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Needs Assessment for Cancer Pain Relief Programs in Three Cancer Treatment Centers in Vietnam

Principal Investigator: Cielito Reyes-Gibby, Dr.P.H.

Very little is known on the cancer pain epidemiology in developing countries. Due to inadequate healthcare resources, most of the national health initiatives in developing countries such as Vietnam, for example, have focused on persistent pre-transitional problems like tuberculosis, malnutrition and infectious diseases since the beneficial results from these programs are immediate. Exploring the epidemiology of cancer pain is needed for the successful design of cancer pain relief programs in this understudied population. In particular, the evaluation of symptom severity, its relationship to the status and adequacy of cancer care, and studies of barriers to pain and symptom management are needed.

Specific Goals

  • To determine the proportion of patients with moderate to severe pain in three geographically distinct cancer treatment centers in Vietnam (the National Cancer Institute, Hospital K, Hanoi; a small district hospital, Hue General Hospital, Hue; and a large, urban general hospital, ChoRey Central Hospital, Ho Chi Minh)
  • To examine the relationship between pain and other cancer-related symptoms
  • To determine the extent of appropriate cancer pain treatment as measured by the pain management index in these centers and to determine variations by treatment centers
  • To examine the relationship between adequacy of pain treatment and physician characteristics (attitudes toward opioid use, knowledge and training in the management of pain and other symptoms), and to explore variations in these relationships by treatment centers
  • To determine predictors of pain undertreatment in these centers

Methods

This is a cross-sectional study using a non-probability sample of 600 cancer patients. A consecutive series of 200 inpatients or outpatients with a diagnosis of cancer from each of the three collaborating cancer treatment study sites in Hanoi, Huey and Ho Chi Minh City will constitute the study sample. Patient samples will be in-patients and out-patients diagnosed with cancer being seen at the cancer treatment centers in Hanoi, Huey and Ho Chi Minh City in March 2003 (the National Cancer Institute, Hospital K, Hanoi; a small district hospital, Hue General Hospital, Hue; and a large, urban general hospital, ChoRey Central Hospital, Ho Chi Minh).

Measures

Patients will complete the Brief Pain Inventory (BPI)-Vietnamese, and the MD Anderson Symptom Inventory-Vietnamese. The Physician survey will be used to assess the knowledge, attitudes, beliefs and self-reported level of competency and need for training in the control of pain and other symptoms by the physicians caring for the patients.

For more information

Contact Cielito Reyes-Gibby, Dr.P.H., at creyes@mdanderson.org


© 2014 The University of Texas MD Anderson Cancer Center