Chronic Pain in Survivors of Adult Cancers

Publication Date: July 25, 2016

Key Points

Key Points

  • Chronic pain can be a serious, negative consequence of surviving cancer.
  • Although estimates vary, the prevalence of pain in cancer survivors has been reported to be as high as 40%.

Diagnosis

...iagnosi...

...g and Comprehensive Assessment...

...ians should screen for pain at each enco...

...ans should conduct an initial compreh...

...icians should be aware of chronic pain syndromes...

...icians should evaluate and monitor for recurr...


Treatment

...reatme...

...ent and Care Options

...icians should aim to enhance comfo...

...ld engage patient and family/caregivers in all...

...ians should determine the need for...

...acologic Interventions...

...s may prescribe directly or refer patients to o...

...rmacologic Interventi...

...laneous Analgesics...

Clinicians may prescribe the following sy...

...prescribe topical analgesics (such as commerci...

...icosteroids are NOT recommended fo...

...icians should assess the risks of adv...

...ay follow specific state regulations that allow...

Opioi...

...s may prescribe a trial of opioids in carefully se...

...inicians should assess risks of adverse effects...


...ssessment, Mitigation, and Universal Precau...

...icians should assess the potential ri...

...ians should clearly understand terminol...

...linicians should incorporate a uni...

...s should understand pertinent laws and r...

Clinicians should educate patients and fam...

...are no longer warranted, clinicians should taper...

...ic Pain Syndromes Associated With Cancer...

...le 2. Disciplines and Interventions for C...

...ysical medicine and rehabilitation Phy...

...ntegrative therapies Massage Acupuncture Mus...

...entional therapies Nerve blocks Neuraxi...

...ychological approaches Cognitive beha...

...urostimulatory therapies Transcutan...

...al Precautions in Chronic Cancer Pain Managemen...

...4. Risk Stratification and Adherence Monitor...

...able 5. Adverse Effects Associated Wi...