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Table 4 Factors related to the implementation of procedures by pain specialists (multivariate analysis)

From: Availability of and factors related to interventional procedures for refractory pain in patients with cancer: a nationwide survey

 

Celiac plexus neurolysis/splanchnic nerve neurolysis

Phenol saddle block

Epidural infusions of local anesthetic combined with opioids

Intrathecal analgesia

OR

95% CI

p-value

OR

95% CI

p-value

OR

95% CI

p-value

OR

95% CI

p-value

Background

Sex

 Male

REFERENCE

 

0.066

-

 

-

-

 

-

-

 

-

 Female

0.658

0.42-1.03

 

-

-

 

-

-

 

-

-

 

Number of cancer patients with pain treated annually

 0

REFERENCE

 

<0.001*

REFERENCE

 

<0.001*

REFERENCE

 

<0.001*

REFERENCE

 

<0.001*

 1-9

3.72

1.84-7.51

 

4.14

2.15-7.97

 

4.94

2.54-9.60

 

2.74

1.38-5.44

 

 10-49

5.92

2.84-12.32

 

7.03

3.47-14.23

 

5.65

2.71-11.82

 

6.09

2.99-12.41

 

 ≥50

5.77

2.68-12.42

 

8.02

3.80-16.92

 

5.13

2.38-11.08

 

4.11

1.98-8.52

 

Working facility

 Designated cancer hospital/university hospital

REFERENCE

 

0.599

REFERENCE

 

0.04*

-

 

-

-

 

-

 Other

1.12

0.73-1.74

 

1.58

1.02-2.43

 

-

-

 

-

-

 

Main workplace

 Ward/outpatient clinic

REFERENCE

 

0.035*

REFERENCE

 

0.959

REFERENCE

 

0.199

REFERENCE

 

0.387

 Operating room

0.57

0.36-0.90

 

1.05

0.65-1.70

 

1.12

0.62-2.02

 

0.77

0.50-1.20

 

 Other

0.37

0.09-1.49

 

1.18

0.31-4.49

 

0.34

0.09-1.28

 

1.51

0.35-6.49

 

Barriers

Difficult to gain experience and acquire skills due to the limited number of cases

 Agree

REFERENCE

 

<0.001*

REFERENCE

 

<0.001*

REFERENCE

 

0.006*

REFERENCE

 

<0.001*

 Other

2.67

1.76-4.05

 

2.71

1.72-4.27

 

3.29

1.41-7.66

 

2.31

1.47-3.63

 

Difficult to treat patients who require the procedure due to a lack of time

 Agree

REFERENCE

 

0.004*

REFERENCE

 

0.01*

REFERENCE

 

0.139

REFERENCE

 

0.318

 Other

2.13

1.28-3.55

 

2.22

1.21-4.10

 

1.74

0.84-3.63

 

1.37

0.740-2.54

 

Difficult to communicate with other departments when implementing the procedure

 Agree

REFERENCE

 

0.455

REFERENCE

 

0.956

REFERENCE

 

0.343

REFERENCE

 

0.96

 Other

0.77

0.39-1.52

 

0.98

0.43-2.24

 

1.62

0.60-4.38

 

0.98

0.48-2.01

 

Implementation at our facility is not permitted

 Agree

REFERENCE

 

0.009*

REFERENCE

 

0.002*

REFERENCE

 

0.193

REFERENCE

 

0.001*

 Other

4.20

1.44-12.25

 

5.53

1.84-16.63

 

2.38

0.64-8.79

 

7.77

2.22-27.11

 

Dispensing and using phenol glycerin are not permitted by the Ethics Committee or Regulatory Committee in our facility

 Agree

-

-

 

REFERENCE

 

0.402

-

 

-

-

 

-

 Other

-

-

 

1.28

0.72-2.25

 

-

-

 

-

-

 
  1. OR Odds ratio, CI Confidence interval; * significantly different
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