Li Zhang, Aninditha Tiara, Griene Brahim, Francis Javier, Renato Paulo, Serrie Alain, Umareddy Indira, Boisseau Sebastien, Hadjiat Yacine
Sun Yat-Sen University Cancer Center, Guangzhou, Guangdong, China.
Mangunkusumo Hospital, Jakarta, Indonesia.
Clinicoecon Outcomes Res. 2018 Nov 2;10:675-691. doi: 10.2147/CEOR.S181192. eCollection 2018.
Cancer pain is one of the most common, feared, debilitating, and often undertreated symptoms among cancer patients. It needs attention since it has a significant impact on the quality of life (QoL) of the patients. Also, since cancer has emerged as a major health problem in developing countries, there is a need to strengthen preventive strategies for effective cancer pain management and provide comfort to cancer patients. Nonetheless, various barriers limit developing countries toward optimal cancer pain management. To bridge the gap between adequate pain management and burden of cancer pain in developing countries, a comprehensive understanding of the limitations faced and the prevalence of cancer pain should be addressed. The aim of this literature review is to provide a deeper understanding on the factors associated with cancer pain as well as barriers toward optimal cancer pain management in developing countries. Some of the barriers addressed were administrative, judicial, economic, and professional barriers. Also, estimates on the prevalence of cancer pain and detrimental effects of pain on the QoL of cancer patients have been addressed. In summary, pain, which is one of the most debilitating symptoms of cancer, remains uncontrolled and undertreated in developing countries. It has a profound impact on the patient's QoL and can have physical, psychological, and social consequences; therefore, it needs to be managed urgently and appropriately. Most importantly, optimal treatment of cancer pain should be highlighted as a priority in developing countries and concerted efforts should be made to eliminate different barriers discussed in this review for effective and humane care.
癌症疼痛是癌症患者中最常见、最令人恐惧、最使人虚弱且常常未得到充分治疗的症状之一。它需要引起关注，因为它对患者的生活质量有重大影响。此外，由于癌症已成为发展中国家的一个主要健康问题，因此有必要加强预防策略以有效管理癌症疼痛，并为癌症患者提供慰藉。尽管如此，各种障碍限制着发展中国家实现最佳的癌症疼痛管理。为弥合发展中国家在充分的疼痛管理与癌症疼痛负担之间的差距，应对所面临的限制因素以及癌症疼痛的患病率有全面的了解。这篇文献综述的目的是更深入地了解与癌症疼痛相关的因素以及发展中国家在实现最佳癌症疼痛管理方面的障碍。所探讨的一些障碍包括行政、司法、经济和专业方面的障碍。此外，还讨论了癌症疼痛的患病率估计以及疼痛对癌症患者生活质量的有害影响。总之，疼痛作为癌症最使人虚弱的症状之一，在发展中国家仍然未得到控制和充分治疗。它对患者的生活质量有深远影响，并且可能产生身体、心理和社会后果；因此，需要紧急且适当地加以管理。最重要的是，在发展中国家应将最佳癌症疼痛治疗作为优先事项加以突出，并且应齐心协力消除本综述中讨论的各种障碍，以提供有效且人道的护理。
