Pain Changes Everything July 14, 2004

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Pain Changes EverythingJuly 14, 2004
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Mid-South Pain Survey Background
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Why Did ACS Do a Survey

• 90 of cancer patients report pain as part of
  their disease
• Of that number, 70 report their pain is not
  adequately controlled
• 50 of those cancer patients whose pain is not
  controlled report that they receive no pain
  treatment at all
• Pain can persist long after the cancer has been
  treated
• There is national data on pain and cancer, but no
  state specific or regional data.

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Why is cancer pain so undertreated?

• Provider issues
• Patient issues
• Family issues
• Legal issues
• Public perception

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Purpose of the Survey

• Determine barriers and perceptions of pain
  management
• Evaluate current medical practice of pain
  management
• Evaluate regulatory impact on pain management
• Provide data to states to plan public awareness,
  provider education, and advocacy campaigns

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Partners

• The Mid-South Pain Survey was conducted by the
  Mississippi State University Research Center, on
  behalf of the American Cancer Society and
  Southern Pain Society with technical and
  financial support from the American Alliance for
  Cancer Pain Initiatives, American Pain Foundation
  and an unrestricted educational grant from the
  Purdue Pharma Fund.

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Patient/Population Survey

• Random telephone survey
• 600 participants per state
• Sub-population of pain patients determined
• Data weighted to account for cancer incidence and
  pain prevalence in each state
• Social Climate Study
• Policy Papers

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Physician Survey

• Decision Support Laboratory in each state
• Potentially supplemented by web-based survey and
  potentially provider association surveys
• Representative of provider population for family
  practice, internists, oncologists, etc. on state
  by state basis
• Component of Social Climate Survey

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Features Unique to Each Survey

• Impact of tobacco on pain
• Impact of obesity on pain
• Socio-economic and racial/ethnic disparities in
  the South

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Mid-South Pain SurveyEarly Findings
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Prevalence of Chronic Pain
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Other Significant Findings

• Of those with significant chronic pain, 98
  report it interferes with daily activities.
• 62 report that pain is just a normal part of
  life.
• 82 believe that addiction is a side effect of
  pain.
• 56 think physicians over prescribe pain
  medication and make it to easy to access.
• 87 agree that treatment of moderate to severe
  cancer pain was worth the risk of physical
  dependence or addiction.

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Mid-South Media Campaign
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Campaign Branding

• Tagline Pain Changes Everything
• Core message More than 50 million Americans
  suffer needlessly from chronic pain. You dont
  have to live with pain.
• Call to action Ask your doctor about treating
  pain. To find out more about pain, visit
  www.painfoundation.org or call 1-888-615-PAIN.
• State Proclamations one per state declaring
  September Pain Awareness Month.

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Radio Spot

• RADIO SPOT 1 (30 sec.)
• Pain. It Changes Everything.
• For 50 million Americans, it means struggling to
  complete daily activities.
• Eatingsleepingworkingrelationships with loved
  ones all interrupted or impossible because
  of pain.
• Pain is NOT part of the healing process.
• Whether you have chronic pain due to injury or
  illness--pain treatment IS a safe and a necessary
  part of any medical practice.
• You dont have to live with pain.
• Ask your doctor for help or call 1-888-615-PAIN.

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Newspaper Ad
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Video News Release
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Target Media Markets (6 states, 28 markets)

• Alabama Birmingham, Dothan , Huntsville, Mobile,
  Montgomery
• Arkansas Fayetteville, Little Rock
• Kentucky Bowling Green, Lexington, Louisville,
  N. Kentucky/Cincy, Paducah, Eastern Ky.
• Louisiana Alexandria, Baton Rouge, Lake Charles,
  Monroe, New Orleans, Shreveport
• Mississippi Gulfport, Hattiesburg, Jackson,
  Meridian, Tupelo
• Tennessee Chattanooga, Knoxville, Memphis,
  Nashville, Tri-Cities

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• In Each Media Market
• One Physician
• One to Two Pain Patients
• Put a Face on Pain

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Next Steps.

• Complete physician survey in the Fall.
• Compare results of both surveys.
• Publish findings.
• Use results to develop patient, provider and
  policy maker educational offerings.
• Continue public awareness of pain issues.

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Opportunities multiply
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as they are seized. - Sun Tzu
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Thank you