Cancer Pain Assessment and Classification

More than half of patients affected by cancer experience pain of moderate-to-severe intensity, often in multiple sites, and of different etiologies and underlying mechanisms. The heterogeneity of pain mechanisms is expressed with the fluctuating nature of cancer pain intensity and clinical character...

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Main Authors: Augusto Caraceni, Morena Shkodra
Format: Article
Language:English
Published: MDPI AG 2019-04-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/11/4/510
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author Augusto Caraceni
Morena Shkodra
author_facet Augusto Caraceni
Morena Shkodra
author_sort Augusto Caraceni
collection DOAJ
description More than half of patients affected by cancer experience pain of moderate-to-severe intensity, often in multiple sites, and of different etiologies and underlying mechanisms. The heterogeneity of pain mechanisms is expressed with the fluctuating nature of cancer pain intensity and clinical characteristics. Traditional ways of classifying pain in the cancer population include distinguishing pain etiology, clinical characteristics related to pain and the patient, pathophysiology, and the use of already validated classification systems. Concepts like breakthrough, nociceptive, neuropathic, and mixed pain are very important in the assessment of pain in this population of patients. When dealing with patients affected by cancer pain it is also very important to be familiar to the characteristics of specific pain syndromes that are usually encountered. In this article we review methods presently applied for classifying cancer pain highlighting the importance of an accurate clinical evaluation in providing adequate analgesia to patients.
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spelling doaj.art-7797c284e85a4541a2f370cb2ab9251c2023-08-02T03:36:21ZengMDPI AGCancers2072-66942019-04-0111451010.3390/cancers11040510cancers11040510Cancer Pain Assessment and ClassificationAugusto Caraceni0Morena Shkodra1Palliative Care, Pain Therapy and Rehabilitation Department, Fondazione IRCCS-Istituto Nazionale dei Tumori (INT), 20133 Milan, ItalyPalliative Care, Pain Therapy and Rehabilitation Department, Fondazione IRCCS-Istituto Nazionale dei Tumori (INT), 20133 Milan, ItalyMore than half of patients affected by cancer experience pain of moderate-to-severe intensity, often in multiple sites, and of different etiologies and underlying mechanisms. The heterogeneity of pain mechanisms is expressed with the fluctuating nature of cancer pain intensity and clinical characteristics. Traditional ways of classifying pain in the cancer population include distinguishing pain etiology, clinical characteristics related to pain and the patient, pathophysiology, and the use of already validated classification systems. Concepts like breakthrough, nociceptive, neuropathic, and mixed pain are very important in the assessment of pain in this population of patients. When dealing with patients affected by cancer pain it is also very important to be familiar to the characteristics of specific pain syndromes that are usually encountered. In this article we review methods presently applied for classifying cancer pain highlighting the importance of an accurate clinical evaluation in providing adequate analgesia to patients.https://www.mdpi.com/2072-6694/11/4/510cancer painpain assessmentpain classificationbreakthrough painneuropathic painpain syndromes
spellingShingle Augusto Caraceni
Morena Shkodra
Cancer Pain Assessment and Classification
Cancers
cancer pain
pain assessment
pain classification
breakthrough pain
neuropathic pain
pain syndromes
title Cancer Pain Assessment and Classification
title_full Cancer Pain Assessment and Classification
title_fullStr Cancer Pain Assessment and Classification
title_full_unstemmed Cancer Pain Assessment and Classification
title_short Cancer Pain Assessment and Classification
title_sort cancer pain assessment and classification
topic cancer pain
pain assessment
pain classification
breakthrough pain
neuropathic pain
pain syndromes
url https://www.mdpi.com/2072-6694/11/4/510
work_keys_str_mv AT augustocaraceni cancerpainassessmentandclassification
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