[Intractable cancer pain as a reason for referral : Analysis of pain etiology and previous drug treatment.].

Der Schmerz
S GrondK A Lehmann

Abstract

Many studies have demonstrated that cancer pain can be relieved in most cases by suitable analgesic medication. Patients with a diagnosis of "intractable cancer pain", however, are referred to our pain clinic nearly every day. A retrospective study of 1140 patients was therefore performed to evaluate the pain mechanisms and whether analgesic pretreatment had been adequate. Half of the patients (53%) were suffering from pain at more than one site. The most frequent locations were the back (36% of the patients), abdomen (30%), and the thoracic (22%) region. The main pain etiologies were compression or infiltration of pain-sensitive structures by the tumor (84% of the patients), and less frequently oncological treatment (18%), debilitating disease (10%), or causes unrelated to tumor or therapy (9%). Pain could be classified with almost equal frequency as neuropathic, visceral, soft tissue-related, or bone-related. Upon admission to our pain clinic, most patients (86%) indicated pain of severe intensity. The principal causes for the inadequacy of the analgesic pretreatment were: failure to prescribe analgesics (10% of the patients), irregular intake schedule or prolonged intervals between applications (66%), underdosage of nonopioi...Continue Reading

References

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Jun 1, 1988·Der Schmerz·H Flor, N Birbaumer

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Citations

Jun 1, 1991·Der Schmerz·D Zech
Aug 1, 1996·Journal of Pain and Symptom Management·M StrumpfB Donner
Jul 1, 1992·Journal of Pain and Symptom Management·S A SchugB Stobbe
May 1, 1993·The Annals of Otology, Rhinology, and Laryngology·S GrondK A Lehmann
Oct 16, 2010·Deutsches Ärzteblatt International·Christoph MaierJürgen Osterbrink

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