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Review
. 2023 Jun 23;31(7):414.
doi: 10.1007/s00520-023-07868-3.

Ethical considerations in the relief of cancer pain

Nathan I Cherny  1 , Batsheva Ziff-Werman  2
Affiliations
Review

Ethical considerations in the relief of cancer pain

Nathan I Cherny et al. Support Care Cancer. .

Abstract

The management of pain for patients with cancer and cancer survivors is a critical clinical task that involves a multitude of ethical issues at almost every phase of the cancer experience. This review is divided into three sections: In the first, we address rights and duties in the relief of pain from the perspective of patients, clinicians, health care institutions and organizations, and public policy. This section includes a detailed description of issues and duties in relation to opioid misuse and addiction. In the second section, we discuss the ethical consideration of therapeutic planning. The final section addresses ethical considerations in the management of pain at the end of life including a detailed discussion regarding ethical issues relating to the use of palliative sedation as a clinical intervention of last resort.

Keywords: End of life care; Medical ethics; Opioid misuse; Pain; Palliative sedation.

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References

    1. International Pain Summit of the International Association for the Study of Pain (2011) Declaration of Montreal: declaration that access to pain management is a fundamental human right. J Pain Palliat Care Pharmacother 25(1):29–31
    1. Lohman D, Schleifer R, Amon JJ (2010) Access to pain treatment as a human right. BMC Med 8:8 - PMC
    1. Brennan F, Lohman D, Gwyther L (2019) Access to pain management as a human right. Am J Public Health 109(1):61–65 - PMC
    1. Goudas LC, Bloch R, Gialeli-Goudas M, Lau J, Carr DB (2005) The epidemiology of cancer pain. Cancer Invest 23(2):182–190
    1. van den Beuken-van EM, de Rijke J, Kessels A, Schouten H, van Kleef M, Patijn J (2007) Prevalence of pain in patients with cancer: a systematic review of the past 40 years. Ann Oncol 18:1437–1449