Cancer pain during an epidemic and a pandemic
- PMID: 35639569
- PMCID: PMC9213058
- DOI: 10.1097/SPC.0000000000000594
Cancer pain during an epidemic and a pandemic
Abstract
Purpose of review: As our global population ages, cancer has become more prevalent. Thankfully, oncologic treatments are highly effective, leading to significantly improved rates of long-term survival. However, many of these therapies are associated with persistent pain syndromes. Clinicians caring for people with cancer must understand how the influence of the current epidemic of opioid misuse and the coronavirus disease 2019 (COVID-19) pandemic have complicated cancer pain management. Creative solutions can emerge from this knowledge.
Recent findings: Persistent pain due to cancer and its treatment can be managed through multimodal care, although efforts to mitigate the opioid misuse epidemic have created challenges in access to appropriate treatment. Isolation measures associated with the COVID-19 pandemic have limited access to nonpharmacologic therapies, such as physical therapy, and have exacerbated mental health disorders, including anxiety and depression.
Summary: Cancer pain treatment requires more nuanced assessment and treatment decisions as patients live longer. Societal factors multiply existing challenges to cancer pain relief. Research is needed to support safe and effective therapies.
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
Conflict of interest statement
References
-
- Swarm RA, Paice JA, Anghelescu DL, et al. . Adult cancer pain, version 3.2019, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw 2019; 17:977–1007. - PubMed
-
- Fallon M, Giusti R, Aielli F, et al. . Management of cancer pain in adult patients: ESMO Clinical Practice Guidelines. Ann Oncol 2018; 29: (Suppl 4): iv166–iv191. - PubMed
-
- World Health Organization. WHO guidelines for the pharmacological and radiotherapeutic management of cancer pain in adults and adolescents. Geneva: WHO Guidelines Approved by the Guidelines Review Committee; 2018. - PubMed
-
- Paice JA, Portenoy R, Lacchetti C, et al. . Management of chronic pain in survivors of adult cancers: American Society of Clinical Oncology clinical practice guideline. J Clin Oncol 2016; 34:3325–3345. - PubMed
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