Optimal pain management for patients with cancer in the modern era

被引:319
作者
Scarborough, Bethann M. [1 ]
Smith, Cardinale B. [2 ,3 ]
机构
[1] Icahn Sch Med Mt Sinai, Brookdale Dept Geriatr & Palliat Care, New York, NY 10029 USA
[2] Icahn Sch Med Mt Sinai, Brookdale Dept Geriatr & Palliat Care, Div Hematol & Med Oncol, Med, New York, NY 10029 USA
[3] Icahn Sch Med Mt Sinai, Tisch Canc Inst, Mt Sinai Hlth Syst, Qual Canc Serv, New York, NY 10029 USA
关键词
addiction; adjuvant; cancer; opioid; pain assessment; pain management; QUALITY-OF-LIFE; INDUCED PERIPHERAL NEUROPATHY; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; 5TH VITAL SIGN; PALLIATIVE CARE; OPIOID ANALGESICS; CLINICAL-PRACTICE; UNITED-STATES; DOUBLE-BLIND; OVERDOSE DEATHS;
D O I
10.3322/caac.21453
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Pain is a common symptom among patients with cancer. Adequate pain assessment and management are critical to improve the quality of life and health outcomes in this population. In this review, the authors provide a framework for safely and effectively managing cancer-related pain by summarizing the evidence for the importance of controlling pain, the barriers to adequate pain management, strategies to assess and manage cancer-related pain, how to manage pain in patients at risk of substance use disorder, and considerations when managing pain in a survivorship population. (C) 2018 American Cancer Society.
引用
收藏
页码:182 / 196
页数:15
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