Pain Management in Children with Cancer: National Surveys of Practices and Perceptions in Morocco

Authors

  • Nisrine Khoubila Pediatric Hematology and Oncology Unit, 20 August Hospital, Ibn Rochd University Hospital, Casablanca, Morocco
  • Mounia Bendari Pediatric Hematology and Oncology Unit, 20 August Hospital, Ibn Rochd University Hospital, Casablanca, Morocco
  • Sara Benmiloud Pediatric Hematology and Oncology Unit, Hassan II Hospital University, Fes, Morocco
  • Jamila ElHoudzi Pediatric Hematology and Oncology Unit, Mohamed VI Hospital University, Marrakech, Morocco
  • Khadija Maani Pediatric Hematology and Oncology Unit, Mohamed VI Hospital University, Marrakech, Morocco
  • Loubna Elmouden Pediatric Hematology and Oncology Unit, Ibn Sina Hospital University, Rabat, Morocco
  • Mounia Alzemmouri Pediatric Surgery Unit, Abderrahmane El Harouchi Hospital, Ibn Rochd University Hospital, Casablanca, Morocco
  • Jamila Hachim Pediatric Hematology and Oncology Unit, Mohamed VI Hospital University, Marrakech, Morocco
  • Amina Kili Pediatric Hematology and Oncology Unit, Ibn Sina Hospital University, Rabat, Morocco
  • Maria Kababri Pediatric Hematology and Oncology Unit, Ibn Sina Hospital University, Rabat, Morocco
  • Mohammed Khattab Pediatric Hematology and Oncology Unit, Ibn Sina Hospital University, Rabat, Morocco
  • Hicham ElBouri Epidemiology and Communotary Medicine, Hassan II Medecine School, Casablanca, Morocco
  • Samira Hassoune Epidemiology and Communotary Medicine, Hassan II Medecine School, Casablanca, Morocco
  • Samira Nani Epidemiology and Communotary Medicine, Hassan II Medecine School, Casablanca, Morocco
  • Siham Cherkaoui Pediatric Hematology and Oncology Unit, 20 August Hospital, Ibn Rochd University Hospital, Casablanca, Morocco
  • Asmaa Quessar Pediatric Hematology and Oncology Unit, 20 August Hospital, Ibn Rochd University Hospital, Casablanca, Morocco
  • Abdellah Madani Pediatric Hematology and Oncology Unit, 20 August Hospital, Ibn Rochd University Hospital, Casablanca, Morocco
  • Laila Hessissen Pediatric Hematology and Oncology Unit, Ibn Sina Hospital University, Rabat, Morocco

DOI:

https://doi.org/10.3889/oamjms.2020.5252

Keywords:

pain, national program, Morocco, children, cancer

Abstract

AIM: The aim of the study was to improve the quality of pain management in Moroccan pediatric oncology units, the Moroccan Society of Paediatric Haematology/Oncology initiated a national quality improvement project in 2014 with the support of the Lalla Salma Foundation for Prevention and Treatment of Cancer.

METHODS: To assess the current situation of pain management in Moroccan pediatric oncology patients, two cross-sectional surveys were conducted, involving patient/parental proxies and health-care providers’.

RESULTS: The first survey concerned 108 care providers from five institutions. The second survey covered 155 children with cancer from the five Moroccan pediatric oncology units. Among them, 145 reported suffering from pain, which patients/families attributed to the underlying cancer (n = 85), to procedures and treatment (n = 46), or to both the cancer and procedures/treatment (n = 19). Procedural pain was mainly related to lumbar puncture and bone marrow aspirate. The majority of patients/parents reported that pain negatively impacted their emotional, physical, and social functioning. The majority of parents requested further information and communication about pain management.

CONCLUSION: Both health-care providers and families of children with cancer in Morocco report need for pain management improvement, including in institutional and educational practices. This current baseline data have informed the development of our ongoing project including continuing education, training, and practice policies development.

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Published

2020-02-05

How to Cite

1.
Khoubila N, Bendari M, Benmiloud S, ElHoudzi J, Maani K, Elmouden L, Alzemmouri M, Hachim J, Kili A, Kababri M, Khattab M, ElBouri H, Hassoune S, Nani S, Cherkaoui S, Quessar A, Madani A, Hessissen L. Pain Management in Children with Cancer: National Surveys of Practices and Perceptions in Morocco. Open Access Maced J Med Sci [Internet]. 2020 Feb. 5 [cited 2024 Nov. 21];8(B):723-30. Available from: https://oamjms.eu/index.php/mjms/article/view/5252