title: Physicians' Practice, Attitudes Toward, and Knowledge of Cancer Pain Management in China.
abstract: METHODS
  To evaluate physicians' current practice, attitudes toward, and knowledge of cancer pain management in China.
  
  
  METHODS
  We conducted a face-to-face survey of physicians (oncologists, internists, hematologists) who are responsible for the care of cancer patient of 11 general hospitals in Sichuan, China between December 2011 and December 2013. Statistical analyses were performed using SPSS (SPSS, Chicago, IL) software.
  
  
  METHODS
  A 23-item questionnaire was designed and distributed to 550 physicians in 11 medical facilities in China.
  
  
  RESULTS
  Five hundred (90.90%) physicians responded. About one-third (32.6%) of physicians assessed patients' pain rarely, and 85.5% never or occasionally treated patients' cancer pain together with psychologists. More than half of physicians indicated that opioid dose titration in patients with poor pain control and assessment of the cause and severity of pain were urgently needed knowledge for cancer pain management. Inadequate assessment of pain and pain management (63.0%), patients' reluctance to take opioids (62.2%), and inadequate staff knowledge of pain management (61.4%) were the three most frequently cited barriers to physicians' pain management.
  
  
  CONCLUSIONS
  Physicians' positive attitudes toward cancer pain management need to be encouraged, and active professional analgesic education programs are needed to improve pain management in China.
authors.affiliation: State Key Laboratory of Biotherapy and Department of Head and Neck Oncology, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan, PR China.
authors.forename: Qiongwen
authors.initials: Q
authors.lastname: Zhang
authors.affiliation: State Key Laboratory of Biotherapy and Department of Head and Neck Oncology, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan, PR China.
authors.forename: Chunhua
authors.initials: C
authors.lastname: Yu
authors.affiliation: State Key Laboratory of Biotherapy and Department of Head and Neck Oncology, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan, PR China.
authors.forename: Shijian
authors.initials: S
authors.lastname: Feng
authors.affiliation: State Key Laboratory of Biotherapy and Department of Head and Neck Oncology, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan, PR China.
authors.forename: Wenxiu
authors.initials: W
authors.lastname: Yao
authors.affiliation: State Key Laboratory of Biotherapy and Department of Head and Neck Oncology, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan, PR China.
authors.forename: Huashan
authors.initials: H
authors.lastname: Shi
authors.affiliation: State Key Laboratory of Biotherapy and Department of Head and Neck Oncology, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan, PR China.
authors.forename: Yuwei
authors.initials: Y
authors.lastname: Zhao
authors.affiliation: State Key Laboratory of Biotherapy and Department of Head and Neck Oncology, West China Hospital, West China Medical School, Sichuan University, Chengdu, Sichuan, PR China.
authors.forename: Yongsheng
authors.initials: Y
authors.lastname: Wang
mesh_terms: D000328:Adult; D000700:Analgesics / Q000008:administration & dosage / Q000627:therapeutic use*; D000701:Analgesics, Opioid / Q000627:therapeutic use*; D002681:China; D011307:Drug Prescriptions / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000188:drug therapy*; D059408:Pain Management; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D000700:Analgesics; D000701:Analgesics, Opioid
keywords: Attitudes; Cancer Pain; China; Knowledge; Practice