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

Nisrine Khoubila; Mounia Bendari; Sara Benmiloud; Jamila ElHoudzi; Khadija Maani; Loubna Elmouden; Mounia Alzemmouri; Jamila Hachim; Amina Kili; Maria Kababri; Mohammed Khattab; Hicham ElBouri; Samira Hassoune; Samira Nani; Siham Cherkaoui; Asmaa Quessar; Abdellah Madani; Laila Hessissen

doi:10.3889/oamjms.2020.5252

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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