[Pain assessment and therapy in bronchial carcinoma].
In the period from 1983-1991 133 patients (102 men, 31 women) with lung cancer were treated in our pain clinic for 8083 days. Pain was associated with tumour infiltration in 86% of patients and related to therapy in 15%. Even in 6 of 8 patients who were admitted with a diagnosis of "postthoracotomy syndrome" and in all 4 patients with "postradiation syndrome" local recurrence was diagnosed during follow-up. All 17 cases of brachial plexus lesions were caused by local tumour spread. Symptomatic treatment according to WHO guidelines resulted in good pain relief in 92% of patients and on 82% of days. The incidence of dyspnea decreased from 51% of the patients to 16%. Strong opioids were used on 56% of treatment days. Parenteral or spinal administration of opioids was necessary on 3% of days only.
Radbruch
L
L
Klinik und Poliklinik für Anaesthesiologie und Operative Intensivmedizin, Universität zu Köln.
Zech
D
D
Grond
S
S
Jung
H
H
Meuser
T
T
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000700:Analgesics / Q000008:administration & dosage; D000701:Analgesics, Opioid / Q000008:administration & dosage*; D002283:Carcinoma, Bronchogenic / Q000503:physiopathology*; D002289:Carcinoma, Non-Small-Cell Lung / Q000503:physiopathology; D018288:Carcinoma, Small Cell / Q000503:physiopathology; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000188:drug therapy*; D010147:Pain Measurement / Q000379:methods*; D010166:Palliative Care / Q000379:methods; D010178:Pancoast Syndrome / Q000503:physiopathology
D000700:Analgesics; D000701:Analgesics, Opioid