Chronic Pain in Survivors of Adult Cancers

Publication Date: July 25, 2016

Key Points

Key Points

Chronic pain can be a serious, negative consequence of surviving cancer.

Although estimates vary, the prevalence of pain in cancer survivors has been reported to be as high as 40%.

Diagnosis

...gnosis...

...inicians should screen for pain at e...


...should conduct an initial comprehensive pain...


...ians should be aware of chronic pain syndromes res...


...s should evaluate and monitor for recurrent...


Treatment

...reatme...

...t and Care Options...

...ns should aim to enhance comfort, improve...

...d engage patient and family/caregivers in all...

...uld determine the need for other h...

...armacologic Intervention...

...ay prescribe directly or refer patients t...

...logic Interventions...

...neous Analgesics

...inicians may prescribe the following syst...

...ay prescribe topical analgesics (such as comme...

...ticosteroids are NOT recommended for long-t...

...uld assess the risks of adverse effects of...

...ay follow specific state regulations...

...pioid...

...linicians may prescribe a trial of opioids in...

...ld assess risks of adverse effects of opioids use...


Risk Assessment, Mitigation, and Universal Precautions With Opioid Use

...Assessment, Mitigation, and Universal P...

...hould assess the potential risks and...


...ns should clearly understand termino...


...ans should incorporate a universal preca...


...cians should understand pertinent laws and regulat...


...ns should educate patients and famil...


...ioids are no longer warranted, clinicians sh...


.... Chronic Pain Syndromes Associated With Cance...

...motherapy-related pain syndromes Bon...

...erapy-related pain syndromes Arthralgia...

...d pain syndromes Chest wall syndrome...

...ell transplantation–mediated graft-versus-hos...

...al pain syndromes Lymphedema...


...le 2. Disciplines and Interventions for Chronic P...

...e and rehabilitationPhysical therapy Occup...

...egrative therapiesMassage Acupuncture Music ( EB...

...nal therapiesNerve blocks Neuraxial inf...

...pproachesCognitive behavioral therapy Distracti...

...stimulatory therapiesTranscutaneous electric...


...3. Universal Precautions in Chroni...


...e 4. Risk Stratification and Adherence M...


.... Adverse Effects Associated With Long-Term Opio...