The rationale for a multimodal approach in the management of breakthrough cancer pain: a review
Breakthrough pain has been described differently in various countries, and not surprisingly, recommendations for its management vary according to the institution. Usually when breakthrough pain occurs, the patient's pain has already been managed according to the World Health Organization 3-step...
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| Veröffentlicht in: | American journal of hospice & palliative medicine 2007-10, Vol.24 (5), p.430-439 |
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| container_title | American journal of hospice & palliative medicine |
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| creator | Soares, Luiz Guilherme Chan, Vincent W |
| description | Breakthrough pain has been described differently in various countries, and not surprisingly, recommendations for its management vary according to the institution. Usually when breakthrough pain occurs, the patient's pain has already been managed according to the World Health Organization 3-step ladder for cancer pain. After this point, the treatment choice is usually based on clinical judgment, the physician's personal experience with interventional procedures, and local resources available. Opioids remain the mainstay of the management of breakthrough cancer pain. However, the combination of radio-oncology, adjuvant drugs, and interventional pain procedures can improve pain relief. This review addresses those questions and proposes a multimodal approach to manage breakthrough cancer pain. |
| doi_str_mv | 10.1177/1049909107302297 |
| format | Article |
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Usually when breakthrough pain occurs, the patient's pain has already been managed according to the World Health Organization 3-step ladder for cancer pain. After this point, the treatment choice is usually based on clinical judgment, the physician's personal experience with interventional procedures, and local resources available. Opioids remain the mainstay of the management of breakthrough cancer pain. However, the combination of radio-oncology, adjuvant drugs, and interventional pain procedures can improve pain relief. 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| fulltext | fulltext |
| identifier | ISSN: 1049-9091 |
| ispartof | American journal of hospice & palliative medicine, 2007-10, Vol.24 (5), p.430-439 |
| issn | 1049-9091 |
| language | eng |
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| subjects | Algorithms Analgesia - methods Analgesics, Opioid Anti-Inflammatory Agents - therapeutic use Anti-Inflammatory Agents, Non-Steroidal - therapeutic use Decision Trees Drug Administration Schedule Drug Monitoring Drug Therapy, Combination Humans Neoplasms - complications Nursing Nursing Assessment Pain - diagnosis Pain - epidemiology Pain - etiology Pain Management Pain Measurement - methods Pain Measurement - nursing Palliative Care - methods Prevalence Radiation Oncology Radiotherapy Relaxation Therapy Severity of Illness Index |
| title | The rationale for a multimodal approach in the management of breakthrough cancer pain: a review |
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