+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Probing the paradox of patients' satisfaction with inadequate pain management



Probing the paradox of patients' satisfaction with inadequate pain management



Journal of Pain and Symptom Management 23(3): 211-220



The paradox of patients who are in pain, yet satisfied with their pain management, has been previously reported. To probe this paradox, we used cross-sectional data collected in the primary care setting on cancer patients' patterns of pain and pain treatment, beliefs and expectations about pain and pain relief, willingness to report pain and take pain medication, care from the provider, and satisfaction with their pain management (n = 316). Descriptive findings were similar to other studies: more than 75% of patients were satisfied or very satisfied with their overall pain management, despite almost half of all patients reporting recent moderate to severe pain. Univariate and bivariate analyses were consistent with the hypothesis that patients may expect and are therefore satisfied with the "peak and trough" pattern of pain severity that occurs with "as-needed" administration of analgesics. However, multivariate analyses failed to directly support this hypothesis. Instead, regression analyses identified factors related to characteristics of patients' pain experiences, patients' beliefs about pain and its inevitability, the frequency that patients reported their pain, and aspects of the patient--provider relationship. Predictors of patients' satisfaction with how their primary care doctor managed their pain included: whether or not the patient was told that treating pain was an important goal, whether or not the patient reported sustained long-term pain relief, and the degree to which the patient was willing to take opioids if prescribed by the doctor or nurse (adjusted R(2) = 0.22). Qualitative data collected from patients who were in severe pain during the past three days but satisfied with their pain management (n = 88) further suggest the importance of the patient--provider relationship in shaping patient expectations. Based on these findings, we recommend that future research on outcomes in pain management place greater emphasis on the potential impact of the patient-provider relationship.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 047080023

Download citation: RISBibTeXText

PMID: 11888719

DOI: 10.1016/s0885-3924(01)00399-2


Related references

Re. Probing the paradox of patients' satisfaction with inadequate pain management. Journal of Pain and Symptom Management 24(4): 361-363, 2002

Pain severity, satisfaction with pain management, and patient-related barriers to pain management in patients with cancer in Israel. Oncology Nursing Forum 38(4): E305-E313, 2011

Colorectal surgery patients' pain status, activities, satisfaction, and beliefs about pain and pain management. Pain Management Nursing 14(4): 184-192, 2013

Postoperative pain management: study of patients' level of pain and satisfaction with health care providers' responsiveness to their reports of pain. Nursing and Health Sciences 5(1): 13-21, 2003

Misperceptions and inadequate pain management in cancer patients. Dicp 25(11): 1225-1230, 1991

Satisfaction with and Perception of Pain Management among Palliative Patients with Breakthrough Pain: A Qualitative Study. Pain Management Nursing 16(4): 552-560, 2015

Assessing patients' satisfaction and intensity of pain as outcomes in the management of cancer-related pain. European Journal of Oncology Nursing 11(5): 424-433, 2007

Effect of a Brief Massage on Pain, Anxiety, and Satisfaction With Pain Management in Postoperative Orthopaedic Patients. Orthopedic Nursing 34(4): 227-234, 2017

Experiences of pain and satisfaction with pain management in patients undergoing total knee replacement. Orthopedic Nursing 28(2): 79-85, 2009

Pain and Satisfaction With Pain Management Among Older Patients During the Transition From Acute to Skilled Nursing Care. Gerontologist 56(6): 1138-1145, 2016

Clinical review of delafloxacin: a novel anionic fluoroquinolone. Journal of Antimicrobial ChemoTherapy 73(6): 1439-1451, 2018

Inadequate pain management in cancer patients attending an outpatient palliative radiotherapy clinic. Supportive Care in Cancer 24(2): 887-892, 2016

Development and validation of the Pain Treatment Satisfaction Scale (PTSS): a patient satisfaction questionnaire for use in patients with chronic or acute pain. Pain 112(3): 254-266, 2004

Jordanian patients' satisfaction with pain management. Pain Management Nursing 15(1): 116-125, 2014

Pain management and satisfaction in postsurgical patients. Journal of Clinical Nursing 21(23-24): 3361-3371, 2012