An Overview of Current Recommendations and Options for the Management of Cancer Pain: A Comprehensive Review

Oncology and Therapy

Ivan Urits¹  Alan D. Kaye²  Omar Viswanath²  Kyle L. Gress³  Karina Charipova³ 

[1] Department of Anesthesiology, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School;Department of Anesthesiology, Louisiana State University Health Shreveport;Georgetown University School of Medicine;

关键词: Cancer pain;    Chronic pain;    Neoplasms;    Opioids;    Pain management;   

DOI  :  10.1007/s40487-020-00128-y

来源: DOAJ

【 摘 要 】

Abstract It is estimated that one-third of oncologic patients in the USA do not receive analgesia proportional to or adequate for the intensity of their pain. A mechanism-based approach to oncologic pain therapy is critical to ensure that analgesia regimens are individualized and effective. Since the mechanisms that lead to cancer pain are complex, healthcare providers must be willing to elicit and recognize the symptoms of each individual patient since these factors influence both the experience of pain and response to treatment. This process is centered on the use of detailed history in order to understand symptom expression in the context of primary tumor diagnosis and progression, history of cancer pain, psychological distress, sleep disturbances, cognitive function, and addictive behavior. Incorporating all of these factors into the assessment of a patient’s pain condition can facilitate management decisions and help predict patient response to treatment.

【 授权许可】

Unknown