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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Bulletin of Semashko National Research Institute of Public Health</journal-id><journal-title-group><journal-title>Bulletin of Semashko National Research Institute of Public Health</journal-title></journal-title-group><issn publication-format="print">2415-8410</issn><issn publication-format="electronic">2415-8429</issn><publisher><publisher-name>FSSBI «N.A. Semashko National Research Institute of Public Health»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">2839</article-id><article-id pub-id-type="doi">10.69541/NRIPH.2024.03.012</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>Problems of organizing pain management for patients with malignant neoplasms in the Russian Federation</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Linnik</surname><given-names>Sergey A.</given-names></name><email>Linnik2001@mail.ru</email><uri content-type="orcid">https://orcid.org/0000-0002-0538-5400</uri><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Tumenko</surname><given-names>Elena E.</given-names></name><email>noreply@nriph.ru</email><uri content-type="orcid">https://orcid.org/0000-0001-5097-3722</uri><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Andreyashkina</surname><given-names>Irina I.</given-names></name><email>noreply@nriph.ru</email><uri content-type="orcid">https://orcid.org/0000-0003-2646-499X</uri><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Abuzarova</surname><given-names>Guzal R.</given-names></name><email>Abuzarova_mnioi@bk.ru</email><uri content-type="orcid">https://orcid.org/0000-0002-6146-2706</uri><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff id="aff-1">N. A. Semashko National Research Institute of Public Health</aff><aff id="aff-2">Non-government organization “Scientific medical society “Medical practice”,</aff><aff id="aff-3">Non-government organization “Scientific medical society “Medical practice”</aff><aff id="aff-4">GBUZ Moscow Clinical Scientific Center named after Loginov MHD</aff><aff id="aff-5">Federal State Budgetary Educational Institution of Further Professional Education «Russian Medical Academy of Continuous Professional Education» of the Ministry of Healthcare of the Russian Federation</aff><pub-date date-type="epub" iso-8601-date="2024-10-01" publication-format="electronic"><day>01</day><month>10</month><year>2024</year></pub-date><issue>3</issue><fpage>81</fpage><lpage>86</lpage><history><pub-date date-type="received" iso-8601-date="2025-05-27"><day>27</day><month>05</month><year>2025</year></pub-date></history><permissions><copyright-statement>Copyright © 2025,</copyright-statement><copyright-year>2025</copyright-year></permissions><abstract>&lt;p&gt;Chronic pain syndrome in patients with advanced cancer is widespread. However, the organization of pain treatment for patients on an outpatient basis with pain syndrome has not been studied in our country. Using an online survey, we conducted a survey of oncologists treating outpatient patients with cancer. It turned out that more than half of the respondents believe that the organization of care for such patients has shortcomings, including the lack of routing orders, clinical recommendations and other regulatory documents, as well as the lack of specialized pain treatment rooms and difficulties with issuing prescriptions for painkillers. At the same time, the study revealed low awareness of doctors regarding the availability of certain painkillers in pharmacies.&lt;/p&gt;</abstract><kwd-group xml:lang="en"><kwd>malignant neoplasms</kwd><kwd>oncological diseases</kwd><kwd>cancer pain</kwd><kwd>organization of pain management</kwd><kwd>chronic pain in oncology</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>злокачественные новообразования</kwd><kwd>онкологические заболевания</kwd><kwd>онкологическая боль</kwd><kwd>организация обезболивания</kwd><kwd>хроническая боль в онкологии</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Bradley N., Davis L., Chow E. Symptom distress in patients attending an outpatient palliative radiotherapy clinic. J Pain Symptom Manage. 2005;30(2):123—31.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation></mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Di Maio M., Gridelli C., Gallo C. et al. 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