La prise en charge de la douleur dans le cancer : état des lieux auprès des médecins généralistes du Sud-Manche

Abstract : Introduction: the number of diagnosed cancer tends to increase, leading to an augmentation of supportive care demands, including the pain ones. Cancer pain became a frequent reason for consulting a general practitioner. As a key in primary care, he can find himself in difficulty during this treatment. Methodology: our investigation, as a form of a descriptive study, with general practitioners from the Sud Manche area, presents a situational analysis of the difficulties encountered during the cancer pain management. Result: 110 questionnaires were sent, with a response rate of 50%. For 85% of the responding practitioners cancer pain management is an issue. Two-thirds of them are facing difficulties in this care. The factors influencing this issue are the lack of communication between all the caregivers (p=0.042), the lack of knowledge of painfully side effects of new anti-cancer treatments (p=0.002). To deal with this difficulty, practitioners decide, in a consistent way, to seek the opinion of the oncologist or a pain management structure, or to address the patient to the ER. Half of them use alternative therapies. Conclusion: cancer pain management makes is very difficult for general practitioners. The available solutions are a better use of communication tools, an improvement in the training of general practitioners and the link with a pain management team as soon as the disease is diagnose.
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Master Thesis
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Maud Morvan. La prise en charge de la douleur dans le cancer : état des lieux auprès des médecins généralistes du Sud-Manche. Médecine humaine et pathologie. 2018. ⟨dumas-02082378⟩

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