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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
Author(s) -
Dueñas María,
Salazar Alejandro,
Sánchez Modesto,
De Sola Helena,
Ojeda Begoña,
Failde Inmaculada
Publication year - 2018
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/papr.12579
Subject(s) - medicine , specialty , family medicine , multinomial logistic regression , physical therapy , logistic regression , chronic pain , bivariate analysis , cross sectional study , intervention (counseling) , nursing , statistics , mathematics , pathology , machine learning , computer science
Aims To determine the use of clinical practice guidelines ( CPG s) 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 CPG s; and assess the impact of adherence to CPG s 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 CPG s 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 CPG s. 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 CPG s 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 CPG s, especially among the youngest respondents. The greater the use of CPG s, the better the patient care was. Conclusions Access to scientific information and specialized training are factors related to the use of CPG s 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.