Evidence map›Paper›PMID 38795285›Full record

ArticleJournal of cancer survivorship : research and practice2025

A real-world study of the quality of Outpatient Pain Management in patients with Cancer.

Biplov Adhikari, Nistha Shrestha, Vijaya Raj Bhatt

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Article in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Biplov Adhikari *Medstar Health Internal Medicine Residency Program, 201 E University Pkwy, Baltimore, MD, USA. biplov.adhikari.91@gmail.com.
Nistha Shrestha *Department of Outcomes and Translational Sciences, College of Pharmacy, The Ohio State University, Columbus, OH, USA.
Vijaya Raj BhattDivision of Hematology-Oncology, The Fred & Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUp to 40% patients with cancer reporting pain may not receive optimal analgesia indicating inadequate treatment of pain. We examined the patterns of outpatient pain management in patients with cancer who reported pain.

methodsWe used the National Ambulatory Medical Care Survey data for outpatient visits from 2006 to 2018 for patients with any cancer and reporting pain. The primary outcome was prescription of pain medications among these patients. We performed multinomial logistic regression to identify factors associated with analgesic prescriptions among patients with cancer who reported pain.

resultsWe captured an estimated total of 412 million outpatient visits of which 22 million visits dealt with patients with cancer reporting pain. An estimated total of 13.8 million (61.33%) patient visits had pain reported but were not prescribed any pain medications. 5.5 million (24.44%) patient visits had non-opioid analgesic prescription while opioid analgesics were prescribed during 3.2 million (14.22%) visits. Patients who were black, aged 45-64 years, residing in rural geographical areas, visiting medical subspecialty practices, and having cancers of the respiratory and digestive systems had higher odds of receiving opioid prescription.

conclusionsAs one of the largest pain management studies among patients with cancer in the outpatient setting, covering 412 million patient visits, our study shows that a significant proportion of patients with cancer who reported pain did not receive a prescription for analgesics suggesting a possibility of undertreatment of pain. IMPLICATIONS FOR CANCER SURVIVORS: Undertreatment of pain continues to remain a major unmet need in patients with cancer.

Indexed as

Ambulatory CareCancer PainNeoplasmsPain ManagementAdultAgedAnalgesicsAnalgesics, OpioidFemaleHumansMaleMiddle AgedOutpatientsYoung AdultAnalgesicsAnalgesics, OpioidAnalgesicsCancer painCancer survivorshipNon-opioid pain medicationOpioid prescriptionPain management

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.