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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Main Authors: Kyle L. Gress, Karina Charipova, Alan D. Kaye, Omar Viswanath, Ivan Urits
Format: Article
Language:English
Published: Adis, Springer Healthcare 2020-09-01
Series:Oncology and Therapy
Subjects:
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.
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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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