Gender and Ethnic Differences in Cancer Pain Experience

Im, Eun Ok; Chee, Wonshik; Guevara, Enrique; Liu, Yi; Lim, Hyun Ju; Tsai, Hsiu Min; Clark, Madeline; Bender, Melinda S.; Kim, Kyung Suk; Kim, Young Hee; Shin, Hyunjeong

doi:10.1097/01.nnr.0000289502.45284.b5

Cited by 78 publications

(83 citation statements)

References 27 publications

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“…Despite the availability of the WHO guidelines for cancer pain care that provide a standard for pain management [106], racial/ethnic disparities in care of cancer-related pain have been observed [3,23,44]. For example, in one study of 1300 individuals conducted by Cleeland et al [24], African American and Hispanic cancer patients seen in predominantly minority-serving outpatient clinics were one-third as likely to receive adequate WHO-recommended use of opioid analgesics as non-Hispanic white individuals seen in similar clinical settings focusing on care to ethnic majority individuals.…”

Section: Cancer Painmentioning

confidence: 99%

Defining Racial and Ethnic Disparities in Pain Management

Mossey

2011

Clinical Orthopaedics &Amp; Related Research

282

215

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Background Substantial pain prevalence is as high as 40% in community populations. There is consistent evidence that racial/ethnic minority individuals are overrepresented among those who experience such pain and whose pain management is inadequate. Questions/purposes The objectives of this paper are to (1) define parameters of and summarize evidence pertinent to racial/ethnic minority disparities in pain management, (2) identify factors contributing to observed disparities, and (3) identify strategies to minimize the disparities. Methods Scientific literature was selectively reviewed addressing pain epidemiology, differences in pain management of non-Hispanic whites versus racial/ethnic minority groups, and patient and physician factors contributing to such differences.

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Section: Cancer Painmentioning

confidence: 99%

Defining Racial and Ethnic Disparities in Pain Management

Mossey

2011

Clinical Orthopaedics &Amp; Related Research

282

215

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“…Previous studies including Asian American and Pacific Islander populations receiving consultations for pain or palliative care did not compare pain outcomes by racial categories. [10][11][12] No study has examined pain management by an inpatient hospital-based palliative care consultation service among different races and diagnoses.…”

Section: Introductionmentioning

confidence: 99%

Pain Outcomes of Inpatient Pain and Palliative Care Consultations: Differences by Race and Diagnosis

Bell

Kuriya²,

Fischberg³

2011

Journal of Palliative Medicine

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Background: Pain management disparities exist among patients not receiving palliative care. We examined pain outcomes for disparities among patients receiving palliative care. Results: Study population included 4658 patients. No final pain was reported by more non-white patients (33%-39%) than white (27%, p < 0.0001) and more cancer and noncancer medical patients (45%-54%) than surgical/ other patients (20%-31%, p < 0.0001). Asian (adjusted odds ratio [aOR] 1.24; 95% confidence interval [CI] 1.06-1.46; p = 0.007) and PI (aOR 1.46, 95% CI 1.20-1.77, p = 0.0001) races had increased likelihoods of lower final pain severity versus whites, controlling for age, gender, Karnofsky score, preconsult length of stay, and initial pain severity. Surgical diagnoses had decreased likelihood of lower final pain levels versus cancer (aOR 0.38, 95% CI 0.32-0.46, p < 0.0001). Among 2304 patients reporting moderate/severe initial pain, 1738 (75.4%) reported pain reduction to mild/no final pain. PI race was associated with pain reduction versus whites (aOR 1.57, 95% CI 1.17-2.10, p = 0.003). Surgical diagnoses had decreased likelihood of pain reduction vs. cancer (aOR 0.52, 95% CI 0.39-0.71, p < 0.0001). Conclusion: Pain outcomes were similar or better among non-white races than whites. Surgical patients reported more final pain than cancer patients.

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“…In the process of developing the SPEAC, I used the findings from a multiethnic Internet study on cancer pain aimed at the development of a decisionsupport computer program for cancer pain management (the DSCP study). [21][22][23][24][25] In short, the purpose of the DSCP study was to explore gender and ethnic differences in the cancer pain experience of 480 cancer patients in 4 major ethnic groups in the United States (participants included 105 Hispanics, 148 non-Hispanic whites, 109 non-Hispanic African Americans, and 118 non-Hispanic Asian Americans). The Asian American participants included 90 Chinese, 10 nonspecified Asians, 2 Koreans, 3 Vietnamese, 6 Taiwanese, and 2 others, which limits the generalizability of the theory that I present in this article.…”

Section: The Decision-support Computer Program Studymentioning

confidence: 99%

The Situation-Specific Theory of Pain Experience for Asian American Cancer Patients

2008

Advances in Nursing Science

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Studies have indicated the need for theories that explain and target ethnic-specific cancer pain experiences, including those of Asian Americans. In this article, I present a situation-specific theory that explains the unique cancer pain experience of Asian Americans. Unlike other existing theories, this situation-specific theory was developed on the basis of evidence, including a systematic literature review and research findings, making it comprehensive and highly applicable to research and practice with Asian American patients with cancer. Thus, this theory would strengthen the interconnections among theory, evidence, and practice in pain management for Asian American cancer patients.

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Gender and Ethnic Differences in Cancer Pain Experience

Abstract: Background-Inconsistent findings on ethnic differences in cancer pain experience suggest the need for further studies on this topic for adequate cancer pain management.

Cited by 78 publications

References 27 publications

Defining Racial and Ethnic Disparities in Pain Management

Defining Racial and Ethnic Disparities in Pain Management

Pain Outcomes of Inpatient Pain and Palliative Care Consultations: Differences by Race and Diagnosis

The Situation-Specific Theory of Pain Experience for Asian American Cancer Patients

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