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Predictors of prescription of morphine for severe cancer pain by physicians in Korea

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dc.contributor.authorYun, Y. H.-
dc.contributor.authorPark, S. M.-
dc.contributor.authorLee, K.-
dc.contributor.authorChang, Y. J.-
dc.contributor.authorHeo, D. S.-
dc.contributor.authorKim, S.-Y.-
dc.contributor.authorHong, Y. S.-
dc.contributor.authorHuh, B. Y.-
dc.creator박상민-
dc.date.accessioned2013-04-10T08:48:12Z-
dc.date.available2013-04-10T08:48:12Z-
dc.date.issued2005-06-
dc.identifier.citationANNALS OF ONCOLOGY Vol.16 No.6, pp. 966-971-
dc.identifier.issn0923-7534-
dc.identifier.urihttp://hdl.handle.net/10371/81870-
dc.description.abstractBackground: This study was undertaken to identify predictors of the prescription of strong opioids, which are important for the management of severe cancer pain, by Korean physicians. Methods: A questionnaire based on a hypothetical case designed to assess the prescription of morphine by physicians was administered to 800 specialists in the Korea Cancer Association, of whom 147 (18.4%) responded, and to 2200 specialists in the Korean Academy of Family Medicine, of whom 388 (17.6%) responded. We used a multidimensional approach to identify the predictors of prescription of morphine by physicians. Results: In the hypothetical case scenario, only 16.5% of the respondents stated that they would prescribe morphine for severe cancer pain. Multiple logistic regression analysis showed that physicians with a positive attitude regarding opioid addiction [odds ratio (OR) 2.62; 95% confidence interval (CI) 1.54-4.46], experience of pain assessment (OR 2.09; 95% CI 1.13-3.87), recent residency training (OR 2.27; 95% CI 1.30-4.0) and positive self-evaluation as an oncology specialist (OR 2.60; 95% CI 1.41-4.78) were more likely to prescribe morphine. None of the 13 variables in the knowledge dimension significantly predicted prescription of morphine for severe cancer pain. Conclusions: The results of the survey suggest that we need to develop strategies to develop a positive attitude toward opioids, to increase experience in pain assessment and to improve cancer pain management training among Korean physicians.en
dc.language.isoenen
dc.publisherOxford University Pressen
dc.subject의약학en
dc.subjectcancer pain-
dc.subjectmorphine-
dc.subjectphysician-
dc.subjectprescription-
dc.titlePredictors of prescription of morphine for severe cancer pain by physicians in Koreaen
dc.typeArticle-
dc.contributor.AlternativeAuthor윤영호-
dc.contributor.AlternativeAuthor박상민-
dc.identifier.doi10.1093/annonc/mdi180-
dc.description.srndOAIID:oai:osos.snu.ac.kr:snu2005-01/102/0000052039/2-
dc.description.srndSEQ:2-
dc.description.srndPERF_CD:SNU2005-01-
dc.description.srndEVAL_ITEM_CD:102-
dc.description.srndUSER_ID:0000052039-
dc.description.srndADJUST_YN:Y-
dc.description.srndEMP_ID:A077862-
dc.description.srndDEPT_CD:801-
dc.description.srndCITE_RATE:4.319-
dc.description.srndFILENAME:Predictors of prescription of morphine for severe cancer pain by physicians in Korea..pdf-
dc.description.srndDEPT_NM:의학과-
dc.description.srndEMAIL:smpark@snu.ac.kr-
dc.description.srndSCOPUS_YN:Y-
dc.description.srndCONFIRM:Y-
dc.identifier.srnd2005-01/102/0000052039/2-
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)Journal Papers (저널논문_의학과)
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