Assessing levels of knowledge on the principles of pain management during post-graduate education of physicians in Poland
More details
Hide details
Institute of Rural Health, Lublin, Poland
Institute of Agrophysics, PAS, Lublin, Poland
Corresponding author
Krzysztof Brzeziński   

Institute of Rural Health, Lublin, Poland
Ann Agric Environ Med. 2012;19(4):851-856
Treating chronic pain forms an integral part of patient care where a doctor’s level of expertise is important for ensuring an adequately pain-free life. The aim of the study, therefore, was to assess the level of knowledge in pain management among doctors during their post-graduate education; some of whom were already qualified in various branches of medical specialisation.

Material and Methods:
A survey was performed on doctors undergoing post-graduate training unrelated to the treatment of pain at the Post-Graduate Education Centre at the Institute of Rural Health in Lublin, Poland. The questionnaire comprised of demographic and factual sections, the latter consisting of nine multiple choice questions on symptomatology and pharmacology of pain, including opioid treatment and neuropathic pain.

From the 271 respondents, 203 (74.9%) filled in the questionnaire properly, of whom 131 (64.5%) were female. The mean age was 35.5 years (SD=6.3). The average number of correct replies received were 5.75 or 63.9%, (SD=0.51); of the total of 9 questions set, correct answers were seen most frequently for questions No. 2 and question No. 4 (83.7 and 78.3%, respectively). Only 7 fully correct sets of answers were recorded.

Significant shortcomings in knowledge about pain management were therefore observed from the sample of doctors’ taken in the presented study. It is suggested that alternative/modified methods of education are required to address this issue, especially for doctors who do not have to deal with pain on a daily basis.

