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  • Title: [Morphine prescription to terminal cancer patients suffering from severe pain: results of a French survey].
    Author: Ben Diane MK, Peretti-Watel P, Galinier A, Favre R, Obadia Y, Comité de pilotage Soins palliatifs PACA.
    Journal: Bull Cancer; 2005 Jul; 92(7):733-40. PubMed ID: 16123011.
    Abstract:
    This study aimed to determine factors associated with the prescription of morphine to terminal cancer patients suffering from severe pain. A phone survey was conducted among a sample of French GPs, neurologists and oncologists. Two short clinical cases described a terminally-ill patient with either a peritoneal carcinosis and intestinal occlusion, or a lung cancer, and in both cases suffering from severe pain. Overall, 917 agreed to participate among the 1,743 physicians contacted (global response rate 53%). About half of respondents did not support the prescription of morphine if the patient had an intestinal occlusion. Beliefs toward morphine, uneasiness with terminally-ill patients, age and female gender were independently associated with reluctance to prescribe morphine in presented cases. Specialised training has not completely remove reluctance toward morphine prescription in end-of-life care. Non-medical factors correlated to such reluctance, and especially gender, deserve more attention.
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