Abstract:
Abstract
Background: Pain is the most frequent problem and deleterious symptom reported by cancer
patients. It is a persistent, distressing, and life-treating condition that markedly affects the quality
of life of cancer patients all over the world. Despite the availability of numerous standards for
cancer-related pain treatment, studies from throughout the world show that patients often receive
poor pain management.
Objective: This study aims to assess the adequacy of cancer-related pain management, pain
interference in daily activity, and associated factors among cancer patients in Northwestern
Ethiopia
Method: A hospital-based multicenter cross-sectional study design was conducted at
Northwestern Ethiopia from May to July 2022. A systematic random sampling technique were
employed in cancer patients to select representatives from each study area. Data were analysed
using SPSS version 26 software and descriptions of variables was done by using frequencies and
proportion. Bivariate and ordinal logistic regression analysis were conducted to determine
independent predictors of adequacy of cancer-related pain management and interference of cancerrelated
pain
in
daily
activities.
A
p-value
of
<0.05
was
considered
as
statistically
significant.
.Results: More than half of the patients (249 (59%)) were females. All the participants experience
cancer-relate pain with varying degree of severity. About 67.5% of the participants received
adequate pain management (CI; 62.8-72). Patients with good performance status and previous
history of pain had inadequate pain management. And (98.8%) of participant have interference of
cancer-related pain in daily functioning. Patients with metastasis, history of pain and female were
predictors of interference of cancer-related pain in one or more daily activities.
Conclusion; Using pain management index status 67.5% of the patients in Northwestern Ethiopia
suffering from Cancer-related pain receive adequate pain treatments and almost all (98.8%) of the
patients had interference with one or more daily activities as a result of cancer-related pain. History
of pain, performance status, and comorbidity were determinants of cancer pain treatment adequacy
while Gender, History of pain and metastasis were identified as determinants of interference of
daily activity due to cancer-related pain
Keywords: cancer-related pain, analgesic, pain management index
