Chronic Pain in Survivors of Adult Cancers
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
...agnosis...
Screening and Comprehensive Assess...
...uld screen for pain at each encounter. Screen...
...ians should conduct an initial comp...
...should be aware of chronic pain syndrome...
...ans should evaluate and monitor for recur...
Treatment
...reatment...
...reatment and Care Options
...should aim to enhance comfort, improv...
...hould engage patient and family/ca...
...ld determine the need for other health...
...armacologic Interventio...
...cians may prescribe directly or refer p...
...rmacologic Intervent...
...ellaneous Analge...
...cians may prescribe the following systemic non...
...may prescribe topical analgesics (such...
...ids are NOT recommended for long-term use in c...
...ns should assess the risks of adverse ef...
...inicians may follow specific state regu...
...pioids...
...y prescribe a trial of opioids in carefully selec...
...should assess risks of adverse effects o...
...ment, Mitigation, and Universal Pr...
...ns should assess the potential risks and benefits...
...ans should clearly understand termino...
...ould incorporate a universal precauti...
...s should understand pertinent laws and regulatio...
...hould educate patients and family members reg...
...opioids are no longer warranted, clinicia...
Table 1. Chronic Pain Syndromes Associated With Ca...
...Disciplines and Interventions for Chronic Pain...
...hysical medicine and rehabilitation Physical...
...herapies Massage Acupuncture...
...erventional therapies Nerve blocks Neura...
...ogical approaches Cognitive behavioral thera...
...timulatory therapies Transcutaneous...
...al Precautions in Chronic Cancer Pain Manage...
...Risk Stratification and Adherence...
...5. Adverse Effects Associated With Lo...