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Breaking Through Cancer Pain: From Single-Drug Management to Multimodal Analgesia
Yating Xu1,2,3, Shu Xu1,2,3, Bo Huang1,2,3
1Huzhou Central Hospital, Fifth School of Clinical Medicine of Zhejiang Chinese, Medical University, Huzhou, Zhejiang, China, gumed.edu.pl.
Managing cancer pain remains challenging, with new treatments like novel analgesics and advanced interventions showing promise. Further research is needed to validate these therapies for effective, personalized cancer pain control.
Area of Science:
- Oncology
- Pain Management
- Pharmacology
Background:
- Cancer pain impacts 60-80% of advanced cancer patients, with 30% experiencing inadequate pain control.
- The World Health Organization (WHO) analgesic ladder improved management, but challenges like inadequate analgesia and opioid side effects persist.
Purpose of the Study:
- To review recent advancements in cancer pain management.
- To provide clinicians and researchers with updated insights on novel therapies.
Main Methods:
- Narrative review of recent literature.
- Evaluation of novel analgesics, opioid formulations, nanomedicine, invasive interventions, and integrative therapies.
Main Results:
- Novel analgesics, improved opioid delivery, and nanomedicine show preclinical promise.
- Invasive interventions (intrathecal delivery, neuromodulation, neurolysis) offer targeted options for refractory pain.
- Integrative therapies may improve quality of life, but direct analgesic evidence is limited.
Conclusions:
- Cancer pain management is moving towards personalized, multimodal approaches.
- Many new therapies require further cancer-specific validation.
- High-quality trials are essential for evidence-based precision cancer pain management.
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