Neuropathic pain in cancer patients--prevalence and management in a tertiary care anesthesia-run referral clinic based in urban India

Journal of Palliative Medicine
Sushma BhatnagarSandeep Khanna

Abstract

Cancer pain is often intractable and has a considerable impact on the quality of life. Nociceptive pain is easily recognized and managed using conventional analgesics. The neuropathic component makes cancer pain difficult to manage. The epidemiology of neuropathic pain in cancer patients has not been well documented. This retrospective study attempted to discern the prevalence of neuropathic pain over a period of 2 years, in cancer patients at the Pain and Palliative Care Clinic of a tertiary care cancer center in India. The study also aimed to describe the approach to neuropathic cancer pain alleviation. A retrospective analysis of 3238 cancer patients who presented with complaints of pain during 2006-2008 was undertaken. Findings including type and intensity of pain, initial evaluation, treatment initiated, and other associated symptoms were recorded at the initial visit and 1 week, 1 month, and 6 months thereafter. Pain with a burning, radiating, or shooting component was considered to be neuropathic. The prevalence of neuropathic pain in cancer pain patients was found to be 11.8%. Oral morphine emerged as the commonest cancer pain management modality (95.8% of patients). However, 29.89% of our patients with neuropathic pain...Continue Reading

References

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Citations

Oct 25, 2012·Indian Journal of Palliative Care·Mahesh Menon
Aug 7, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Michael I BennettMeryem Nimour
Feb 6, 2017·Pain Practice : the Official Journal of World Institute of Pain·Kapil GudalaDipika Bansal
Nov 7, 2019·Journal of Pain & Palliative Care Pharmacotherapy·Cherine MoazamRabia S Atayee
Jul 3, 2020·Journal of Pain Research·Yu-Meng Chen, Xue-Qiang Wang
May 27, 2021·Indian Journal of Palliative Care·Aanchal SatijaSushma Bhatnagar
Feb 16, 2011·Current Opinion in Supportive and Palliative Care

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BETA
pharmacotherapy

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