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Special Report
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Volume 330:651-655 March 3, 1994 Number 9
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New Clinical-Practice Guidelines for the Management of Pain in Patients with Cancer
Ada Jacox, Daniel B. Carr, and Richard Payne

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-Related Article
 by Annas, G. J.
-PubMed Citation
Cancer is newly diagnosed in more than 1 million Americans annually, and 1 of 5 deaths in the United States -- about 1400 per day -- results from cancer1. Cancer is increasingly prevalent in the United States, yet unfortunately, the pain associated with it is frequently undertreated in both adults and children.

Patients with cancer often have pain from more than one source, but in up to 90 percent of patients the pain can be controlled by relatively simple means. Nevertheless, undertreatment of cancer pain is common because of clinicians' inadequate knowledge of effective assessment and management practices, negative . . . [Full Text of this Article]

The Assessment of Pain

Pharmacologic Management

Nonpharmacologic Management

Physical and Psychosocial Methods

Invasive Treatments

Continuity of Pain Management


Source Information

Supported by the Office of the Forum for Quality and Effectiveness in Health Care, Agency for Health Care Policy and Research, Department of Health and Human Services. This paper does not necessarily represent the position of the Department of Health and Human Services.
Johns Hopkins University School of Nursing
Baltimore, MD 21205
Massachusetts General Hospital
Boston, MA 02114
M.D. Anderson Cancer Hospital
Houston, TX 77030

Address reprint requests to Dr. Carr at the Pain Center, Department of Anesthesia, Massachusetts General Hospital, Boston, MA 02114.

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