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Relationship Between Using Clinical Practice Guidelines for Pain Treatment and Physicians' Training and Attitudes Toward Patients and the Effects on Patient Care.

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Title: Relationship Between Using Clinical Practice Guidelines for Pain Treatment and Physicians' Training and Attitudes Toward Patients and the Effects on Patient Care.
Authors: Dueñas, María, Salazar, Alejandro, Sánchez, Modesto, De Sola, Helena, Ojeda, Begoña, Failde, Inmaculada
Source: Pain Practice. Jan2018, Vol. 18 Issue 1, p38-47. 10p.
Subjects: Education of physicians, Age distribution, Medical care, Medical protocols, Oncologists, Pain, Patients, Physiatrists, Professions, Statistics, Surveys, Pain management, Multiple regression analysis, Access to information, Cross-sectional method, Physicians' attitudes, Descriptive statistics
Abstract: Aims To determine the use of clinical practice guidelines ( CPGs) for chronic pain ( CP) management; analyze the effects of training in pain and the attitudes of physicians toward pain and CP patients on the adherence to these CPGs; and assess the impact of adherence to CPGs on patient care. Method This was a cross-sectional study in a sample of physicians involved in CP patient management. Information on the use of CPGs for CP management, their training in pain, and their attitudes toward pain, patients, and patient care was collected. Descriptive and bivariate analyses were performed, and a multinomial logistic regression model was constructed to analyze factors associated with the use of CPGs. Results Of the 257 physicians surveyed, 46.6% were physiatrists, 26.7% were general practitioners, and 26.7% were medical oncologists. Although 96.5% claimed to have received training in pain, only 10.1% had received college training, and 76.3% expressed having gaps in their knowledge; 53.9% stated they applied CPGs often/always, and 12.5% rarely/never. Limited knowledge on pain, reduced involvement in training activities, more negative attitudes toward patients, and having experienced CP were the factors related to reduced adherence to CPGs, especially among the youngest respondents. The greater the use of CPGs, the better the patient care was. Conclusions Access to scientific information and specialized training are factors related to the use of CPGs for pain treatment. Therefore, the inclusion of CP training in university and during medical specialty training will be essential measures to improve adherence to CPG, thereby improving patient care and pain control. [ABSTRACT FROM AUTHOR]
Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Relationship Between Using Clinical Practice Guidelines for Pain Treatment and Physicians' Training and Attitudes Toward Patients and the Effects on Patient Care.
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  Data: <searchLink fieldCode="AR" term="%22Dueñas%2C+María%22">Dueñas, María</searchLink><br /><searchLink fieldCode="AR" term="%22Salazar%2C+Alejandro%22">Salazar, Alejandro</searchLink><br /><searchLink fieldCode="AR" term="%22Sánchez%2C+Modesto%22">Sánchez, Modesto</searchLink><br /><searchLink fieldCode="AR" term="%22De+Sola%2C+Helena%22">De Sola, Helena</searchLink><br /><searchLink fieldCode="AR" term="%22Ojeda%2C+Begoña%22">Ojeda, Begoña</searchLink><br /><searchLink fieldCode="AR" term="%22Failde%2C+Inmaculada%22">Failde, Inmaculada</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Pain+Practice%22">Pain Practice</searchLink>. Jan2018, Vol. 18 Issue 1, p38-47. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Education+of+physicians%22">Education of physicians</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+protocols%22">Medical protocols</searchLink><br /><searchLink fieldCode="DE" term="%22Oncologists%22">Oncologists</searchLink><br /><searchLink fieldCode="DE" term="%22Pain%22">Pain</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Physiatrists%22">Physiatrists</searchLink><br /><searchLink fieldCode="DE" term="%22Professions%22">Professions</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+management%22">Pain management</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Access+to+information%22">Access to information</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Physicians'+attitudes%22">Physicians' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Aims To determine the use of clinical practice guidelines ( CPGs) for chronic pain ( CP) management; analyze the effects of training in pain and the attitudes of physicians toward pain and CP patients on the adherence to these CPGs; and assess the impact of adherence to CPGs on patient care. Method This was a cross-sectional study in a sample of physicians involved in CP patient management. Information on the use of CPGs for CP management, their training in pain, and their attitudes toward pain, patients, and patient care was collected. Descriptive and bivariate analyses were performed, and a multinomial logistic regression model was constructed to analyze factors associated with the use of CPGs. Results Of the 257 physicians surveyed, 46.6% were physiatrists, 26.7% were general practitioners, and 26.7% were medical oncologists. Although 96.5% claimed to have received training in pain, only 10.1% had received college training, and 76.3% expressed having gaps in their knowledge; 53.9% stated they applied CPGs often/always, and 12.5% rarely/never. Limited knowledge on pain, reduced involvement in training activities, more negative attitudes toward patients, and having experienced CP were the factors related to reduced adherence to CPGs, especially among the youngest respondents. The greater the use of CPGs, the better the patient care was. Conclusions Access to scientific information and specialized training are factors related to the use of CPGs for pain treatment. Therefore, the inclusion of CP training in university and during medical specialty training will be essential measures to improve adherence to CPG, thereby improving patient care and pain control. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=127191864
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        Value: 10.1111/papr.12579
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        Text: English
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        PageCount: 10
        StartPage: 38
    Subjects:
      – SubjectFull: Education of physicians
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Medical protocols
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      – SubjectFull: Oncologists
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      – SubjectFull: Pain
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      – SubjectFull: Patients
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      – SubjectFull: Physiatrists
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      – SubjectFull: Professions
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      – SubjectFull: Statistics
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      – SubjectFull: Surveys
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      – SubjectFull: Pain management
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      – SubjectFull: Multiple regression analysis
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      – SubjectFull: Physicians' attitudes
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              Text: Jan2018
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