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| 1 | Salient concerns in using analgesia for cancer pain among outpatients: A cluster analysis study显示文摘AIM To identify unique clusters of patients based on their concerns in using analgesia for cancer pain and predictors of the cluster membership.METHODS This was a 3-mo prospective observational study(n = 207).Patients were included if they were adults(≥ 18 years), diagnosed with solid tumors or multiple myelomas, and had at least one prescription of around the clock pain medication for cancer or cancer-treatment-related pain.Patients were recruited from two outpatient medical oncology clinics within a large health system in Philadelphia.A choice-based conjoint(CBC) analysis experiment was used to elicit analgesic treatment preferences(utilities).Patients employed trade-offs based on five analgesic attributes(percent relief from analgesics, type of analgesic, type of sideeffects, severity of side-effects, out of pocket cost).Patients were clustered based on CBC utilities using novel adaptive statistical methods.Multiple logistic regression was used to identify predictors of cluster membership.RESULTS The analyses found 4 unique clusters: Most patients made trade-offs based on the expectation of pain relief(cluster 1, 41%).For a subset, the main underlying concern was type of analgesic prescribed, i.e., opioid vs non-opioid(cluster 2, 11%) and type of analgesic side effects(cluster 4, 21%), respectively.About one in four made trade-offs based on multiple concerns simultaneously including pain relief, type of side effects, and severity of side effects(cluster 3, 27.5%).In multivariable analysis, to identify predictors of cluster membership, clinical and socioeconomic factors(education, health literacy, income, social support) rather than analgesic attitudes and beliefs were found important; only the belief, i.e., pain medications can mask changes in health or keep you from knowing what is going on in your body was found significant in predicting two of the four clusters [cluster 1(-); cluster 4(+)].CONCLUSION Most patients appear to be driven by a single salient concern in using analgesia for cancer pain.Addressing these concerns, perhaps through real time clinical assessments, may improve patients' analgesic adherence patterns and cancer pain outcomes. | Salimah H Meghani George J Knafl | 2017 | World Journal of Clinical Oncology2017，8，1： | 3 |
| 2 | Cervical cancer: patterns of long-term survival 显示文摘 | Clemmens DA Knafl K Lev EL | 2008 | Oncology Nusing Forum2008，35，6： | 1 |
| 3 | On quan- titizing显示文摘 | Sandelowski M Voils C I Knafl G | 2009 | Journal of Mixed Methods Research2009，3，： | 1 |
| 4 | In-cylinder reduction of PM and NOr emissions from diesel combustion with ad- vanced injection strategies 显示文摘 | Chryssakis C A Hagena J R Knafl A | 2006 | International Journal of Ve hiele Design2006，41，83： | 1 |
| 5 | Experimental investigation of abrasive flow machining effects on injector nozzle geometries,engine performance, and emissions in a DI diesel engine 显示文摘 | Jung D Wang W L Knafl A | 2008 | International Journal of Automotive Technology2008，9，1： | 1 |
| 6 | Not what I expected:informational needs of women undergoing breast surgery显示文摘 | Spector D Mayer DK Knafl K | | 0，，2： | 1 |
| 7 | Cervical cancer: patterns of long-term survival 显示文摘 | Clemmens DA Knafl K Lev EL | 2008 | Oncol Nurs Forum2008，35，6： | 1 |
| 8 | Family management style and the challenge of moving from conceptualization to measurement 显示文摘 | Knafl KA Deatrick JA | 2006 | J Pediatr Oncol Nuts2006，23，1： | 1 |
| 9 | Further refinement of the family management style framework 显示文摘 | Knafl KA Deatrick JA | 2003 | J Faro Nurs2003，9，3： | 1 |
| 10 | Vimentin DNA methylation predicts survival in breast cancer显示文摘 | Ulirsch J Fan C Knafl G | 2013 | Breast Cancer Res Treat2013，137，2： | 1 |
| 11 | Cervical cancer:patterns of long-term survival显示文摘 | CLEMMENS D A KNAFL K LEV E L | 2008 | Oncol Nurs Forum2008，35，6： | 1 |
| 12 | Quality nursing care for hos- pitalized patients with advanced illness: concept develop- ment显示文摘 | Izumi S Baggs JG Knafl KA | 2010 | Res Nuts Health2010，33，4： | 1 |
| 13 | In-cylinder Reduction of PM and NOx Emissions from Diesel Combustion with Advanced Injection Strategies显示文摘 | Chryssakis C A Hagena Knafl A J R | 2006 | International Journal of Vehicle Design2006，41，1234： | 1 |
| 14 | Families and Chronic llness:A Synthesis of Current Research显示文摘 | Knafl KA Gilliss CL | | 0，，03： | 1 |
| 15 | The influence of interpersonal relationships on nurse managers'work engagement and proactive work behavior显示文摘 | Warshawsky NE Havens DS Knafl G | 2012 | J Nuts Adm2012，42，9： | 1 |
| 16 | The influence of interpersonal relationships on nurse managers' work engagement and proactive work behavior显示文摘 | Warshawsky N E Havens D S Knafl G | | 0，，09： | 1 |
| 17 | Vimentin DNA methyla- tion predicts survival in breast Cancer显示文摘 | Ulirsch J Fan C Knafl G | 2013 | Breast Cancer Res Treat2013，137，2： | 1 |
| 18 | Assessment of the psychometric properties of the family management measure 显示文摘 | Knafl K Deatrick JA Gallo A | 2011 | J Pediatr Psychol2011，36，5： | 1 |
| 19 | Parents' reflections on managing their children' s diabetes with insulin pumps 显示文摘 | Sullivan-Bolyai S Knafl K Tamborlane W | 2004 | J Nurs Seholarsh2004，36，： | 1 |
| 20 | Targeting hospitNised patients for early discharge planning intervention 显示文摘 | Holland DE Knafl GJ Bowles KH | 2013 | J Clin Nurs2013，22，1920： | 1 |
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