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Current perspectives on pain in AIDS
William Breitbart1, Lucia Dibiase
1Department of Psychiatry and Behavioral Sciences, Pain and Palliative Care Service, Weill Medical College of Cornell University, New York, New York, USA. breitbaw@mskcc.org
Abstract:
As active participants in the care of patients with acquired immunodeficiency syndrome (AIDS), oncologists need to be aware of the many facets of pain management in this population. This two-part article, which began in the June 2002 issue, describes the prevalence and types of pain syndromes encountered in patients with AIDS, and reviews the psychological and functional impact of pain as well as the barriers to adequate pain treatment in this group and others with human immunodeficiency virus (HIV)-related disease. Finally, principles of pain management, with particular emphasis on controlling pain in HIV-infected patients with a history of substance abuse, are outlined.