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Revista Médica del Uruguay

On-line version ISSN 1688-0390


PIRIZ ALVAREZ, Gabriela; ESTRAGO, Virginia; PATTARINO, Cristina  and  SANDAR, Teresa. Dolor oncológico: un problema no resueltoEncuesta a médicos residentes del Hospital Maciel. Rev. Méd. Urug. [online]. 2004, vol.20, n.1, pp.32-43. ISSN 1688-0390.

Summary Background. Pain, a symptom of high prevalence in patients with cancer, strongly undermines quality of life. Pain could be controlled in most of the cases following the World Health Organization (WHO) guidelines (1986) that included the use of morphine. This health problem relies on health workers (lack of medical education, inaccurate beliefs), health structure, patients and their families. Objective. To assess surgeons knowledge regarding WHO guidelines, especially those related to use of morphine to manage pain. Methods. A transversal and descriptive study by means of a survey was done in the Hospital Maciel. Results. 75% of the surveyed physicians do not know the WHO guidelines; 67% do not prescribe regularly morphine; 63% do not know that morphine has no maximum doses; 41% prescribe analgesic at request; 75% ignore the administration intervals of the drug. Secondary effects most indicated are those unfrequent. 43% of surveyed physicians have not read any paper during the last three years and 29% have read only one. Conclusions. Resident physicians are unaware of WHO analgesic guidelines and the use of morphine. Possible solutions to deal this problem are indicated.

Keywords : DOLOR [terapia]; DOLOR [quimioterapia]; ANALGÉSICOS OPIOIDES [uso terapéutico]; MORFINA [uso terapéutico]; NEOPLASMAS [complicaciones].

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