Patient-related barriers to management of cancer pain in Puerto Rico

Pain. 1994 Aug;58(2):233-8. doi: 10.1016/0304-3959(94)90203-8.


Two hundred and sixty-three ambulatory patients older than 21 years of age who were attending clinics at an oncology hospital in San Juan, Puerto Rico, were studied. They completed a questionnaire (BQ-PR) that measures 8 concerns about reporting pain and using analgesics, such as fears of addiction and tolerance and the belief that reporting pain can distract a physician from focusing on curing one's disease. Ninety percent of the patients had at least some concern about each of the 8 topics, and mean scores on the 8 subscales were near the midpoint on a 0-5 scale. There were significant inverse relationships between level of education, income, and BQ-PR total score. Those persons who experienced cancer-related pain on the day they completed the questionnaire were categorized as using adequate versus not adequate analgesic medication, a determination that was based on a comparison of their level of pain to the medication they were using. Those who were not using adequate analgesic medication had higher BQ-PR total scores than did those who were using adequate medication.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Analgesics / administration & dosage
  • Analgesics / adverse effects
  • Analgesics / therapeutic use*
  • Culture
  • Education
  • Female
  • Humans
  • Income
  • Male
  • Marital Status
  • Middle Aged
  • Neoplasms / physiopathology*
  • Pain Measurement
  • Pain, Intractable / psychology*
  • Pain, Intractable / therapy*
  • Patient Acceptance of Health Care
  • Puerto Rico
  • Religion
  • Surveys and Questionnaires


  • Analgesics