Kierklo A, Kobus A, Jaworska M, Botuliński B. Work-related musculoskeletal disorders among dentists –a questionnaire survey. Ann Agric Environ Med. 2011; 18: 79-84.
Holmberg SAC, elin AG. Predictor s of sick leave owing to neck or low back pain: a 12-year longitudinal cohort study in a rural male population. Ann Agric Environ Med. 2010; 17: 251-257.
Moulin DE, Clark AJ, Spreechley M, Morley-Forster PK. Chronic pain on Canada – Prevelence, treatment, impast and the role of opioid analgesia. Pain Res Manage. 2002; 7: 179-184.
Yates PM, Edwards HE, Nash RE, Walsh AM, Fentiman BJ, Skerman HM, Najman JM. Barriers to effective cancer pain management: A survey of hospitalized cancer patients in Australia. J Pain Symptom Manage. 2002; 23: 393-405.
Sapir R, Pharm B, Med Sci M, Catane R, Strauss-Liviatan N, Cherny NI. Cancer pain: Knowledge and attitudes of physicians In Israel. J Pain Symptom Manage. 1999; 17: 266-276.
Vainio A. treatment of terminal cancer pain In France:a questionarie study. Pain 1995; 62: 155-162.
Larue F, Colleau SM, Fontaine A et al. Oncologists and primary care physicians attitudes towerds pain control and morphine prescribing In France. Cancer 1995; 76: 2375-2382.
Rawal N, Hylander J, Arner S. Management of terminal cancer pain in Sweden: a nationwide survey. Pain 1993; 54: 169-179.
Eekhar Z, Mohagheghi MA, Yarandi F, Eghtesadi-Araghi P, Moosavi Jarahi A, Gilani M, et al. Knowledge and attitudes of phisician in Iran with regard to chronic cancer pain. Asian Pacic J Cancer Prev. 2007; 8: 383-386.
Elliot TE, Murray DM, Elliot BA. Physician knowledge and attitudes about cancer pain management: A survey from the Minnesota cancer pain project. J Pain Symptom Manage 1995; 10: 494-504.
Morley-Forster PK, Clark AJ, Spreechley M, Moulin DE. Attitudes towerd opioid use for chronic pain: A Canadian physician survay. Pain Res Manag. 2003; 8: 189-194.
Mercadante S, Salvaggio L. Cancer pain knowledge in Southern Italy: data from a postgraduate refresher course. J Pain Symptom Manage. 1996; 11: 108-15.
Pflughaupt M, Scharnagel R, Gossrau G, Keiser U, Koch T, Sabatowski R. Physicians‘ knowledge and attitudes concerning the use of opioids in the treatment of chronic cancer and non-cancer pain. (Befragung schmerztherapeutisch interessierte Arzte zum Umgang mit Opioiden). Scherz 2010; 24: 267-275.
Warncke T, Brevik H, Vainio A. Treatment of cancer pain in Nowray. A questionnarie study. Pain 1994; 57: 109-116.
Buczkowski K, Krajnik M, Budzyński J, Chlabicz S. Management of cancer pain n primary care In Poland. Adv Palliat Med. 2007; 6: 17-21.
Max MB. Improving outcomes of analgesic treatment: is education enough? Ann Inter Med. 1990; 113: 885-889.
WHO’s pain ladder. Available: at URL http://www.who.int/cancer/pall... (access: 23.08.2012).
Guidelines in chronic pain management by the Polish Association for the Study of Pain and the College of Family Physicians in Poland (in Polish). (Wytyczne postępowania w bólu przewlekłym Polskiego Towarzystwa Badania Bólu i Kolegium Lekarzy Rodzinnych w Polsce). PZWL 2003 ISBN 83-200-2841-8.
Jacobsen R, Liubarskiene Z, Moldrup C, Christrup L, Sjogren P, SamsanaViciene J. Barriers to cancer management: a review of empirical research. Medicina 2009; 45: 427-433.
Furstenberg CT, Ahles T, Whedon Mb, Pierce KL, Dolan M, Roberts L, Silberfarb PM. Knowledge and attidudes of health-care provoders towerd cancer pain management: a comparisen of phisicians, nurses, and pahrmacist in the state of New Hempsheire. J Pain Symptom Manage 1998; 15: 335-349.
Von Gunten CF, Von Roenn JH. Barriers to pain control: ethics & knowledge. J Palliat Care 1994; 10: 52-4.
Kasaalainen V, Vainio A, Ali-Meikkila T. Developments In the treatment of cancer pain In Finland: the third national-wide syrvey. Pain 1997; 70: 175-183.
Klobunde CN, Ambs A, Keating NL, He Y, Doucette WR, Tisnado D, Clauser S, Kahn K. e role of primary care physicians in cancer care. J Gen Intern Med. 2009; 24: 1029-36.
Barclay S, Todd C, Grande G, Lipscombe J. Controlling cancer pain in primary care: the prescribing habits and knowledge base of general practitioners. J Pain Symptom Manage 2002; 23: 383-92.
Brzeziński K. Ból przewlekły w praktyce lekarza rodzinnego. Cz I Neuro¬zjologia i psychiczny aspekt bólu. Med Ogólna 2002; 8: 281-297.
Brzeziński K. Ból przewlekły w praktyce lekarza rodzinnego. Cz II Ból receptorowy. Med Ogólna 2003; 9: 1-16.
Brzeziński K. Ból przewlekły w praktyce lekarza rodzinnego. Cz IV Ból nowotworowy. Med Ogólna 2003; 9: 267-677.
Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PAC, Rubin H. Why don`t physician follow clinical practice guidelines? JAMA 1999; 282: 1458-1465.
Sabatowski R, Arens ER, Waap I, Radbruch L. Cancer pain management in Germany – results and analysis of a questionnaire. Schmerz 2001;15:241-7.
Lee LL. Medication in the control of pain terminal cancer. JAMA 1941; 116: 216-20.
Wolfert MZ, Gilson AM, Dahl JL, Cleary JF. Opioid analgesics for pain control: wisconsin physicians‘ knowledge, beliefs, attitudes, and prescribing practices. Pain Med. 2010; 11: 425-34.
Forbes JF. Towerds on optima teaching program for supportive care. Support Care Cancer 1994; 2: 7-15.
Glajchen M. Chronic Pain: Treatment Barriers and Strategies for Clinical Practice. J Am Board Fam Med. 2001; 14: 211-218.
Pilowsky I. An outline curriculum on pain for medical schools. Pain 1988; 33: 1-2.
Von Roenn JH, Cleeland CS, Gonin R, Hat¬eld AK, Pandya KJ. Physician`s attitudes and practice in cancer pain management: a survey from the Eastern Cooperative Oncology Group. Ann Intern Med. 1993; 119: 121-6.
Ger LP, Lee MC, Wong CS, Chao SS, Wang JJ, Ho ST. The effect of education and clinical practice on knowledge enlightenment to and attitudes toward the use of analgesics for cancer pain among physicians and medical students. Acta Anaesthesiol Sin. 2003; 41: 105-14.
Rauck RL. What is the case for prescribing long-acting opioids over short-acting opioids for patients with chronic pain? A critical review. Pain Pract. 2009; 9: 468-79.
Simpson K, Kautzman L, Dodd S. The effects of a pain management education program on the knowledge level and attitudes of clinical Staff. Pain Manage Nurs. 2002; 3: 87-93.
Sloan PA, Montgomery C, Musick D. Medical student knowledge of morphine for the management of cancer pain. Pain Symptom Manage 1998; 15: 359-364.
Lippe PM, Brock C, David J, Crossno R, Gitlow S. The first national Pain Medicine Summit – final summary report. Pain Med. 2010; 11: 1447-1468.
Dubois MY. American Academy of Pain Medicine Ethics Council Statement on conflict of interest: interaction between physician and industry In pain medicine. Pain Med. 2010; 11: 257-261.
Modern and traditional fors of effective pharmaceutical marketing. PMR Report 2010. WWW.pmrcorporate.com (access 23.08.2012).
Brevik H, ChernyN, Collett B, de Conno F, Filbert M, Foubert M, Cohen R, Dow L. Cancer-related pain: a pan-European survay of prevalence, treatment, and patient attitudes. Ann Oncol. 2009; 20: 1420-1433.
Gallager R, Hawley P, Yeomans W. A Survay of cancer management knowledge and attitudes of British Columbian Phisician. Pain Ras Manage 2004; 9: 188-194.
Wdowiak L, Woźnica I, Kapka L, Diatczyk J. Terytorialne rozmieszczenie kadry lekarskiej w Polsce. (Territotial distribution of medical staff in Poland). Med Ogolna 2009; 44: 598-612.
Nwokeji ED, Rascati KL, Brown CM, Eisenberg A. Influences of attitudes on family phisicians` willingness to presrcibe long-acting opioid analgesics for patients with chronic nanmalignant pain. Clin Thar. 2007; 29: 2589-2602.
Journals System - logo
Scroll to top