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Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram
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Cancer Pain Assessment and Classification.

Augusto Caraceni1, Morena Shkodra2

  • 1Palliative Care, Pain Therapy and Rehabilitation Department, Fondazione IRCCS-Istituto Nazionale dei Tumori (INT), 20133 Milan, Italy. augusto.caraceni@istitutotumori.mi.it.

Cancers
|April 13, 2019
PubMed
Summary

Over half of cancer patients experience moderate-to-severe pain due to diverse causes. Accurate classification of cancer pain, considering nociceptive, neuropathic, and breakthrough pain, is crucial for effective pain management.

Keywords:
breakthrough paincancer painneuropathic painpain assessmentpain classificationpain syndromes

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Area of Science:

  • Oncology
  • Pain Medicine
  • Palliative Care

Background:

  • Cancer pain affects over 50% of patients, often with moderate-to-severe intensity.
  • Pain characteristics are heterogeneous, varying in site, etiology, and underlying mechanisms.
  • Fluctuating pain intensity and clinical presentation underscore the complexity of cancer pain.

Purpose of the Study:

  • To review current methods for classifying cancer pain.
  • To emphasize the importance of accurate clinical evaluation in cancer pain assessment.
  • To highlight key pain concepts like breakthrough, nociceptive, neuropathic, and mixed pain.

Main Methods:

  • Review of traditional and validated cancer pain classification systems.
  • Discussion of pain etiology, clinical characteristics, and pathophysiology.
  • Familiarization with specific cancer pain syndromes.

Main Results:

  • Cancer pain classification traditionally involves etiology, clinical features, and pathophysiology.
  • Key pain types include breakthrough, nociceptive, neuropathic, and mixed pain.
  • Understanding specific pain syndromes is vital for patient care.

Conclusions:

  • Accurate clinical evaluation is paramount for effective cancer pain management.
  • A thorough understanding of pain classification aids in providing adequate analgesia.
  • Addressing the heterogeneity of cancer pain requires a nuanced approach to classification.