Physicians' Perception of Sickle-cell Disease Pain
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.jnma.2016.04.004 http://hdl.handle.net/11449/159124 |
Resumo: | The aim of this study was to evaluate the physician's perception of pain experienced by patients with sickle-cell disease (SCD). Pain experiences reported by patients were compared with physicians' perception of the patient's pain, and the treatment decision-making process was evaluated. Fifty-two patient-physician pairs were assessed. Before the clinic visit, the patients completed a 3-item on pain experienced 24 h prior to the visit and the PHQ-9. After the patient visit, the physicians completed a questionnaire assessing their perception of the patient's pain and a questionnaire on the factors taken into consideration when evaluating the patient's pain experience. The physicians rated the patients' pain as more intense than did the patients themselves; and there was agreement between pain intensity measurements (p < 0.05). The physicians' perception was influenced by the pain intensity reported by the patient, results of blood count at the time of the patient visit, and medication availability in the public health services. However, these factors were not predictive of the patient's pain intensity perceived by the physician. Patients' depressive symptoms were not predictive factor of the physicians' perception. Biochemical, genetic and symptomatic characteristics of SCD influenced the physicians' perception of the patient's pain experience, while psychosocial aspects did not. |
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Physicians' Perception of Sickle-cell Disease PainSicklecellPain perceptionPhysician-patient relationsAttitude of health personnelThe aim of this study was to evaluate the physician's perception of pain experienced by patients with sickle-cell disease (SCD). Pain experiences reported by patients were compared with physicians' perception of the patient's pain, and the treatment decision-making process was evaluated. Fifty-two patient-physician pairs were assessed. Before the clinic visit, the patients completed a 3-item on pain experienced 24 h prior to the visit and the PHQ-9. After the patient visit, the physicians completed a questionnaire assessing their perception of the patient's pain and a questionnaire on the factors taken into consideration when evaluating the patient's pain experience. The physicians rated the patients' pain as more intense than did the patients themselves; and there was agreement between pain intensity measurements (p < 0.05). The physicians' perception was influenced by the pain intensity reported by the patient, results of blood count at the time of the patient visit, and medication availability in the public health services. However, these factors were not predictive of the patient's pain intensity perceived by the physician. Patients' depressive symptoms were not predictive factor of the physicians' perception. Biochemical, genetic and symptomatic characteristics of SCD influenced the physicians' perception of the patient's pain experience, while psychosocial aspects did not.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Univ Fed Sao Paulo, Escola Paulista Med, Sao Paulo, SP, BrazilVirginia Commonwealth Univ, Richmond, VA USAUniv Estadual Paulista, Sao Paulo, SP, BrazilUniv Estadual Paulista, Sao Paulo, SP, BrazilFAPESP: 2008/00508-6Natl Med AssocUniversidade Federal de São Paulo (UNIFESP)Virginia Commonwealth UnivUniversidade Estadual Paulista (Unesp)Lucchesi, FatimaFigueiredo, Maria StellaMastandrea, Erika B.Levenson, James L.Smith, Wally R.Jacinto, Alessandro F. [UNESP]Citero, Vanessa de A.2018-11-26T15:31:27Z2018-11-26T15:31:27Z2016-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article113-118http://dx.doi.org/10.1016/j.jnma.2016.04.004Journal Of The National Medical Association. Washingon: Natl Med Assoc, v. 108, n. 2, p. 113-118, 2016.0027-9684http://hdl.handle.net/11449/15912410.1016/j.jnma.2016.04.004WOS:000385018600004Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJournal Of The National Medical Associationinfo:eu-repo/semantics/openAccess2021-10-23T16:51:56Zoai:repositorio.unesp.br:11449/159124Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T17:17:20.139787Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Physicians' Perception of Sickle-cell Disease Pain |
title |
Physicians' Perception of Sickle-cell Disease Pain |
spellingShingle |
Physicians' Perception of Sickle-cell Disease Pain Lucchesi, Fatima Sickle cell Pain perception Physician-patient relations Attitude of health personnel |
title_short |
Physicians' Perception of Sickle-cell Disease Pain |
title_full |
Physicians' Perception of Sickle-cell Disease Pain |
title_fullStr |
Physicians' Perception of Sickle-cell Disease Pain |
title_full_unstemmed |
Physicians' Perception of Sickle-cell Disease Pain |
title_sort |
Physicians' Perception of Sickle-cell Disease Pain |
author |
Lucchesi, Fatima |
author_facet |
Lucchesi, Fatima Figueiredo, Maria Stella Mastandrea, Erika B. Levenson, James L. Smith, Wally R. Jacinto, Alessandro F. [UNESP] Citero, Vanessa de A. |
author_role |
author |
author2 |
Figueiredo, Maria Stella Mastandrea, Erika B. Levenson, James L. Smith, Wally R. Jacinto, Alessandro F. [UNESP] Citero, Vanessa de A. |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) Virginia Commonwealth Univ Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Lucchesi, Fatima Figueiredo, Maria Stella Mastandrea, Erika B. Levenson, James L. Smith, Wally R. Jacinto, Alessandro F. [UNESP] Citero, Vanessa de A. |
dc.subject.por.fl_str_mv |
Sickle cell Pain perception Physician-patient relations Attitude of health personnel |
topic |
Sickle cell Pain perception Physician-patient relations Attitude of health personnel |
description |
The aim of this study was to evaluate the physician's perception of pain experienced by patients with sickle-cell disease (SCD). Pain experiences reported by patients were compared with physicians' perception of the patient's pain, and the treatment decision-making process was evaluated. Fifty-two patient-physician pairs were assessed. Before the clinic visit, the patients completed a 3-item on pain experienced 24 h prior to the visit and the PHQ-9. After the patient visit, the physicians completed a questionnaire assessing their perception of the patient's pain and a questionnaire on the factors taken into consideration when evaluating the patient's pain experience. The physicians rated the patients' pain as more intense than did the patients themselves; and there was agreement between pain intensity measurements (p < 0.05). The physicians' perception was influenced by the pain intensity reported by the patient, results of blood count at the time of the patient visit, and medication availability in the public health services. However, these factors were not predictive of the patient's pain intensity perceived by the physician. Patients' depressive symptoms were not predictive factor of the physicians' perception. Biochemical, genetic and symptomatic characteristics of SCD influenced the physicians' perception of the patient's pain experience, while psychosocial aspects did not. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-06-01 2018-11-26T15:31:27Z 2018-11-26T15:31:27Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.jnma.2016.04.004 Journal Of The National Medical Association. Washingon: Natl Med Assoc, v. 108, n. 2, p. 113-118, 2016. 0027-9684 http://hdl.handle.net/11449/159124 10.1016/j.jnma.2016.04.004 WOS:000385018600004 |
url |
http://dx.doi.org/10.1016/j.jnma.2016.04.004 http://hdl.handle.net/11449/159124 |
identifier_str_mv |
Journal Of The National Medical Association. Washingon: Natl Med Assoc, v. 108, n. 2, p. 113-118, 2016. 0027-9684 10.1016/j.jnma.2016.04.004 WOS:000385018600004 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Journal Of The National Medical Association |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
113-118 |
dc.publisher.none.fl_str_mv |
Natl Med Assoc |
publisher.none.fl_str_mv |
Natl Med Assoc |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128785146445824 |