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June 18, 2026BMC Palliative CareOpen Access

The impact of opioid stigma on patient-provider interaction and decision-making in cancer pain management: a qualitative meta-synthesis

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Authors

YCYuehua ChenBGI Group (China)RYRui YuShenzhen Institutes of Advanced TechnologyMXMin XuTianjin Medical University

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Implication

Qualitative meta-synthesis explores opioid stigma's influence on patient-provider decisions in cancer pain management, suggesting the need for improved communication.

Key Points

  • This research aims to explore the impact of opioid stigma on communication and decision-making in cancer pain management.
  • Conducted a qualitative meta-synthesis following PRISMA and ENTREQ guidelines.
  • Included qualitative studies focusing on stigma and decision-making in cancer pain management.
  • Searched multiple databases up to March 2026, culminating in 20 included studies.
  • Opioid stigma was influenced by sociocultural narratives and institutional processes.
  • Patients experienced shame and fear, leading to reduced pain expression and reluctance to seek help.
  • Clinicians felt torn between providing adequate pain relief and managing perceived risks, resulting in conservative prescribing.

Cite This Study

Chen et al. (2026) studied this question.

synapsesocial.com/papers/6a338cc3630953a74978df4bhttps://doi.org/10.1186/s12904-026-02197-8
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Qualitative research synthesis2015 · 2,459 citations
  2. 2A critical content analysis of media reporting on opioids: The social construction of an epidemic2019 · 120 citations
  3. 3Under- or Overtreatment of Pain in the Patient With Cancer: How to Achieve Proper Balance2014 · 82 citations
  4. 4Management of cancer pain in adult patients: ESMO Clinical Practice Guidelines2018 · 953 citations
  5. 5A Qualitative Study of the Pain Experience of Black Individuals With Cancer Taking Long-Acting Opioids2023 · 7 citations