Trends in Cancer Pain Management

BACKGROUND: Pain is a prevalent symptom in cancer patients, affecting up to 50% of patients undergoing active cancer treatment and up to 90% of those with advanced disease. Although adequate relief can be achieved in the majority of cancer patients, pain is often treated inadequately in traditional settings. METHODS: The authors use their experience and that of others to review the evaluation and diagnosis of pain syndromes and the principles of management. RESULTS: The World Health Organization and other governmental agencies have recognized the importance of pain management as part of routine cancer care. Conducting a comprehensive assessment, competently providing analgesic drugs, and communicating with the patient and family allow effective management of pain in the cancer patient. CONCLUSIONS: Several approaches can promote adequate management of cancer pain, such as enhancing clinician knowledge of pain syndromes, improving pain assessment, and updating medical information related to pain and symptom control.