Cancer pain: Global awareness and guideline recommendation
Kalopita, Konstantina S.
Papadimitriou, Lila J.
Polyzos, Nikolaos P.
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Background: Although pain is a common event during cancer treatment, its assessment and management remains suboptimal on daily practice. A possible cause for this phenomenon might be a low level of cancer pain awareness and web guideline recommendations among health providers. The aim of this study was to scrutinize global on-line cancer-pain guideline recommendations among anesthesiology and oncology societies. Patients & Methods: Systematical web identification of anesthesiology and oncology societies. International variations on cancer pain guideline recommendations were analyzed. Results: Among 181,200 web pages scrutinized, 370 eligible societies were identified. Only 18 societies provided recommendations on cancer pain (12 for physicians). The level of global awareness of cancer pain was extremely poor, independently of nation and continent analyzed. Different society categories showed differences in cancer pain guideline recommendations (p = 0.0045). The highest rate of societies recommending guidelines on cancer pain was found among pain-related medical societies (27%). Anesthesiology and oncology societies did not pass 3% and 9%, respectively, in any sub-setting considered. Half the recommendations regarding cancer pain management were outdated and only half of these supported their statements with level I evidence in their references.