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
...Diagnosis...
...ould screen for pain at each encounte...
Clinicians should conduct an initial comprehensi...
Clinicians should be aware of chron...
...s should evaluate and monitor for recurr...
Treatment
...Tr...
...Treatment a...
...ld aim to enhance comfort, improve function, limi...
...linicians should engage patient and family/c...
...s should determine the need for other he...
Nonph...
Clinicians may prescribe directly or refer pat...
...Phar...
...Misce...
...inicians may prescribe the following...
...y prescribe topical analgesics (such as commercial...
...ds are NOT recommended for long-ter...
...ians should assess the risks of adverse effects o...
...y follow specific state regulations...
...Opioids...
...ay prescribe a trial of opioids in...
...cians should assess risks of adver...
Risk Assessment, Mitigation, and Universal Precautions With Opioid Use
...Risk Assess...
...should assess the potential risks and benefits wh...
...should clearly understand terminology such as...
...hould incorporate a universal preca...
...inicians should understand pertinent laws and re...
...s should educate patients and family member...
...oids are no longer warranted, clinic...
...Table 1. Chronic...
...-related pain syndromes Bony...
...l therapy-related pain syndromes Arthr...
...d pain syndromes Chest wall syndrome...
...plantation–mediated graft-versus-host disea...
...l pain syndromes Lymphedema...
...Table 2. Disciplin...
...e and rehabilitationPhysical therapy...
...therapiesMassage Acupuncture Music...
...onal therapiesNerve blocks Neuraxial infusi...
...ychological approachesCognitive beh...
...urostimulatory therapiesTranscutaneous e...
...able 3. Universal Precautions in Ch...
...tratification and Adherence MonitoringHaving tr...
...ble 5. Adverse Effects Associated With Long-T...