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Meta-analysis of cultural differences in Western and Asian patient-perceived barriers to managing cancer pain

In Palliative Medicine
By: Chen CH.
Contributor(s): Chen CH | sttang@mail.cgu.edu.tw | Tang ST.
Material type: materialTypeLabelArticleSeries: Vol 26 Issues 3.Publisher: 2012Description: 206-221.Subject(s): Cancer pain | DDC classification: In: Palliative MedicineSummary: Purpose: barriers to managing cancer pain contribute to cancer patients reluctance to report pain and use prescribed analgesics, resulting in inadequate pain control. Patients perceived barriers to managing cancer pain may be influenced by culture. This meta-analysis compared differences in Western and Asian patient-perceived barriers to managing cancer pain. Methods: the literature was systematically reviewed to compare pain barriers in Western and Asian cancer patients in 22 studies that used Wards Barrier Questionnaire. Differences in weighted barrier scores were compared by meta-regression analysis. Results: Asian cancer patients had higher barrier scores than Western patients, except for barriers of good patient, side effects, distract physician, fear of injections, and addiction. Meta-regression analysis indicated that Asian patients perceived pain barriers differed significantly from those of Western patients for disease progression (weighted mean difference [WMD] = 1.32; 95% co
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Purpose: barriers to managing cancer pain contribute to cancer patients reluctance to report pain and use prescribed analgesics, resulting in inadequate pain control. Patients perceived barriers to managing cancer pain may be influenced by culture. This meta-analysis compared differences in Western and Asian patient-perceived barriers to managing cancer pain.

Methods: the literature was systematically reviewed to compare pain barriers in Western and Asian cancer patients in 22 studies that used Wards Barrier Questionnaire. Differences in weighted barrier scores were compared by meta-regression analysis.

Results: Asian cancer patients had higher barrier scores than Western patients, except for barriers of good patient, side effects, distract physician, fear of injections, and addiction. Meta-regression analysis indicated that Asian patients perceived pain barriers differed significantly from those of Western patients for disease progression (weighted mean difference [WMD] = 1.32; 95% co

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