Inadequate relief from @entity5 is an international health problem. The aim of this study was to document the prevalence and patterns of @entity5 management in the Republic of South Africa. The first phase of this study consisted of screening 263 @entity1 to document the prevalence of @entity5 in varying settings. A total of 94 @entity1 were experiencing @entity5 ; this comprised 35.7% of the sample. Inpatients had a higher prevalence than outpatients, which is likely due to the fact that these @entity1 are more acutely ill. Blacks (56.1%) had a higher prevalence of @entity158 than whites (29.4%, P<0.005); this difference was most pronounced in the outpatient setting. Phase 2 consisted of asking 426 @entity1 with @entity5 from different settings to complete a questionnaire that included the @entity158 inventory and was designed to learn about their @entity158 and how it was managed. Nearly one-third of the entire sample experienced ' @entity158 ' of severe intensity. There was little difference between the public and private @entity5 care centers. The lowest percentage of @entity1 with severe ' @entity158 ' was in the hospice setting, but even in this group about one-fourth of the @entity1 had @entity158 that was severe. Of non-whites combined, 81% experienced ' @entity158 ' of moderate to severe intensity as compared to 65% of whites (P<0.001). Only 21% of @entity1 reported that they had achieved 100% @entity158 relief. @entity1 experienced interference in general activity, mood, walking, working, relations with others, sleeping, and enjoyment of life related to their @entity158 . 30.5% of the entire sample had a negative score on the @entity158 management index, a comparison of the most potent analgesic used by a @entity1 relative to their @entity158 . Of this group, 58.1% were experiencing severe ' @entity158 '. Unrelieved @entity5 is a significant problem. Government and non-government leaders, educators, and practitioners must collaborate to address the barriers to effective @entity158 management and to implement improvements in education, health policy, and health care delivery.

Prevalence and management of XXXX in South Africa.

@entity5 :: ('MESH:D009369', 'Disease') :: ['cancer-related pain', 'cancer', 'cancer pain'] @entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity158 :: ('MESH:D010146', 'Disease') :: ['peak pain', 'pain', 'brief pain', 'worst pain']
@entity5 :: (MESH:D009369,Disease) :: ['cancer pain']
