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
Diagnos...
...linicians should screen for pain at e...
...ld conduct an initial comprehensive...
...s should be aware of chronic pain syndr...
...ld evaluate and monitor for recurrent disease,...
Treatment
Treatm...
...ent and Care Options...
...inicians should aim to enhance comfort, improve...
...ans should engage patient and family/caregiv...
...ians should determine the need for other health...
...onpharmacologic Interv...
...ans may prescribe directly or refer patien...
...rmacologic Interventions
...aneous Analgesics
...s may prescribe the following systemic n...
...icians may prescribe topical analgesics (su...
...steroids are NOT recommended for long-term...
...icians should assess the risks of a...
...ollow specific state regulations that allow...
Opioid...
...y prescribe a trial of opioids in carefu...
...inicians should assess risks of adv...
Risk Assessment, Mitigation, and Universal Precautions With Opioid Use
...sk Assessment, Mitigation, and Universal Precau...
...ns should assess the potential risks and benefit...
...ould clearly understand terminology such as tolera...
...ns should incorporate a universal precau...
...ans should understand pertinent laws and r...
...cians should educate patients and family member...
...ids are no longer warranted, clinicians...
...able 1. Chronic Pain Syndromes Associated With...
...-related pain syndromes Bony complications...
...al therapy-related pain syndromes...
...on-related pain syndromes Chest wall syndro...
Stem-cell transplantation–mediated g...
Surgical pain syndromes Lymphe...
...ciplines and Interventions for Chronic Pain...
...medicine and rehabilitationPhysical...
...e therapiesMassage Acupuncture Music ( EB , H...
...nterventional therapiesNerve blocks Ne...
...gical approachesCognitive behaviora...
Neurostimulatory therapiesTranscutaneous elect...
...3. Universal Precautions in Chronic Cancer Pain...
.... Risk Stratification and Adherence MonitoringHavi...
...Adverse Effects Associated With Long-Term O...