Adherence to analgesics for cancer pain: A comparative study of african americans and whites using an electronic monitoring device
Journal article
Meghani, Salimah H., Thompson, Aleda M. L., Chitta, Jesse, Bruner, Deborah W. and Riegel, Barbara. (2015). Adherence to analgesics for cancer pain: A comparative study of african americans and whites using an electronic monitoring device. Journal of Pain. 16(9), pp. 825 - 835. https://doi.org/10.1016/j.jpain.2015.05.009
Authors | Meghani, Salimah H., Thompson, Aleda M. L., Chitta, Jesse, Bruner, Deborah W. and Riegel, Barbara |
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Abstract | Despite well-documented disparities in cancer pain outcomes among African Americans, surprisingly little research exists on adherence to analgesia for cancer pain in this group. We compared analgesic adherence for cancer-related pain over a 3-month period between African Americans and whites using the Medication Event Monitoring System ( MEMS ). Patients ( N = 207 ) were recruited from outpatient medical oncology clinics of an academic medical center in Philadelphia ( ≥18 years of age, diagnosed with solid tumors or multiple myeloma, with cancer-related pain, and at least 1 prescription of oral around-the-clock analgesic ). African Americans reported significantly greater cancer pain ( P < .001 ), were less likely than whites to have a prescription of long-acting opioids ( P < .001 ), and were more likely to have a negative Pain Management Index ( P < .001 ). There were considerable differences between African Americans and whites in the overall MEMS dose adherence, ie, percentage of the total number of prescribed doses that were taken ( 53% vs 74%, P < .001 ). On subanalysis, analgesic adherence rates for African Americans ranged from 34% ( for weak opioids ) to 63% ( for long-acting opioids ). Unique predictors of analgesic adherence varied by race; income levels, analgesic side effects, and fear of distracting providers predicted analgesic adherence for African Americans but not for whites. |
Keywords | cancer pain; African Americans; analgesics; adherence; electronic monitoring |
Year | 2015 |
Journal | Journal of Pain |
Journal citation | 16 (9), pp. 825 - 835 |
Publisher | Churchill Livingstone Inc. |
ISSN | 1526-5900 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.jpain.2015.05.009 |
Scopus EID | 2-s2.0-84940796156 |
Page range | 825 - 835 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | File Access Level Controlled |
Place of publication | United States |
https://acuresearchbank.acu.edu.au/item/8v290/adherence-to-analgesics-for-cancer-pain-a-comparative-study-of-african-americans-and-whites-using-an-electronic-monitoring-device
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