An Overview of Current Recommendations and Options for the Management of Cancer Pain: A Comprehensive Review
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 th...
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Format: | Article |
Language: | English |
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Adis, Springer Healthcare
2020-09-01
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Series: | Oncology and Therapy |
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Online Access: | https://doi.org/10.1007/s40487-020-00128-y |
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author | Kyle L. Gress Karina Charipova Alan D. Kaye Omar Viswanath Ivan Urits |
author_facet | Kyle L. Gress Karina Charipova Alan D. Kaye Omar Viswanath Ivan Urits |
author_sort | Kyle L. Gress |
collection | DOAJ |
description | 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. |
first_indexed | 2024-12-22T11:31:45Z |
format | Article |
id | doaj.art-c2aa83506938407ca9ec4ae3a5a67c8c |
institution | Directory Open Access Journal |
issn | 2366-1070 2366-1089 |
language | English |
last_indexed | 2024-12-22T11:31:45Z |
publishDate | 2020-09-01 |
publisher | Adis, Springer Healthcare |
record_format | Article |
series | Oncology and Therapy |
spelling | doaj.art-c2aa83506938407ca9ec4ae3a5a67c8c2022-12-21T18:27:36ZengAdis, Springer HealthcareOncology and Therapy2366-10702366-10892020-09-018225125910.1007/s40487-020-00128-yAn Overview of Current Recommendations and Options for the Management of Cancer Pain: A Comprehensive ReviewKyle L. Gress0Karina Charipova1Alan D. Kaye2Omar Viswanath3Ivan Urits4Georgetown University School of MedicineGeorgetown University School of MedicineDepartment of Anesthesiology, Louisiana State University Health ShreveportDepartment of Anesthesiology, Louisiana State University Health ShreveportDepartment of Anesthesiology, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical SchoolAbstract 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.https://doi.org/10.1007/s40487-020-00128-yCancer painChronic painNeoplasmsOpioidsPain management |
spellingShingle | Kyle L. Gress Karina Charipova Alan D. Kaye Omar Viswanath Ivan Urits An Overview of Current Recommendations and Options for the Management of Cancer Pain: A Comprehensive Review Oncology and Therapy Cancer pain Chronic pain Neoplasms Opioids Pain management |
title | An Overview of Current Recommendations and Options for the Management of Cancer Pain: A Comprehensive Review |
title_full | An Overview of Current Recommendations and Options for the Management of Cancer Pain: A Comprehensive Review |
title_fullStr | An Overview of Current Recommendations and Options for the Management of Cancer Pain: A Comprehensive Review |
title_full_unstemmed | An Overview of Current Recommendations and Options for the Management of Cancer Pain: A Comprehensive Review |
title_short | An Overview of Current Recommendations and Options for the Management of Cancer Pain: A Comprehensive Review |
title_sort | overview of current recommendations and options for the management of cancer pain a comprehensive review |
topic | Cancer pain Chronic pain Neoplasms Opioids Pain management |
url | https://doi.org/10.1007/s40487-020-00128-y |
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