Managing Cancer Pain - Simple Rules, Major Benefits

In the developed world, approximately one in three individuals will be diagnosed with cancer and one-half of those will die of progressive disease (1). At least 75% of patients with cancer develop pain before death. It is therefore not surprising that pain is one of the most feared consequences of c...

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Main Author: Dwight E Moulin
Format: Article
Language:English
Published: Wiley 2004-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2004/979013
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author Dwight E Moulin
author_facet Dwight E Moulin
author_sort Dwight E Moulin
collection DOAJ
description In the developed world, approximately one in three individuals will be diagnosed with cancer and one-half of those will die of progressive disease (1). At least 75% of patients with cancer develop pain before death. It is therefore not surprising that pain is one of the most feared consequences of cancer for both patients and families (2). The good news is that cancer pain can be controlled with relatively simple means in more than 80% of cases based on guidelines from the World Health Organization (3). Mild pain can be treated with acetaminophen or nonsteroidal anti-inflammatory drugs (Step 1 of the analgesic ladder). Moderate pain requires the addition of a 'minor' opioid such as codeine (Step 2), and severe pain mandates the use of a major opioid analgesic such as morphine (Step 3). In this issue of Pain Research & Management, Gallagher et al (pages 188-194) highlight some of the barriers to adequate cancer pain management based on a cross-sectional survey of British Columbian physicians. The survey response rate of 69% attests to the validity of their findings.
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spelling doaj-art-47dad588c7ff46b498db01c064e613ca2025-02-03T01:09:23ZengWileyPain Research and Management1203-67652004-01-019418018010.1155/2004/979013Managing Cancer Pain - Simple Rules, Major BenefitsDwight E MoulinIn the developed world, approximately one in three individuals will be diagnosed with cancer and one-half of those will die of progressive disease (1). At least 75% of patients with cancer develop pain before death. It is therefore not surprising that pain is one of the most feared consequences of cancer for both patients and families (2). The good news is that cancer pain can be controlled with relatively simple means in more than 80% of cases based on guidelines from the World Health Organization (3). Mild pain can be treated with acetaminophen or nonsteroidal anti-inflammatory drugs (Step 1 of the analgesic ladder). Moderate pain requires the addition of a 'minor' opioid such as codeine (Step 2), and severe pain mandates the use of a major opioid analgesic such as morphine (Step 3). In this issue of Pain Research & Management, Gallagher et al (pages 188-194) highlight some of the barriers to adequate cancer pain management based on a cross-sectional survey of British Columbian physicians. The survey response rate of 69% attests to the validity of their findings.http://dx.doi.org/10.1155/2004/979013
spellingShingle Dwight E Moulin
Managing Cancer Pain - Simple Rules, Major Benefits
Pain Research and Management
title Managing Cancer Pain - Simple Rules, Major Benefits
title_full Managing Cancer Pain - Simple Rules, Major Benefits
title_fullStr Managing Cancer Pain - Simple Rules, Major Benefits
title_full_unstemmed Managing Cancer Pain - Simple Rules, Major Benefits
title_short Managing Cancer Pain - Simple Rules, Major Benefits
title_sort managing cancer pain simple rules major benefits
url http://dx.doi.org/10.1155/2004/979013
work_keys_str_mv AT dwightemoulin managingcancerpainsimplerulesmajorbenefits