Send to:

Choose Destination
See comment in PubMed Commons below
Eur J Cancer. 2009 May;45(8):1370-80. doi: 10.1016/j.ejca.2009.01.007. Epub 2009 Feb 7.

A systematic review on barriers hindering adequate cancer pain management and interventions to reduce them: a critical appraisal.

Author information

  • 1Department of Medical Oncology, Erasmus MC, P.O. Box 5201, 3008 AE Rotterdam, The Netherlands.


The aim of this paper is to identify the major barriers hindering adequate pain management and critically review interventions aiming to overcome them. We searched relevant literature on PubMed published between January 1986 and April 2007. The most frequently mentioned barriers for both patients and professionals were knowledge deficits, inadequate pain assessment and misconceptions regarding pain. Four interventions were identified: patient education, professional education, pain assessment and pain consultation. These interventions were never combined in multidisciplinary study protocols. Most RCTs included small groups of patients and reported no power analysis. Studies on professional education and pain assessment did not evaluate patients' outcomes. In 5 of 11 RCTs on patient education, pain intensity decreased statistically significantly. In two RCTs on pain consultation, patients' pain decreased statistically significantly, although the adequacy of pain treatment did not change. In conclusion, international guidelines on multidisciplinary interventions in pain management are partly substantiated by clinical trials.

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science Icon for PubMed Health
    Loading ...
    Write to the Help Desk