Pain control in ambulatory cancer patients - Can we do better?

Pesach Shvartzman, Michael Friger, Adi Shani, Frida Barak, Cohen Yoram, Yoram Singer

Research output: Contribution to journalArticlepeer-review

44 Scopus citations


To evaluate the degree of pain control among ambulatory cancer patients visiting the outpatient clinics of three oncology centers in south Israel, these patients were interviewed using the Brief Pain Inventory translated into Hebrew (BPI-Heb). Patients suffering from pain at least three times a week or reporting taking daily analgesics during the last two weeks were enrolled. Non-Hebrew speakers and patients too frail or ill were excluded. The study population included 218 subjects. Substantial pain was experienced by 77%, the majority was not adequately treated (81%), and 75% were undermedicated. The daily living activities of the majority of patients (64%) were moderately to severely impacted. Pain control was not associated with any of the sociodemographic or previous treatment profile variables, or by physicians' pain assessment. The physicians' and the patients' ratings of the extent to which pain interfered with the patients' activities fully agreed (±2) in fewer than half of the patients. Physicians estimated more severe pain levels, but underestimated its impact on everyday life. These data indicate that better pain control for ambulatory cancer patients is needed and that more information about patients' pain and its impact should be solicited. Further training of care providers is needed to improve the relief from cancer pain and the quality of life of patients.

Original languageEnglish
Pages (from-to)716-722
Number of pages7
JournalJournal of Pain and Symptom Management
Issue number2
StatePublished - 1 Aug 2003


  • Ambulatory patients
  • BPI
  • Pain management

ASJC Scopus subject areas

  • Nursing (all)
  • Clinical Neurology
  • Anesthesiology and Pain Medicine


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