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

Cited 20 time in Web of Science Cited 24 time in Scopus
Authors
Yun, Y H; Park, S M; Lee, K; Chang, Y J; Heo, D S; Kim, S-Y; Hong, Y S; Huh, B Y
Issue Date
2005-04-29
Publisher
Oxford University Press
Citation
Ann Oncol. 2005 Jun;16(6):966-71. Epub 2005 Apr 27.
Keywords
AdultAged*Drug UtilizationFemaleHumansKoreaMaleMiddle AgedMorphine/*therapeutic useMultivariate AnalysisNeoplasms/*physiopathologyPain, Intractable/*drug therapy
Abstract
BACKGROUND: 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.
ISSN
0923-7534 (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15857848

http://hdl.handle.net/10371/16088
DOI
https://doi.org/10.1093/annonc/mdi180
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College of Medicine/School of Medicine (의과대학/대학원)Family Medicine (가정의학전공)Journal Papers (저널논문_가정의학전공)
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