Schmerztherapie in der Onkologie- eine bundesweite Umfrage unter der Schirmherrschaft der Deutschen Gesellschaft für Hämatologie/ Onkologie
2017
Background: Pain is one of the most prevalent
and distressing symptoms of patients
suffering from cancer. In the field of oncology
comprehensive expertise is pursued not only
with respect to the administration of anticancer
treatment but to all fields that relate to
the needs of cancer patients. However, the results
of studies have revealed persisting and
relevant deficits in pain therapy in the setting
of oncology.
Materials and methods: An online survey
was performed involving all members of the
German Society for Hematology and Medical
Oncology (DGHO) with respect to training
and continuing education in pain therapy,
the relevance for routine oncology and
knowledge, to determine the level of expertise
in pain therapy and the assessment of tumor-
specific therapy.
Results: A total of 183 out of 1,962 questionnaires
could be evaluated. Oncologists are often
engaged in pain therapy and 80% of the
respondents perceived themselves as being
primarily responsible for pain control. Education
and assessment were identified as barriers
to sufficient pain therapy. Case vignettes
revealed only few relevant therapeutic misinterpretations.
Conclusion: This first survey of German oncologists
exploring expertise in cancer pain
therapy, showed similar problems in education
and pain assessment as previous international
studies. Despite the claimed responsibility
for pain management, there were a
small but relevant number of oncologists
who showed serious therapeutic misinterpretations
in case studies.
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