healthcare professionals, patients, and carers. Objective: To explore the attitudes surrounding cancer pain among patients, carers, and health professionals at a tertiary cancer hospital. Methods: A cross‐sectional online survey was conducted at the Peter MacCallum Cancer Centre. The survey included demographic measures and statements assessing attitudes toward cancer pain management. Data was analyzed using descriptive statistics in IBM SPSS 29. Ethics approval was granted by the Peter MacCallum HREC. Results: 308 participants (153 patients and carers, 155 health professionals) completed the survey. The results revealed significant variability in attitudes surrounding cancer pain and its management. Discrepancies in understanding between health professionals and patients/carers were observed. Differing views on the goals of pain management were revealed, with 51.6% of patients/carers expecting pain elimination compared to 20.6% of health professionals. The roles of clinicians in pain management were also perceived differently, highlighting a lack of clarity in responsibilities. Both groups emphasized the need for increased education on cancer pain and its management. Conclusions: The study revealed substantial variability in attitudes toward cancer pain management among patients, carers, and health professionals. Discrepancies emerged in understanding, with many patients and carers uncertain about the nature of cancer pain, contrasting with health professionals' recognition of its complexity. The terminology distinguishing "cancer pain" from "non‐cancer pain" may contribute to this confusion, suggesting a need to reconsider these semantics. Divergent views on clinician roles and opioid use underscored uncertainties, especially regarding specialist access and prescribing practices. Both groups emphasized the need for education to bridge these gaps, with clearer communication and revised guidelines potentially improving patient outcomes. [ABSTRACT FROM AUTHOR]
Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Background: Cancer pain is a prevalent and debilitating symptom that impacts quality of life. Pain management remains challenging; however, due to various barriers, including stigma associated with opioid use, ambiguous roles of clinicians, and diverse attitudes toward pain management among healthcare professionals, patients, and carers. Objective: To explore the attitudes surrounding cancer pain among patients, carers, and health professionals at a tertiary cancer hospital. Methods: A cross‐sectional online survey was conducted at the Peter MacCallum Cancer Centre. The survey included demographic measures and statements assessing attitudes toward cancer pain management. Data was analyzed using descriptive statistics in IBM SPSS 29. Ethics approval was granted by the Peter MacCallum HREC. Results: 308 participants (153 patients and carers, 155 health professionals) completed the survey. The results revealed significant variability in attitudes surrounding cancer pain and its management. Discrepancies in understanding between health professionals and patients/carers were observed. Differing views on the goals of pain management were revealed, with 51.6% of patients/carers expecting pain elimination compared to 20.6% of health professionals. The roles of clinicians in pain management were also perceived differently, highlighting a lack of clarity in responsibilities. Both groups emphasized the need for increased education on cancer pain and its management. Conclusions: The study revealed substantial variability in attitudes toward cancer pain management among patients, carers, and health professionals. Discrepancies emerged in understanding, with many patients and carers uncertain about the nature of cancer pain, contrasting with health professionals' recognition of its complexity. The terminology distinguishing "cancer pain" from "non‐cancer pain" may contribute to this confusion, suggesting a need to reconsider these semantics. Divergent views on clinician roles and opioid use underscored uncertainties, especially regarding specialist access and prescribing practices. Both groups emphasized the need for education to bridge these gaps, with clearer communication and revised guidelines potentially improving patient outcomes. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/papr.70018
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      – Code: eng
        Text: English
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        PageCount: 11
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    Subjects:
      – SubjectFull: Cancer treatment
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Questionnaires
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      – SubjectFull: Tertiary care
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      – SubjectFull: Hospitals
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Cancer pain
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      – SubjectFull: Pain management
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      – SubjectFull: Attitudes of medical personnel
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      – SubjectFull: Research
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      – SubjectFull: Cancer patient psychology
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      – SubjectFull: Psychology of caregivers
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              Text: Mar2025
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