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Understanding cancer pain.

J M Koeller1

  • 1College of Pharmacy, University of Texas, Austin.

American Journal of Hospital Pharmacy
|August 1, 1990
PubMed
Summary
This summary is machine-generated.

Over 80% of advanced cancer patients experience moderate to severe pain, often from tumor growth or treatment side effects. Alternative delivery systems, like spinal analgesics, offer improved pain management for cancer patients.

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Area of Science:

  • Oncology
  • Pain Management
  • Palliative Care

Background:

  • Cancer pain affects over 80% of patients with advanced metastatic disease.
  • Pain etiology includes direct tumor infiltration (most common), surgery, radiotherapy, and chemotherapy.
  • Pain incidence varies by tumor type, with bone, cervix, and ovarian cancers having higher rates.

Purpose of the Study:

  • To discuss the pathogenesis and incidence of cancer pain.
  • To describe the nature of acute and chronic cancer pain.
  • To review alternative delivery systems for effective cancer pain management.

Main Methods:

  • Review of cancer pain pathogenesis and incidence.
  • Classification of pain types (somatic, visceral, deafferentation, referred).

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  • Discussion of acute vs. chronic pain and psychological impacts.

    • Main Results:

    • Cancer pain is prevalent, particularly in advanced stages and specific tumor types.
    • Different pain types (somatic, visceral) have distinct characteristics.
    • Spinal administration of opiate analgesics offers selective pain blockade with fewer adverse effects.

    Conclusions:

    • Clinicians must be aware of diverse analgesic modalities for cancer pain.
    • Understanding pain mechanisms and types is crucial for effective management.
    • Exploring advanced delivery routes, such as epidural or intrathecal analgesia, is recommended for improved patient outcomes.