Interventional Techniques for Cancer Pain Management

Courcy, J.G. De

doi:10.1016/j.clon.2011.04.003

Cited by 34 publications

(19 citation statements)

References 114 publications

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“…Its evidence base is small but what exists suggests that significant pain control can be achieved. 35 It is discussed here as an example of both a problem and an example of integrated working.…”

Section: Pccmentioning

confidence: 99%

“…35 There is a consensus of opinion that a significant number of patients that may benefit from it are never referred for practical and logistic reasons. This demonstrates the need for not only a local or regional structure for integrated working, but it is also required at a national level to ensure that centres providing all procedures are distributed evenly across the country.…”

Section: Pccmentioning

confidence: 99%

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Pain services and palliative medicine – an integrated approach to pain management in the cancer patient

O’Brien

Kane

2014

British Journal of Pain

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The vast majority of cancer patients will experience pain during the course of their illness. Thankfully, in most instances, the consistent application of analgesic guidelines, tailored to the unique needs of each individual patient, will deliver a satisfactory outcome. These guidelines recommend the skilled use of analgesic medications, often in conjunction with a range of adjuvant therapies as may be required. Despite the consistent and rational application of such strategies, it is recognised that a small but significant proportion of cancer patients continue to experience more refractory pain. In addition, these patients may experience a plethora of unwanted dose-limiting side effects associated with their analgesic medication, sometimes even at low dose. All such patients with more complex and refractory pain syndromes require a more comprehensive review and many will require interventional therapy and/or adjuvant approaches. Unfortunately, the availability and accessibility of such services are variable. Even in circumstances in which palliative medicine and pain services co-exist in the same region, there may be poor integration between the two services. Each specialty area holds a unique set of skills and competencies, yet there is considerable overlap. Patient care and outcomes will be enhanced by establishing more formal relationships between these two specialty areas.

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Section: Pccmentioning

confidence: 99%

Section: Pccmentioning

confidence: 99%

Pain services and palliative medicine – an integrated approach to pain management in the cancer patient

O’Brien

Kane

2014

British Journal of Pain

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“…[2,3] On the other hand, numerous studies in the literature report significant pain reduction post chemical or thermal neurolysis. [13][14][15][16] Papadopoulos et al, [17] who conducted treatment with radiofrequency ablation of splanchnic nerves on 35 patients with end-stage pancreatic abdominal cancer pain refractory to conservative treatment, reported significant decrease in pain scores and consumption of opioids and significant improvement in the patient quality of life during a follow-up period of 6 months.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous, computed tomography guided neurolysis using continuous radiofrequency for pain reduction in oncologic patients

Zavridis¹,

Tsitskari²,

Mazioti³

et al. 2017

JCMT

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Aim: This study evaluates the efficacy and safety of percutaneous computed tomography (CT)-guided neurolysis using continuous radiofrequency for pain reduction in oncologic patients. Methods: Over the course of 16 months, 22 patients underwent radiofrequency neurolysis as palliative therapy for pain reduction in celiac and splachnic plexus (n = 9), thoracic (n = 1), lumbar (n = 2) and superior hypogastric plexus (n = 5), as well as stellate ganglion (n = 5). Pain levels before treatment, one week after treatment, and at the last follow-up (average follow-up 6 months) were compared by means of a Numeric Visual Scale (NVS) questionnaire and a Brief Pain Inventory (Short Form) questionnaire. Results: Median procedure time was 44 min. Median number of CT scans, performed to control correct positioning of the cannula and precise electrode placement, was 8. Pain scores of questionnaires prior to treatment (mean value 9.50 NVS units, range 8-10 NVS units) and post treatment (mean value 3.27 NVS units, range 2-6 NVS units) showed a mean decrease of 6.23 NVS units in terms of pain reduction and life quality improvement (P < 0.05). Overall mobility improved in 18/18 (100%) patients. No complication was observed. Conclusion: This study concludes that CT-guided neurolysis by means of continuous radiofrequency ablation is a safe and efficient technique for pain palliation in oncologic patients. Key words:Pain, oncology, computed tomography, neurolysis, continuous radiofrequency ABSTRACTArticle history:

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“…There are also diverse interventional techniques such as spinal analgesia, nerve block, or destructive modalities (like radiofrequency ablation reserved for a minority of patients) [18]. …”

Section: Introductionmentioning

confidence: 99%

“…There seems to be a large and widening gap between the increasingly sophisticated knowledge of pain and the application of this knowledge to effectively treat patients [16, 18]. Besides the lack of pain management training at both undergraduate and postgraduate levels [20], there are several other barriers to desirable pain alleviation in resource-limited settings, including timely access to healthcare [21] or economic impediments [22].…”

Section: Introductionmentioning

confidence: 99%

Encountering a Neglected Area of a Healthcare System: A Decade of Improvement in Cancer Pain Clinical Practice in Iran

2016

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BackgroundWith the increase in the prevalence of cancer, cancer-related issues also deserve more attention especially in developing countries where there is already limited access to high-quality healthcare. Cancer-related pain, the most common and the most annoying one, is not only a symptom but also an important subspecialty and its management is still challenging.ObjectivesTo assess the level of pain and cancer pain knowledge in Iran in comparison with the whole world.Materials and MethodA search of the literature including papers published in PubMed before March 2016 was carried out.ResultsThere have been an increasing number of publications on pain since 1842 and a growing number of publications on cancer pain since 1929. There has also been remarkable growth in our understanding of cancer pain, particularly since 2010. More than one-third of studies on pain and cancer-related pain were published after 2010.ConclusionThere is a need to be more inventive with the management of cancer-related issues, especially pain in developing countries, to maximize the quality and quantity of healthcare delivery to cancer-stricken patients. It seems that non-governmental organizations like MAHAK can play a significant role in this goal.

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Interventional Techniques for Cancer Pain Management

Cited by 34 publications

References 114 publications

Pain services and palliative medicine – an integrated approach to pain management in the cancer patient

Pain services and palliative medicine – an integrated approach to pain management in the cancer patient

Percutaneous, computed tomography guided neurolysis using continuous radiofrequency for pain reduction in oncologic patients

Encountering a Neglected Area of a Healthcare System: A Decade of Improvement in Cancer Pain Clinical Practice in Iran

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