Modeling cancer pain: “the times they are a-changin’”

Abstract

EditorialThe last few years have been marked by the emergence of supportive care, and it has been clearly substantiated by evidence. Many authors have highlighted different models for early integration of supportive care [1], from as early as the cancer diagnosis. These integrative models in cancer have demonstrated their positive impact in terms of patient quality of life, symptoms management, health costs, and optimization of care pathways, regardless of the management method (outpatient, in hospital, home care) [2]. In addition to these validated results, the relevance of the models also lies in the fact that they put the spotlight on other means of looking at cancer medicine: interdisciplinarity, development of paramedical skills, decompartmentalization of hospital and community medicine, personalized approach to the patient's care pathway, anticipation and prevention of disruptions to care [3], and a continuum that abolishes the palliative/curative dichotomy in favor of adaptation to patients, their issues, and their environment. These changes-which, for now, remain the fruit of initiatives or research work-are nevertheless not yet the norm when it comes to structuring care in oncology at a larger scale. They are taking place in parallel to an impressive change in cancer management-with most cancers now considered a chronic condition-and respond in a satisfactory manner to the hyperspecialization of cancer medicine.Cancer pain medicine can fit into this dynamic perfectly, as one of the major dimensions of supportive care, if essential conditions are respected. It is an exhaustive and demanding type of medicine which

Effectiveness of naloxegol in patients with cancer pain suffering from opioid-induced constipation

“…The management of multimorphic cancer pain is one of the fundamental pillars of supportive care in cancer and is thus part of a complementary approach to the care speci c to cancer [24,25]. Supportive care in cancer is "the prevention and management of the adverse effects of cancer and its treatment.…”

Cancer pain is over! (If you want it)

“…In parallel with this progress, cancer pain has also changed and become more complex: in a series of articles [6,[10][11][12][13][14][15][16], we described the concept of multimorphic cancer pain. "From an etymological point of view, the term multimorphic refers to the possibility of adopting several forms at the same time and of changing form.…”