Table 6.
Responses to Questions on Guidelines for Assessing and Managing Cancer Pain
| Question (Response) | |
|---|---|
| What level of need do you think there is for the following? (Some need/urgent need) | (n=77)% |
| An Australian guideline for nonpharmacologic management of cancer pain | 92% |
| An Australian guideline for pharmacologic management of cancer pain | 90% |
| Implementation strategy to inform use of existing guidelines in and across different service settings | 90% |
| An Australian guideline for assessing cancer pain | 90% |
| In a new Australian implementation strategy for guidelines on cancer pain, how useful would the following be? (Somewhat/very useful) | (n=77)% |
| Advice on best practice for specific cases of cancer pain (e.g., nociceptive) | 96% |
| Inclusion of patient 'action plans' to aid self-management | 95% |
| Guidance on assessing patient-identified priorities | 92% |
| Guidance on roles for each discipline | 90% |
| Templates for taking case histories and identifying patient-identified priorities | 84% |
| Patient version of implementation strategy | 79% |
| Inclusion of key performance indicators | 74% |
| One or more guideline routinely used in primary workplace? | (n=87)% |
| Yes | 45% |
| Which specific guideline(s) used routinely in primary workplace | (n=32)% |
| (Australian) Palliative Care Expert Group (2010): Therapeutic Guidelines— Palliative Care. Version 3 | 66% |
| Institutional or departmental guideline(s) | 31% |
| NHMRC (2006): Guidelines for a palliative approach in residential aged care | 16% |
| European Association for Palliative Care (2001): Morphine and alternative opioids in cancer pain; the EAPC recommendations | 13% |
| American Pain Society (2005): Guidelines for the management of cancer pain in adults and children | 9% |
| European Society for Medical Oncology (2007): Minimum clinical recommendations for the management of cancer pain | 3% |
| National Comprehensive Cancer Network (2010): Clinical practice guidelines in Oncology - adult cancer pain | 3% |
| National Institutes of Health (2002): Symptom management in cancer: pain, depression and fatigue | 3% |
| Palliative Care in Paediatric Oncology | 3% |
| APSOC Guidelines for the management of neuropathic pain (APSOC—Management in pain in residential aged care facilities) | 3% |
| Therapeutic guidelines | 9% |
| Palliative Care Formulary 3rd Edition Twycross & Wilcock | 3% |
| Twycross Therapeutics in Terminal Cancer | 3% |
| Cancer Institute EVIQ | 3% |
| Internal guidelines and policies are used regarding analgesia and analgesics | 3% |
| Burst Ketamine Guidelines Methadone Guidelines (Perth) | 3% |
| Paediatric Palliative Care references | 3% |
| Own silver chain guidelines, developed from looking at other published info | 3% |
| Peter Mac Cancer Pain Management Guidelines | 3% |
| Peter MacCallum Guidelines Western Health Victoria Guidelines | 3% |
| Victorian Eastern Metropolitan Regional Palliative Care Consortia Opioid Conversion Guidelines | 3% |
| We have developed our own guidelines for the management of uncontrolled cancer pain | 3% |
| NHMRC Acute Pain Guidelines | 3% |
| Analgesics Therapeutic Guidelines—Palliative Care | 3% |
| Perceptions about guideline use (Agree/strongly agree)—completed by | (n=32)% |
| One or more guideline working well | 100% |
| Use of pain guideline(s) at my primary workplace influence(s) patient outcomes | 78% |
| There are adequate resources at my primary workplace to provide care according to one or more pain guideline(s) | 78% |
| My service endorses use of one or more particular pain guideline(s) | 78% |
| Clinical staff at my primary workplace adhere to the same pain guideline(s) | 72% |