Up to 40 percent of individuals who beat cancer may experience pain afterwards, according to new research from the University of Michigan.

Women and blacks who survive cancer have worse experiences with pain than others, the study found.

The study. published in the journal Cancer, studied almost 200 patients between the ages of 18 to 90 who had survived breast, prostate, colorectal, lung cancer or multiple myeloma.

“All in all, the high prevalence of cancer and pain and now chronic cancer pain among these survivors, especially blacks and women, shows there’s more work to be done in improving the quality of care and research,” lead study author and pain medicine specialist Carmen R. Green, M.D., professor of anesthesiology, obstetrics and gynecology and health management and policy at the University of Michigan, said in a release.

Among its other findings:

• Cancer surgery was the most significant source of pain for whites (53.8 percent), while treatment for cancer was the most significant source of pain for blacks. • Pain affected women more than men. They reported more pain flareup, disability on account of pain, increased pain and depression due to pain than men. • Blacks reported greater concerns about harmful pain treatment side effects, higher severity of pain and had more pain-related disability.

The Lance Armstrong Foundation funded the study.

Juliana Keeping is a health and environment reporter for AnnArbor.com. Reach her at julianakeeping@annarbor.com or 734-623-2528. Follow Juliana Keeping on Twitter