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Manejo del dolor del cáncer
1Department of Pain Medicine and Palliative Care, Beth Israel Medical Center, New York, NY 10003, USA. Rportenoy@bethisraelny.org
Lancet (London, England)
|May 21, 1999
Resumen
El manejo efectivo del dolor por cáncer es crucial para la calidad de vida del paciente. A pesar de las terapias disponibles, el subtratamiento persiste debido a las brechas de conocimiento, los problemas sistémicos y los factores del paciente, lo que pone de relieve la necesidad de un conocimiento clínico actualizado y la educación del paciente.
Área de la Ciencia:
- Oncología Oncología.
- Los cuidados paliativos son cuidados paliativos.
- Manejo del dolor Manejo del dolor.
Sus antecedentes:
- Los pacientes con cáncer experimentan diversos síntomas que afectan la calidad de vida.
- El dolor por cáncer inadecuadamente controlado afecta negativamente a los pacientes y sus familias.
- La Organización Mundial de la Salud (OMS) y los organismos profesionales hacen hincapié en el manejo del dolor en la atención del cáncer.
Objetivo del estudio:
- Para resaltar la prevalencia y el impacto del dolor por cáncer.
- Para identificar las barreras para el manejo eficaz del dolor del cáncer.
- Abogar por un mejor control del dolor a través de la educación y las prácticas actualizadas.
Principales métodos:
- Revisión de los datos de prevalencia para el dolor por cáncer en diferentes etapas de la enfermedad.
- Análisis de los factores que contribuyen a un manejo inadecuado del dolor.
- Síntesis de recomendaciones para mejorar el alivio del dolor.
Principales resultados:
- El dolor crónico afecta al 30-50% de los pacientes en tratamiento activo y al 70-90% con enfermedad avanzada.
- Hasta el 90% de los pacientes pudieron lograr alivio con terapias farmacológicas simples.
- El manejo inadecuado proviene del tratamiento insuficiente del clínico, el informe insuficiente del paciente y las barreras sistémicas.
Conclusiones:
- Mejorar el manejo del dolor del cáncer requiere información médica actual para los profesionales.
- La educación del paciente es esencial para mejorar el control del dolor y la adherencia a la terapia.
- Abordar las barreras sistémicas e individuales es clave para lograr una terapia analgésica óptima.
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