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Assessment and Non-pharmacological Management of Chronic Pain in Pediatric Cancer Survivors: Current Practices and
Lauren Hayes1,2, Jacqueline M Pabis3,4, Megan Millmann3,4
1Norton Children's Medical Group, Louisville, KY, USA. Lauren.Hayes@louisville.edu.
Insights
Non-pharmacological interventions show promise for managing chronic pain in pediatric cancer survivors. Research highlights biopsychosocial assessments and therapies like physical activity and biofeedback for improved outcomes.
Area of Science:
- Oncology
- Pain Management
- Pediatrics
Background:
- Chronic pain is a significant and disabling long-term effect in pediatric cancer survivors.
- Pain management in this population is complex, requiring comprehensive assessment to guide effective treatment.
Purpose of the Study:
- To review less invasive, non-pharmacological interventions for chronic pain in pediatric cancer survivors.
- To identify current assessment strategies that guide these interventions.
Main Methods:
- Review of recent research on pain assessment and non-pharmacological interventions.
- Analysis of studies utilizing validated measures (e.g., PROMIS) and screeners for biopsychosocial pain assessment.
- Evaluation of preliminary findings for physical activity and biofeedback interventions.
Main Results:
- Biopsychosocial pain assessment using validated measures and screeners is effective in pediatric cancer survivors.
- Preliminary studies indicate positive outcomes for physical activity and biofeedback interventions.
- Advances in pain management are promising, but further research is needed.
Conclusions:
- Comprehensive biopsychosocial pain assessments and tailored treatments are crucial for pediatric cancer survivors.
- Further research should explore interventions like hypnosis in this population.
- Refining identification and treatment strategies for chronic pain in survivors is essential.
Purpose Of Review:
Chronic pain is a prevalent and debilitating late effect of pediatric cancer. It is also multifaceted and requires comprehensive assessment to guide optimal treatment. While pharmacological interventions for chronic pain in this population are well summarized elsewhere, a current review of less invasive non-pharmacological interventions and assessments to guide them is needed.
Recent Findings:
Recent research has found the utility of biopsychosocial assessment of pain in pediatric cancer survivors using both validated measures such as the PROMIS and brief screeners. For intervention, preliminary studies found positive outcomes for physical activity interventions and biofeedback for pain in survivors. Advances in management of chronic pain in survivors are promising, though future research should refine identification and treatment. More research is needed on comprehensive biopsychosocial pain assessments and tailoring treatment. Further, promising interventions in broad chronic pain literature such as hypnosis should be explored for pediatric cancer survivors.
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