Pain evaluation and management: a survey of Italian radiotherapists

Porzio, Giampiero; Valenti, Marco; Aielli, Federica; Verna, Lucilla; Narducci, Filomena; Valeriani, Maurizio; Ricevuto, Enrico; Ficorella, Corrado; Marchetti, Paolo; Tombolini, Vincenzo

doi:10.1007/s00520-004-0687-1

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…Saroyan et al [8] assessed pediatric pain knowledge among 3 residency training programs and found that anesthesiology residents had better knowledge compared to orthopedic or pediatric residents. The mean correct score of anesthesiology residents in the present study was not different from the study on radiotherapy residents done by Porzio et al [11] in 2005 (67.7% vs 63.7%). Although the questionnaire in their study had less number of items compared to the present study (16 items vs 35 items) and they had only 3 questions that specific to pediatric pain management.…”

Section: Discussioncontrasting

confidence: 76%

The Third Year Anesthesiology Residents’ Knowledge Regarding Pediatric Postoperative Pain Management

Thienthong¹,

Seehanoo²,

Sriraj³

et al. 2013

OJAnes

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Background: There are six Anesthesiology training centers in Thailand that are approved to operate the training program. An evidence of residents' knowledge about pediatric postoperative pain management is needed for improving the program. Objective: To assess the third year anesthesiology residents' knowledge about pediatric postoperative pain management. Materials and Methods: The questionnaire was adapted from previous studies. The questionnaire has 35 questions consisted of 17 multiple choice questions and 18 true or false questions to cover 2 domains: 1) use of age-appropriate pediatric pain assessment (10 questions) and 2) pediatric pain treatment (25 questions). Minimal passing level of the questionnaire rated by three young anesthesiology staffs was 76.2%. All 62 participants were the 3 rd year anesthesiology residents from 6 training centers. Data were analyzed by descriptive statistics. Results: The response rate was 95.2%. Seventy-one percent of participants reported that they had learned about pediatric pain treatment. Of those, 55.9% rated their remaining knowledge at median level. The proportion of the correct score was 67.7% (mean 23.7 ± 2.9 SD) which was lower than the minimal passing level. The highest score was 29 and the lowest score was 16. For pain assessment domain; the mean proportion of correct score was 65% (range 90%-40%). For pain treatment domain; the mean proportion of correct score was 68.8% (range 88%-44%). Conclusion: Anesthesiology residents' knowledge about pediatric postoperative pain management needs to be improved.

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Section: Discussioncontrasting

confidence: 76%

The Third Year Anesthesiology Residents’ Knowledge Regarding Pediatric Postoperative Pain Management

Thienthong¹,

Seehanoo²,

Sriraj³

et al. 2013

OJAnes

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“…The consumption of opioids is at the lowest level among Western countries. In order to increase the use of opioids, a new law was promulgated and the knowledge and attitudes of Italian physicians involved in pain treatment were improved [10,11]. Nevertheless, consumption of opioids increased slowly, and this enhancement seems to be related principally to marketing strategies [4,8]; moreover, two recent works have demonstrated that patients in pain, observed during active treatment, receive inadequate therapy [2,5].…”

Section: Discussionmentioning

confidence: 97%

The Supportive Care Task Force at the University of L’Aquila: 2-years experience

Porzio

Ricevuto

Aielli

et al. 2005

Support Care Cancer

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The Supportive Care Task Force (SCTF) was established within the Medical Oncology Department at the University of L'Aquila in May 2002. The missions of the SCTF were to allow systematic evaluation and treatment of symptoms, to warrant continuity of care in all phases of disease and to provide medical oncology residents with training in the treatment of symptoms. A medical oncologist, two senior residents in medical oncology and a registered nurse comprised the SCTF. A psychiatrist, two neurologists, a dietician, and two physiotherapists served as consultants or on a part-time basis. Four beds in two-bedded rooms inside the Medical Oncology Department were reserved to SCTF. A close integration with the physicians of the Medical Oncology Department was realised. The only criterion to admission was the presence of uncontrolled symptoms. Patients were evaluated and monitored with the visual analogue scale for pain and with the Edmonton Symptom Assessment Scale (ESAS). The Palliative Prognostic Score (PaP Score) was employed to assess the prognosis. Non-clinical needs were evaluated with the Need Evaluation Questionnaire (NEQ). Protocols for the treatment of common symptoms were available in written form for consultation by physicians, residents and nurses. From 1 May 2002 to 31 May 2004, we observed 208 patients: 111 women and 97 men. The median age was 64.7 (range 28-90) years. Fifty-four patients (25.9%) were admitted more than once, for a total of 285 admissions. One hundred ninety-nine admissions (69.5%) were for supportive care while 86 admissions (30.5%) were for supportive care and active treatment. The most frequent symptoms were asthenia and anorexia. We registered excellent results regarding the treatment of pain, nausea and dyspnea while psychological symptoms, anorexia and asthenia proved more difficult to treat. Two hundred twenty patients were discharged: 142 (49.8%) home; 76 (26.7%) to the Home Care Service and two (0.7%) to others units of the hospital. Sixty-five (22.8%) died in our unit.

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“…Otherwise pain is the main symptom bringing the large majority of patients to ask for medical intervention, and becoming, if uncontrolled, a very high cost of health in a country. Many systemic diseases can cause pain but many specialists (Porzio et al, 2005a(Porzio et al, , 2005bPeretti-Watel et al, 2003) who see these patients are not properly trained to recognize and to treat pain and suffering of their patients. A proper consultation with a pain specialist can markedly decrease the duration of a painful condition, and prevent higher pain sensations and "pain syndrome".…”

Section: Pain Is An Under-recognized and Under-treated Problemmentioning

confidence: 99%

30 years of pain treatment in Italy: past, present and future

Allegri

Tinelli

Sandrini

et al. 2008

Eur Journal of Pain Supp

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Chronic pain is a situation that bring patients to ask for a medical intervention and can be originated from many different pathologic conditions. Nowadays, recent advancements in pain treatment have made possible to control pain in many patients, allowing them to return to daily activities. Anaesthesiologists are the modern pain specialists, and must know and define the origin of pain in every case: the comprehension of pain mechanisms gives them the possibility for a planned strategy of treatment. In this work we perform a overview about the “state of the art” of pain treatment in Italy analyzing what are the problems that require to focalize our attention. Therefore, sometimes many visits are necessary for a correct diagnosis and successful therapy. Pain management is still a young speciality, and the Italian pain specialist is often a self made expert who needs proper structures and dedicated people: the result is a different treatment not only between the hospitals but also in the same pain conditions. Although it seems that many of the new techniques used to control pain are successful, few studies and controlled trials have been done to verify long‐term efficacy and potential adverse effects.

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Pain evaluation and management: a survey of Italian radiotherapists

Abstract: Results of the survey demonstrate that knowledge and attitudes of Italian radiotherapists towards the approach to and treatment of pain can be considered satisfactory.

Cited by 3 publications

References 19 publications

The Third Year Anesthesiology Residents’ Knowledge Regarding Pediatric Postoperative Pain Management

The Third Year Anesthesiology Residents’ Knowledge Regarding Pediatric Postoperative Pain Management

The Supportive Care Task Force at the University of L’Aquila: 2-years experience

30 years of pain treatment in Italy: past, present and future

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