Chronic Pain in Survivors of Adult Cancers
Key Points
Key Points
Although estimates vary, the prevalence of pain in cancer survivors has been reported to be as high as 40%.
Diagnosis
Diagno...
...linicians should screen for pain at each en...
...nicians should conduct an initial comprehen...
Clinicians should be aware of chronic p...
...ld evaluate and monitor for recurrent disease,...
Treatment
...eatmen...
...nt and Care Options...
Clinicians should aim to enhance comf...
...d engage patient and family/caregivers in all...
...icians should determine the need for other hea...
...armacologic Interventions...
...cians may prescribe directly or refer patien...
...ologic Interventio...
...iscellaneous Ana...
...may prescribe the following systemic nonop...
...rescribe topical analgesics (such a...
...orticosteroids are NOT recommended for long-ter...
...d assess the risks of adverse effects of pharmacol...
...ians may follow specific state regula...
Opioi...
...ans may prescribe a trial of opioids in carefully...
...ians should assess risks of adverse...
Risk Assessment, Mitigation, and Universal Precautions With Opioid Use
...k Assessment, Mitigation, and Universa...
...ians should assess the potential risks and benefi...
...ld clearly understand terminology such as toleranc...
...should incorporate a universal precautions appro...
...inicians should understand pertinent la...
...ans should educate patients and family...
...opioids are no longer warranted, clinician...
...1. Chronic Pain Syndromes Associated With Cance...
...elated pain syndromes Bony com...
...al therapy-related pain syndromes Ar...
...on-related pain syndromes Chest wall synd...
...cell transplantation–mediated graft-versus-host...
Surgical pain syndromes Lymphedema...
...Disciplines and Interventions for C...
...ysical medicine and rehabilitationPhysica...
...ative therapiesMassage Acupuncture Music ( E...
...therapiesNerve blocks Neuraxial infusion (...
...hological approachesCognitive behav...
...ostimulatory therapiesTranscutaneou...
...3. Universal Precautions in Chronic...
...e 4. Risk Stratification and Adheren...
...se Effects Associated With Long-Ter...