Chavez Melody N, Thomas Hannah M, Lake Paige, Gutierrez Ana, Rigg Khary K, Marshall Victoria K, Lubrano Barbara, Rajasekhara Sahana, Tyson Dinorah Martinez
College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL, USA.
Department of Mental Health Law and Policy, University of South Florida, Bruce B. Downs Blvd., Tampa, FL, 33612, USA.
Support Care Cancer. 2025 May 28;33(6):504. doi: 10.1007/s00520-025-09566-8.
To explore healthcare providers' and community-level stakeholders' perceptions of opioid pain management among cancer survivors with a history of opioid use disorder living with cancer-related pain.
Using a qualitative methodological approach, healthcare providers and community-level stakeholders providing care to cancer survivors with an opioid use disorder (OUD) were recruited by purposive sampling methods. Data was collected through semi-structured interviews that was subsequently transcribed verbatim and analyzed using thematic analysis.
Participants were healthcare providers (n = 24) and community-level stakeholders (n = 6). Four themes emerged from the data: (1) cancer survivors with an OUD deserve the right to adequate pain management, (2) healthcare professionals are uncomfortable providing pain management for cancer patients with OUD, (3) cancer survivors with cancer-related pain may suffer unnecessary pain for fear of violating their sobriety, and (4) perspectives on aberrant opioid-related behaviors among cancer survivors.
As opioid use disorder is becoming an increasing and co-present condition among patients with cancer, this study contributes important implications for improving care by understanding the views of healthcare providers and community-level stakeholders.
探讨医疗服务提供者和社区层面的利益相关者对患有阿片类药物使用障碍病史且伴有癌症相关疼痛的癌症幸存者的阿片类药物疼痛管理的看法。
采用定性研究方法，通过目的抽样法招募为患有阿片类药物使用障碍（OUD）的癌症幸存者提供护理的医疗服务提供者和社区层面的利益相关者。通过半结构化访谈收集数据，随后逐字转录并使用主题分析法进行分析。
参与者包括医疗服务提供者（n = 24）和社区层面的利益相关者（n = 6）。数据中出现了四个主题：（1）患有阿片类药物使用障碍的癌症幸存者有权获得充分的疼痛管理；（2）医疗专业人员对为患有阿片类药物使用障碍的癌症患者提供疼痛管理感到不安；（3）患有癌症相关疼痛的癌症幸存者可能因担心违反戒酒规定而遭受不必要的疼痛；（4）对癌症幸存者中异常阿片类药物相关行为的看法。
由于阿片类药物使用障碍在癌症患者中日益普遍且同时存在，本研究通过了解医疗服务提供者和社区层面利益相关者的观点，为改善护理提供了重要启示。
