https://ogma.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:47089 Wed 14 Dec 2022 09:30:29 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:23941 Wed 11 Apr 2018 11:33:41 AEST ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:46810 Thu 01 Dec 2022 10:31:07 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:17744 Sat 24 Mar 2018 07:57:20 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:18781 Sat 24 Mar 2018 07:51:10 AEDT ]]> https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:46587 Misuse is not the main problem) contextualised misuse as a relatively minor concern compared with pain control and toxicity, and highlighted underlying systemic factors, including limitations in continuity of care and doctor expertise. Theme 2 (‘A different mindset’ for cancer pain) captured participants’ relative comfort in prescribing opioids for pain in cancer versus non-cancer contexts, and acknowledgement that compassion and greater perceived community acceptance were driving factors, in addition to scientific support for mechanisms and clinical efficacy. Participant attitudes towards prescribing for people with cancer versus non-cancer pain differed most when cancer was in the palliative phase, when they were unconcerned by misuse. Participants were equivocal about the risk–benefit ratio of long-term opioid therapy in the chronic phase of cancer, and were reluctant to prescribe for disease-free survivors. Theme 3 (‘The question is always, ‘how lazy have you been?’) captured participants’ acknowledgement that they sometimes prescribed opioids for cancer pain as a default, easier option compared with more holistic pain management. Conclusions: Findings highlight the role of specific clinical considerations in distinguishing risk of opioid misuse in the cancer versus non-cancer population, rather than diagnosis per se. Further efforts are needed to ensure continuity of care where opioid prescribing is shared. Greater evidence is needed to guide opioid prescribing in disease-free survivors and the chronic phase of cancer, especially in the context of new treatments for metastatic disease.]]> Fri 25 Nov 2022 14:52:26 AEDT ]]>