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Cancer pain

W M O'Neill1

  • 1Dept of Palliative Medicine, Bristol Oncology Centre, England.

Middle East Journal of Anaesthesiology
|February 1, 1996
PubMed
Summary
This summary is machine-generated.

Effective cancer pain management requires accurate diagnosis of pain mechanisms. Most patients benefit from oral analgesics and adjuvant drugs for specific pain types, while intractable pain may need multidisciplinary approaches.

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Area of Science:

  • Oncology
  • Pain Management
  • Pharmacology

Background:

  • Accurate diagnosis of cancer pain mechanisms is crucial for effective management.
  • Most cancer patients respond to oral analgesics, with a limited range of drugs typically required.
  • Adjuvant analgesics are essential for managing specific pain types like bone, visceral, and neuropathic pain.

Purpose of the Study:

  • To outline the principles of effective cancer pain assessment and management.
  • To highlight the role of oral analgesics and adjuvant drugs.
  • To emphasize a multidisciplinary approach for intractable cancer pain.

Main Methods:

  • Review of current pharmacological and non-pharmacological strategies for cancer pain.
  • Categorization of pain types (bone, visceral, neuropathic) and associated treatments.

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  • Integration of drug and non-drug interventions for complex pain cases.

    • Main Results:

    • Oral analgesics are effective for the majority of cancer patients.
    • Adjuvant analgesics are necessary for specific pain syndromes.
    • A multidisciplinary approach, combining drug and non-drug therapies, can manage difficult and intractable cancer pain.

    Conclusions:

    • Precise diagnosis of pain mechanisms is fundamental to effective cancer pain control.
    • A stepwise approach utilizing oral analgesics, adjuvant drugs, and multidisciplinary strategies ensures comprehensive pain management.
    • Most cancer pain can be effectively managed through a combination of pharmacological and non-pharmacological interventions.