title: Knowledge and attitudes of physicians in Iran with regard to chronic cancer pain.
abstract: OBJECTIVE
  The knowledge and attitudes of health care professionals with regard to pain and its impact on the patient are among identified barriers that prevent health care professionals from providing effective treatment for pain. The purpose of the present study was to evaluate knowledge about and attitudes towards cancer pain and its management in Iranian physicians with patient care responsibilities.
  
  
  METHODS
  We surveyed 122 physicians in six university hospitals in Tehran. Fifty-five (45.1%) questionnaires were completed.
  
  
  RESULTS
  The majority of physicians (76%) recognized the importance of pain management priority and about one half of the physicians acknowledged the problem of inadequate pain management in their settings. Most cited inability to access professionals who practice specialized methods in this field, and inadequate staff knowledge of pain management as barriers to good pain management. A large majority of them expressed dissatisfaction with their training for pain management in medical school and in residency. Furthermore a considerable widespread knowledge deficit among all medical subspecialties and all levels of experience was noted which was significantly more profound in the non-oncologists group and only correlated poorly with number of total treated patients in past 6 months.
  
  
  CONCLUSIONS
  The most significant barrier to the effective management of pain in cancer patients in Iran is deficit in knowledge as identified in this survey. A combination of an active continuing education program on both the international guidelines with routine professional education and dissemination of guidelines is needed to bring about significant improvement in cancer pain control.
authors.affiliation: Tehran University of Medical Sciences, Cardiovascular Surgery And Heart Transplantation Center, Shariaty Hospital, Tehran, Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Eftekhar
authors.forename: Mohammad Ali
authors.initials: MA
authors.lastname: Mohaghegh
authors.forename: Fariba
authors.initials: F
authors.lastname: Yarandi
authors.forename: Payam
authors.initials: P
authors.lastname: Eghtesadi-Araghi
authors.forename: Alireza
authors.initials: A
authors.lastname: Moosavi-Jarahi
authors.forename: Mitra Modares
authors.initials: MM
authors.lastname: Gilani
authors.forename: Morteza
authors.initials: M
authors.lastname: Tabatabeefar
authors.forename: Gholamreza
authors.initials: G
authors.lastname: Toogeh
authors.forename: Mamak
authors.initials: M
authors.lastname: Tahmasebi
mesh_terms: D000328:Adult; D000368:Aged; D000701:Analgesics, Opioid / Q000627:therapeutic use; D002908:Chronic Disease; D004501:Education, Medical; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007492:Iran; D008875:Middle Aged; D009369:Neoplasms; D010146:Pain / Q000517:prevention & control*; D010818:Practice Patterns, Physicians'
chemical_list: D000701:Analgesics, Opioid