Cancer pain therapy in palliative care patients: knowledge of prehospital emergency physicians in training. Prospective questionnaire-based investigation

Wiese, C. H. R. and Loeffler, E. K. and Vormelker, J. and Meyer, N. and Taghavi, M. and Strumpf, M. and Kazmaier, S. and Roessler, M. and Zausig, Y. A. and Popov, A. F. and Lassen, C. L. and Graf, B. M. and Hanekop, G. G. (2010) Cancer pain therapy in palliative care patients: knowledge of prehospital emergency physicians in training. Prospective questionnaire-based investigation. SCHMERZ, 24 (5). pp. 508-516. ISSN 0932-433X, 1432-2129

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Abstract

Cancer diseases are often associated with acute and chronic pain. Therefore, cancer pain is a symptom frequently reported by palliative care patients with cancer diseases. Prehospital emergency physicians may be confronted with exacerbation of pain in cancer patients. The aim of this study was to evaluate the knowledge of prehospital emergency physicians in training concerning cancer pain therapy. A total of 471 prehospital emergency physicians received a questionnaire (period of time: 2007-2009). The questionnaire was prepared for the study ("mixed methods design"). Twenty-four questions concerning cancer pain therapy (response options: scaling, open) were designed. The evaluation was done descriptively according to professional experience, field name and experience in treating patients with cancer as well. A total of 469 participants completed the questionnaire (response rate 99%). On average, 10.8 (SD +5.7, range 2-24) questions were answered correctly. Resident physicians answered statistically significantly more questions correctly than consultants (p=0.02). Only physicians working in internal medicine achieved statistically significantly better results than other disciplines (e.g., surgery; p=0.01). Physicians with professional experience of less than 5 years answered statistically significantly more questions correctly (p=0.004). The results of this study verify that emergency physicians in training have insufficient knowledge of pain therapy and end-of-life decisions. The data of this investigation suggest that more attention should be paid to education on pain therapy and end-of-life care in medical curricula. Prehospital emergency physicians may thus be better prepared to provide quality care for palliative patients.

Item Type: Article
Uncontrolled Keywords: OF-LIFE CARE; BREAKTHROUGH PAIN; MANAGEMENT; EDUCATION; MEDICINE; Palliative care; Emergency care, prehospital; Curriculum; Cancer; Pain
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Anästhesiologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 15 Jul 2020 08:42
Last Modified: 15 Jul 2020 08:42
URI: https://pred.uni-regensburg.de/id/eprint/24299

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