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 inthe United States, yet unfortunately, the pain associated withit 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 controlledby relatively simple means. Nevertheless, undertreatment ofcancer pain is common because of clinicians' inadequate knowledgeof 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.
References
Appendix
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Callstrom, M. R., Charboneau, J. W., Goetz, M. P., Rubin, J., Wong, G. Y., Sloan, J. A., Novotny, P. J., Lewis, B. D., Welch, T. J., Farrell, M. A., Maus, T. P., Lee, R. A., Reading, C. C., Petersen, I. A., Pickett, D. D.
(2002). Painful Metastases Involving Bone: Feasibility of Percutaneous CT- and US-guided Radio-frequency Ablation. Radiology
224: 87-97
[Abstract][Full Text]
Hansen, G., Frankenstein, R. S.
(2000). Assessment and Management of Pain. JAMA
284: 2317-2318
[Full Text]
Carver, A., Payne, R., Foley, K., Dworkin, R. H., Galer, B. S., Rowbotham, M. C., Gershon, A. A., Perkin, R. T., Breton, G., Bricaire, F., Caumes, E., Gilden, D. H., Kleinschmidt-DeMasters, B. K.
(2000). Herpes Zoster. NEJM
343: 221-223
[Full Text]
Rochon, P. A., Gurwitz, J. H.
(1999). Prescribing for Seniors: Neither Too Much nor Too Little. JAMA
282: 113-115
[Full Text]
Shapiro, R. S.
(1996). Health Care Providers'Liability Exposure for Inappropriate Pain Management. J Law Med Ethics
24: 360-364
Jadad, A. R., Browman, G. P.
(1995). The WHO Analgesic Ladder for Cancer Pain Management: Stepping Up the Quality of Its Evaluation. JAMA
274: 1870-1873
[Abstract]
Cohen, L. M., McCue, J. D., Germain, M., Kjellstrand, C. M.
(1995). Dialysis Discontinuation: A 'Good' Death?. Arch Intern Med
155: 42-47
[Abstract]
Glass, R. M.
(1994). Caffeine Dependence: What Are the Implications?. JAMA
272: 1065-1066
[Abstract]
Karnad, A. B., Blansfield, H. N., Kilwein, J. H., Goodman, A. N., Marcus, C. S., O'Neill, W. M., Chambers, E. J., Fallon, M. T., Bloomer, W. D., Cleeland, C. S., Jacox, A., Carr, D. B., Payne, R.
(1994). Treating Cancer Pain. NEJM
331: 199-201
[Full Text]
Cleeland, C. S., Gonin, R., Hatfield, A. K., Edmonson, J. H., Blum, R. H., Stewart, J. A., Pandya, K. J.
(1994). Pain and Its Treatment in Outpatients with Metastatic Cancer. NEJM
330: 592-596
[Abstract][Full Text]