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Managing cancer pain: basic principles and invasive treatments
1Division of Pain Medicine, Mayo Clinic Jacksonville, Florida 32224, USA.
Mayo Clinic Proceedings
|May 1, 1996
Summary
Managing severe cancer pain remains a challenge. This article reviews the World Health Organization
Area of Science:
- Oncology
- Pain Management
- Palliative Care
Background:
- Severe cancer pain poses significant challenges for patients, healthcare providers, and the healthcare system.
- Recent decades have seen major advancements in understanding pain pathogenesis and in the clinical approach to cancer pain management.
Purpose of the Study:
- To summarize fundamental principles for treating cancer pain.
- To describe the World Health Organization 3-step analgesic ladder for cancer pain.
- To discuss invasive strategies for refractory cancer pain syndromes.
Main Methods:
- Review of basic principles in cancer pain treatment.
- Description of the World Health Organization 3-step analgesic ladder.
- Discussion of invasive approaches for refractory cancer pain.
Main Results:
- The World Health Organization 3-step analgesic ladder provides a structured approach to cancer pain management.
- Various invasive methods can be employed for refractory cancer pain syndromes.
Conclusions:
- Effective management of cancer pain requires understanding its pathogenesis and utilizing established treatment principles.
- The World Health Organization analgesic ladder is a key tool for guiding pharmacotherapy.
- Invasive techniques offer options for complex and intractable pain.