Optimizing cancer pain management in resource-limited settings

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
Sam H AhmedzaiCAncer Pain management in Resource-limited settings (CAPER) Working Group

Abstract

Adequate cancer pain management (CPM) is challenging in resource-limited settings, where current international guideline recommendations are difficult to implement owing to constraints such as inadequate availability and accessibility of opioids, limited awareness of appropriate opioid use among patients and clinicians, and lack of guidance on how to translate the best evidence into clinical practice. The multinational and multidisciplinary CAncer Pain managEment in Resource-limited settings (CAPER) Working Group proposes a two-step initiative to bridge clinical practice gaps in CPM in resource-limited settings. A thorough review of the literature, a steering committee meeting in February 2017, and post-meeting teleconference discussions contributed to the development of this initiative. As a first step, we developed practical evidence-based CPM algorithms to support healthcare providers (HCPs) in tailoring treatment according to availability of and access to resources. The second part of the initiative proposes a framework to support an effective implementation of the CPM algorithms that includes an educational program, a pilot implementation, and an advocacy plan. We developed CPM algorithms for first-line use, breakthrough c...Continue Reading

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Citations

Oct 5, 2020·ESC Heart Failure·Sara HadzibegovicMarkus S Anker
May 27, 2021·Indian Journal of Palliative Care·Gayatri PalatMikael Segerlantz
Nov 7, 2021·BMC Palliative Care·Virginia LeBaronBishnu Dutta Paudel

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Methods Mentioned

BETA
sedation

Software Mentioned

CAPER
CAPER WG

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