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...
...icians should screen for pain at eac...
...linicians should conduct an initial comprehensive...
...should be aware of chronic pain syndr...
...ould evaluate and monitor for recurrent disea...
Treatment
...Treatment...
...Treatment...
...should aim to enhance comfort, improve function,...
...nicians should engage patient and family/ca...
...cians should determine the need for o...
...Nonpharmacologic Interv...
...cians may prescribe directly or refer pat...
...Pharmacologic I...
...Mis...
...may prescribe the following system...
...icians may prescribe topical analgesics (such as...
...roids are NOT recommended for long-term use in can...
...should assess the risks of adverse e...
...cians may follow specific state regulatio...
...Opioids...
...ians may prescribe a trial of opioids in caref...
...ans should assess risks of adverse...
Risk Assessment, Mitigation, and Universal Precautions With Opioid Use
Risk Assess...
...linicians should assess the potential ri...
...ould clearly understand terminology suc...
Clinicians should incorporate a universal preca...
...linicians should understand pertinent laws and...
...icians should educate patients and fami...
...are no longer warranted, clinicians should...
...Tab...
...lated pain syndromes Bony complicati...
...rmonal therapy-related pain syndro...
...d pain syndromes Chest wall syndrome...
...transplantation–mediated graft-versus-host...
...ain syndromes Lymphedema...
...Table 2. Dis...
...al medicine and rehabilitationPhysical...
...erapiesMassage Acupuncture Music ( EB , H...
...ventional therapiesNerve blocks Neuraxial...
...logical approachesCognitive behavioral therapy...
...eurostimulatory therapiesTranscutaneou...
...able 3. Universal Precautions in Chronic Cancer...
...sk Stratification and Adherence Monitoring...
...ble 5. Adverse Effects Associated With Lon...