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23. Pain in Patients with Cancer.

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Title: 23. Pain in Patients with Cancer.
Authors: Vissers, Kris C. P., Besse, Kees, Wagemans, Michel, Zuurmond, Wouter, Giezeman, Maurice J.M.M., Lataster, Arno, Mekhail, Nagy, Burton, Allen W., van Kleef, Maarten, Huygen, Frank
Source: Pain Practice. Sep/Oct2011, Vol. 11 Issue 5, p453-475. 23p. 1 Color Photograph, 1 Black and White Photograph, 1 Diagram, 8 Charts.
Subjects: Denervation, Diagnosis of abdominal pain, Treatment of abdominal pain, Cancer pain treatment, Catheterization, Nerve block, Analgesics, Backache, Cancer pain, Catheters, Drug delivery systems, Drug infusion pumps, Infusion therapy, Spinal injections, Health outcome assessment, Pancreatic tumors, Pelvic tumors, Epidural anesthesia, Physical diagnosis, Stomach tumors, Surgical complications, Terminal care, Evidence-based medicine, Treatment effectiveness, Compression fractures, Symptoms, Diagnosis
Abstract: Pain in patients with cancer can be refractory to pharmacological treatment or intolerable side effects of pharmacological treatment may seriously disturb patients' quality of life. Specific interventional pain management techniques can be an effective alternative for those patients. The appropriate application of these interventional techniques provides better pain control, allows the reduction of analgesics and hence improves quality of life. Until recently, the majority of these techniques are considered to be a fourth consecutive step following the World Health Organization's pain treatment ladder. However, in cancer patients, earlier application of interventional pain management techniques can be recommended even before considering the use of strong opioids. Epidural and intrathecal medication administration allow the reduction of the daily oral or transdermal opioid dose, while maintaining or even improving the pain relief and reducing the side effects. Cervical cordotomy may be considered for patients suffering with unilateral pain at the level below the dermatome C5. This technique should only be applied in patients with a life expectancy of less than 1 year. Plexus coeliacus block or nervus splanchnicus block are recommended for the management of upper abdominal pain due to cancer. Pelvic pain due to cancer can be managed with plexus hypogastricus block and the saddle or lower end block may be a last resort for patients suffering with perineal pain. Back pain due to vertebral compression fractures with or without pathological tumor invasion may be managed with percutaneous vertebroplasty or kyphoplasty. All these interventional techniques should be a part of multidisciplinary patient program. [ABSTRACT FROM AUTHOR]
Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: 23. Pain in Patients with Cancer.
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  Data: <searchLink fieldCode="AR" term="%22Vissers%2C+Kris+C%2E+P%2E%22">Vissers, Kris C. P.</searchLink><br /><searchLink fieldCode="AR" term="%22Besse%2C+Kees%22">Besse, Kees</searchLink><br /><searchLink fieldCode="AR" term="%22Wagemans%2C+Michel%22">Wagemans, Michel</searchLink><br /><searchLink fieldCode="AR" term="%22Zuurmond%2C+Wouter%22">Zuurmond, Wouter</searchLink><br /><searchLink fieldCode="AR" term="%22Giezeman%2C+Maurice+J%2EM%2EM%2E%22">Giezeman, Maurice J.M.M.</searchLink><br /><searchLink fieldCode="AR" term="%22Lataster%2C+Arno%22">Lataster, Arno</searchLink><br /><searchLink fieldCode="AR" term="%22Mekhail%2C+Nagy%22">Mekhail, Nagy</searchLink><br /><searchLink fieldCode="AR" term="%22Burton%2C+Allen+W%2E%22">Burton, Allen W.</searchLink><br /><searchLink fieldCode="AR" term="%22van+Kleef%2C+Maarten%22">van Kleef, Maarten</searchLink><br /><searchLink fieldCode="AR" term="%22Huygen%2C+Frank%22">Huygen, Frank</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Pain+Practice%22">Pain Practice</searchLink>. Sep/Oct2011, Vol. 11 Issue 5, p453-475. 23p. 1 Color Photograph, 1 Black and White Photograph, 1 Diagram, 8 Charts.
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  Data: Pain in patients with cancer can be refractory to pharmacological treatment or intolerable side effects of pharmacological treatment may seriously disturb patients' quality of life. Specific interventional pain management techniques can be an effective alternative for those patients. The appropriate application of these interventional techniques provides better pain control, allows the reduction of analgesics and hence improves quality of life. Until recently, the majority of these techniques are considered to be a fourth consecutive step following the World Health Organization's pain treatment ladder. However, in cancer patients, earlier application of interventional pain management techniques can be recommended even before considering the use of strong opioids. Epidural and intrathecal medication administration allow the reduction of the daily oral or transdermal opioid dose, while maintaining or even improving the pain relief and reducing the side effects. Cervical cordotomy may be considered for patients suffering with unilateral pain at the level below the dermatome C5. This technique should only be applied in patients with a life expectancy of less than 1 year. Plexus coeliacus block or nervus splanchnicus block are recommended for the management of upper abdominal pain due to cancer. Pelvic pain due to cancer can be managed with plexus hypogastricus block and the saddle or lower end block may be a last resort for patients suffering with perineal pain. Back pain due to vertebral compression fractures with or without pathological tumor invasion may be managed with percutaneous vertebroplasty or kyphoplasty. All these interventional techniques should be a part of multidisciplinary patient program. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1111/j.1533-2500.2011.00473.x
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      – Code: eng
        Text: English
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        PageCount: 23
        StartPage: 453
    Subjects:
      – SubjectFull: Denervation
        Type: general
      – SubjectFull: Diagnosis of abdominal pain
        Type: general
      – SubjectFull: Treatment of abdominal pain
        Type: general
      – SubjectFull: Cancer pain treatment
        Type: general
      – SubjectFull: Catheterization
        Type: general
      – SubjectFull: Nerve block
        Type: general
      – SubjectFull: Analgesics
        Type: general
      – SubjectFull: Backache
        Type: general
      – SubjectFull: Cancer pain
        Type: general
      – SubjectFull: Catheters
        Type: general
      – SubjectFull: Drug delivery systems
        Type: general
      – SubjectFull: Drug infusion pumps
        Type: general
      – SubjectFull: Infusion therapy
        Type: general
      – SubjectFull: Spinal injections
        Type: general
      – SubjectFull: Health outcome assessment
        Type: general
      – SubjectFull: Pancreatic tumors
        Type: general
      – SubjectFull: Pelvic tumors
        Type: general
      – SubjectFull: Epidural anesthesia
        Type: general
      – SubjectFull: Physical diagnosis
        Type: general
      – SubjectFull: Stomach tumors
        Type: general
      – SubjectFull: Surgical complications
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      – SubjectFull: Terminal care
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Compression fractures
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      – SubjectFull: Symptoms
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      – SubjectFull: Diagnosis
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      – TitleFull: 23. Pain in Patients with Cancer.
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              Text: Sep/Oct2011
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