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Pain: impediments and suggestions for solutions.

June L Dahl1

  • 1Department of Pharmacology, University of Wisconsin-Madison Medical School, Madison, 53706, USA. jldahl@wisc.edu

Journal of the National Cancer Institute. Monographs
|July 21, 2004
PubMed
Summary

Effective cancer pain management is achievable but often inadequate, impacting patient quality of life. Addressing barriers across healthcare systems, professionals, and the public is crucial for optimal pain relief.

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How to reduce fears of legal/regulatory scrutiny in managing pain in cancer patients.

The journal of supportive oncology·2005

Area of Science:

  • Oncology
  • Pain Management
  • Palliative Care

Background:

  • Cancer pain is a prevalent and severe symptom impacting patient quality of life.
  • Despite available therapies, approximately 50% of cancer patients experience inadequate pain relief.
  • Significant barriers hinder effective pain assessment and management in cancer care.

Purpose of the Study:

  • To highlight the critical need for systematic efforts to understand and overcome barriers to effective cancer pain control.
  • To emphasize the importance of integrating pain assessment and management into routine cancer care.
  • To advocate for a research agenda focused on bridging the gap between current knowledge and clinical practice.

Main Methods:

  • Systematic review and analysis of documented impediments to cancer pain management.
  • Identification of barriers related to healthcare professionals, patients, families, and the public.
  • Examination of systemic issues within healthcare, reimbursement, and drug regulatory frameworks.

Main Results:

  • Impediments to effective cancer pain management are multi-faceted, involving healthcare providers, patients, and systemic factors.
  • Inadequate pain relief significantly diminishes patients' quality of life and functional status.
  • Existing pharmacological and non-pharmacological therapies are often underutilized or inaccessible due to various barriers.

Conclusions:

  • Addressing the identified barriers is essential to ensure adequate pain relief for all cancer patients.
  • A comprehensive research agenda is required to translate existing knowledge into improved clinical practice.
  • Eliminating unrelieved cancer pain is a critical goal for improving patient outcomes and well-being.

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